Innovative methods of delivering cost-effective and quality perinatal home care are a priority for health care professionals. Research has demonstrated that perinatal home care can be provided in a safe, costeffective manner. A trend in the delivery of health care is to provide perinatal care in the home. Perinatal home care encompasses preconception home care, low- and high-risk antepartum care, home birth, and postpartum care. This article explores important issues in understanding perinatal home care including the type of care provided, the essential components for home care programs, and health care policy trends. Perinatal home care services can be offered by private or public hospitals, home health care agencies, and independent health care professionals. Ideally, services and programs offering perinatal home care involve a variety of health care professionals.