Home birth is one of the most controversial issues in childbirth today. Increasing numbers of women are turning away from the hospital and having their children at home. An exploratory survey was undertaken to examine the reasons and priorities of women who choose to have their children born at home. Findings of the study indicate that women choose home birth primarily as an effort to avoid the hospital. Also, the home offers many qualities not available in a hospital. Results of this study provide those concerned with maternity care services with insight and understanding of the factors involved in women's decisions for home birth. Methods for incorporating the home birth population into the health care system are also suggested. Some implications for health care providers, planners, and delivery systems are identified.