The low number of deliveries in health facilities and assisted by health workers in the Rakit Kulim sub-district. The research objective was to obtain in-depth information about the description of childbirth practices in the Talang Mamak tribe house. The qualitative research method uses the phenomenology approach by conducting in-depth interviews with 6 informants, 2 base informants and 7 key informants. The results of the study were obtained from the practice of childbirth at the Talang Mamak tribe house, among others: cultural practices during childbirth and postpartum: cultural practices that endanger childbirth at home such as less suitable places / spaces for delivery, cleanliness of the tools used during childbirth, methods used, birth attendants untrained, abstinence from food for postpartum mothers, and provision of food for newborns, while the cultural practices of childbirth and postpartum culture that support home births are among other things; placenta care, postpartum care with herbs and use of barots; low knowledge of mothers about the danger signs of childbirth and childbirth which is influenced by low levels of education and lack of information obtained by mothers; Low perceptions of mothers about childbirth and childbirth are risky because they think that childbirth is a natural process for a mother; the high level of mother's trust in the dukun because of her experience, hereditary traditions, her belief in unseen things, the services she provides and is a person who has been known to her for a long time; physical accessibility to the utilization of health services that is not far away can be achieved by two-wheeled impetus and cheap transportation costs; economic accessibility to the utilization of health services where most mothers are housewives, the decision is taken by birth mothers and the costs of childbirth and postpartum are not a problem; In health facilities, there are differences in the services provided during childbirth and postpartum. Conclusion: The factors that influence the practice of childbirth in the Talang Mamak tribe house are cultural practices of childbirth and postpartum; knowledge of the danger signs of childbirth; perceptions of risky labor and childbirth; trust in dukuns, while those that do not affect: physical accessibility to the use of health services; economic accessibility to the utilization of health services; and health facilities. The importance of making efforts to improve health services by taking into account the factors that can affect the utilization of health services.