Midwife Erin Fulham, left, takes care of Shannon Earle and her new baby Kiera. Daughter Riana, the father, Patrick, and his mother, Ann Earle, look on at the family's home in Takoma Park, Md., in 2011. Amanda Steen/NPR hide caption

itoggle caption Amanda Steen/NPR

Shannon Earle holds her new baby Kiera Breen Earle, moments after she was born at their home last year. Amanda Steen/NPR hide caption

itoggle caption Amanda Steen/NPR