Home Made: Inside Baltimore's Home-Birth Underground by Michelle Gienow

Jimmy Gaffney in his mother Alana's arms.

Alana Gaffney helps daughter Keira, 3, listen to baby brother Jimmy in utero. Gaffney did all her own prenatal care before delivering Jimmy in an unattended home birth.

Brigitte Jacobson with son Noah, who was born at home before the midwife could get there.

Dr. Victor Khouzami, chair of the obstetrics department at GBMC.

Birth activist and ICAN Baltimore chapter chair Barbara Stratton with sons Charlie, standing, and Ridgeway (in lap).