The views of mothers are important in shaping policy and practice regarding options for intra-partum care. The aim of this study was to assess the trade-offs that remote and rural women make regarding intrapartum care. Methods Qualitative telephone interviews were undertaken, transcribed and analysed for themes by two researchers. A diagrammatic analysis was then derived to illustrate the relationship between the themes. Results 13 interviews were undertaken with women who had young children and one who was pregnant. All were from the north of Scotland. Key themes identified related to: risk/safety, distance, travel, weather, antenatal care, intervention, type and place of care, the possibility of intra-partum and postnatal transfer, and support by different professional groups. Discussion and Conclusion This in-depth study provides insight into the factors that women living in remote and rural areas consider when making choices regarding intrapartum care. These views should be incorporated into policy development and inform antenatal discussion with pregnant women.