Abstract: Home maternal deliveries are deliveries conducted at home environment or any other place other than hospital. The MDG no. 5 targeted to increase women being attended by skilled health personnel to 90 %. In the year 2012-2013, 56 % of mothers in Kenya delivered at home and 488/100000 mothers died as a result of complications. Nakuru County recorded 58 % while Rongai had 73 % of the mothers who delivered at home. A case control study was conducted to find out the factors contributing to home maternal deliveries in Rongai. The objective of the study was to find out the factors influencing home maternal deliveries and data was collected using semi structured questionnaires where Stratified and purposive sampling methods were used to select subjects, 108 as cases and 42 as controls. Women between 19-49 years and brought their children for initial vaccination were included in the study. Filled questionnaires were analyzed using odds ratio and presented using frequency distribution tables and figures. The research findings indicated that knowledge, attitudes and practices during delivery were associated to home delivery. Lack of knowledge on safe delivery, negative attitude and bad practices influenced home delivery. The researcher recommends research on quality of hospital services.