Last week I had my first solo home birth. Amazed I made it almost three years into my practice before it happened. An unplanned home birth for a precipitating primip, at that. When I got there, she was laying on the bathroom floor and I could tell she was pushing, so I explained we probably didn't have time to drive to the hospital as had been the plan, and that I had everything in my car that we needed to have a baby safely at home, and they agreed to stay. I don't think we could have got her off that floor anyway. Once I called my second and brought everything in and got set up and my pulse and adrenaline settled. Just me and him and her, all crammed into their tiny overheated bathroom, feeling entirely competent to help usher this new soul into the world on my own.