“Midwife to Myself”: Birth Narratives among Women Choosing Unassisted Homebirth*

Abstract

Most pregnant women in the United States today choose a normative physician‐guided pregnancy followed by a medically managed hospital birth. Some, however, choose the care of a midwife during pregnancy and birth, whether in the hospital or, more rarely, at home. Despite growing research on both these paths, a third option chosen by some women has rarely been studied: a planned birth at home with neither a doctor nor a midwife assisting. In this article, I examine the stories told by women in this under‐researched population to consider how they make and explain this highly unusual choice. Analysis of online birth stories and in‐depth interviews with women who planned and had an unassisted homebirth reveal ways in which these women rely on competing discourses of midwifery and medicine to craft a unique sense of agency in birth.