Background: Perinatal and maternal morbidity and mortality is decreasing in most countries with effective antenatal care and safe child delivery facilities, but it is rising in underdeveloped nations with low resources and dangerous home birth practices. The present study sought to determine the factors that influence home birth in western Sudan. Methodology: This is a descriptive longitudinal study that took place at the Obstetrics and Gynecology teaching hospital in Al-Obeid, North Kordofan State, Sudan, from January to December of 2023. This study has enrolled around 224 individuals. Results: Financial problems were the most common reason for choosing home birth (23.6%). The majority of cases (22.3%) occurred among individuals under the age of 20. The majority of cases were from rural areas, accounting for 62.1%. The majority of the study population (29.9%) were illiterates. The majority of the patients (22.7%) were from Shikan, while the remaining were from other war-affected locations. Conclusion: The preference for home childbirth is growing in western Sudan states, particularly among illiterates, rural residents, teenagers, and low-income patients. The most apparent factors include financial and community beliefs.