The majority of the clients who choose to give birth at the birth center do so because they either don’t feel comfortable in a hospital setting or are afraid of medical interventions that could lead to an ‘unnecessarian’ (unnecessary cesarean birth). I find most families are nervous of this possibility of transferring as they think this option is only reserved for emergency situations or a need for a c-section, when that is rarely the case (cesarean rates for planned out-of-hospital births are 5% compared to the national average of 31%). (1) However, in preparation for a healthy, natural birth outside of the hospital, this includes understanding when transfer is indicated, so if it happens the process is that much smoother.