Women with access to high-quality medical care may choose home birth because they prefer the intimacy of a home and family-centered experience, to avoid risks related to in-hospital births, or desire to avoid a medically centered experience typical of a hospital, among other reasons. Professionals attending home births can be obstetricians, certified or uncertified midwives, and doulas. In developing countries, where women may not be able to afford medical care or it may not be accessible to them, a home birth may be the only option available, and the woman may or may not be assisted by a professional attendant of any kind.