The states in the U.S. with the highest home birth rates in 2023 were Idaho, Montana, and Hawaii. At that time, around 4.7 percent of all births in Idaho occurred at home, while 3.9 percent of births in Montana were home births. Home births Home births are selected by women in the U.S. for a variety of reasons that may include, a preference for less medical intervention, a location preference, cost, and a cultural or religious preference. In general, home births are not very common in the United States. In 2023, just 1.5 percent of births in the U.S. occurred at home. U.S. births Generally, births in the U.S. have been on the decline in recent years. Women aged 20 to 34 years have the highest birth rates, and Native Hawaiian and other Pacific Islander women have higher birth rates than women of other race/ethnicities. Family size and income also have an impact on birth rates. Households with an income under 10,000 U.S. dollars have a higher birth rate than higher household income brackets.