I'm just a little mistrustful, though, of women who don't make it to the hospital in time to deliver there. The same goes for women who do not get prenatal care. I hate to be judgmental, but the sad fact is that some of these women use illicit drugs or have had run-ins with the law or child protective service agencies. They may avoid prenatal care to avoid prosecution or to avoid having their baby removed from them by the protective services folks.
So I've developed a simple screening question of all moms with unintended home deliveries or no prenatal care. I ask them if their other children live with them. If they don't, there is something wrong, because in our society you usually have to mess up pretty bad to get your kids taken away.
Remarkably, the mothers are pretty truthful about the answer. Maybe it's because they've just given birth, and that induces truthfulness, or maybe they know that we'll figure it out some other way, but they usually admit it if their kids are not with them. And then we have to do the unpleasant duty of beginning the process to separate a mother from her child.