Israel, 2, and Ezeriah, 1, Heckart play at their home in Marshalltown, Iowa on Monday, Sept. 25, 2023. Their mother, Analee Heckart, and her husband are expecting their fifth child in November. All four of her children were delivered at home with the assistance of a midwife, and Heckart intends for the same with her fifth. (Emily Nyberg/The Daily Iowan)