Women who are more likely to have problems in pregnancy or during birth are usually safest with obstetrical, hospital-based care. I cannot accept clients with, diabetes, high blood pressure, significant heart disease, kidney disease, liver disease, alcoholism, or significant mental illness. Also, women who currently smoke, use drugs or do not take responsibility for their health are not good candidates for home birth. I offer care for women who have no major medical or obstetrical problems, who seek an active role in their pregnancies and birth, and desire minimal intervention. By maintaining healthy lifestyles – eating a variety of whole foods, being active, and avoiding harmful substances (such as tobacco, alcohol, and pesticides) – most of my clients remain low-risk and are expected to have a good, normal outcome for both mother and baby.