(Acta Obstet Gynecol Scand. 2016;95:420–428) Research has shown that of women planning to give birth at home in western countries up to one-third are transferred to a hospital during labor or after the birth. The objective of this study was to describe how often women and neonates were transferred from home to a hospital during labor or after birth; the indications for transfer; how long before or after birth the transfer occurred; the mode and duration of transfer; and the proportion of transfers classified as potentially urgent.