Truthfully it depends on the state you live in a how certified the nurse/midwife is. I am a nurse but I was recommended from my OBGYN boss for a outside patient to help her deliever her baby due to hip complications. First things is you want to have all your local hospitals on file...just in case. Make sure you have a full background on the nurse and midwife you choose to decide. Make sure all her/his equipment is sealed to so that all the items are sterile and they are qualified to administer drugs in case the need should arrive...a lot of nurses have to get certified in certain criterias before being near that patient....DETAILED background information...This is your child you are talking about and if somehting should occur you don't want the nurse in question to get by with a malpractice suit. As for me personally, I delievered a baby in the state of California and was paid $3500 for the 18 hour in labor my patient was in...I could have asked for more but I was being paid hourly as well from the hospital I worked at. When and if you decide, go with your gut...make sure to have a relationship with them so you feel comfortable with them on the day of delievery.....alot of women feel like this a good method but they never do any research. Be Safe in your decisons. Congrats and Best Wishes