If you choose to give birth with a licensed midwife, most often that person can prepare the paperwork for a birth certificate for you. However, if you choose an unlicensed provider, or if you give birth unassisted, the process varies from state to state. Generally, you'll need to have proof of your pregnancy (generally some medical records), proof that you gave birth to your child (generally a letter from a doctor who saw you before and you with your baby after the birth), and a witness to the birth.
We've listed below information for obtaining a birth certificate in most states. If you don't see your state listed (DC and South Carolina are not listed below), or if there seem to be details missing, try asking around in your local birth community.
Also, if you find that you have passed the time period for birth registration in your state or county, the office of vital statistics can help you through filing a "Delayed Birth" registration;the CDC maintains a page of state vital records offices.