Although the Thailand Ministry of Public Health has initiated efforts to decrease the number of married pregnant Thais who do not receive prenatal care, 7.66% of them are 35 years of age or older. 9, 12 Furthermore, 43.65% of married pregnant Thais, 35 years of age and older, reportedly gave birth at home, with the assistance of a trained midwife.9 In light of the fact that the place of delivery and the personnel assisting during delivery are variables related to maternal and infant outcomes, giving birth at a hospital, with professional health care providers in attendance, reduces the risks of poor maternal and infant outcomes.