Nurse-midwives collaborated with obstetricians, pediatricians, nurses and hospital administrators of a large tertiary care center to develop and establish a program for the discharge of low-risk mothers and babies, 12 hours postpartum. The idea was to establish a family-centered alternative to home delivery. Home visits were made each day for 2–3 days by a nurse-midwife/OB visiting nurse team. The baby is seen in a clinic 7–10 days later. At the end of the first year the program safety, acceptability, and cost containment factors were evaluated prior to expansion of the program. The results indicated that early discharge is providing great satisfaction for clients, reduces the cost of perinatal care while improving the quality of care for low-risk families and improves the utilization of available hospital beds.