Rusti Barger, a stay-at-home mom of six, delivered her first two babies in the local hospital. When she became pregnant a third time in 1999, she and her husband David, from rural Faulkner County, chose to have a home birth. They hired a midwife who instructed her to undergo a state-mandated medical risk assessment. Barger made an appointment at the county public health clinic. And that’s where, she says, things went awry.