As a L&D nurse, I am very supportive of home birth. Many patients think we are doing them such a service by tying them to a bed and pumping them full of pitocin so they will deliver on the day shift. Honestly, the most serious complications I have seen were DOCTOR INDUCED!!!! IE pit to distress, rupturing the membranes when the pt is -3 and whoops a cord prolapse, how did that happen??? Also the main methods we use in the hospital for shoulder dystocia are not always the best, suprapubic pressure and Mc Robert's manuever, most suprapubic pressure I have seen has been done incorrectly anyway. Hands and knees actually opens the pelvic diameter, and most well trained home birth midwives would know this. Yes, the hospital can do a great service to high risk women, but it is the preffered method of all women. Of course you should not deliver at home unless you are completly comfortable with it and educated about the pros and cons. Maybe I have just seen too many doctors taking advantage of patients, but this is the way I feel. I suggest all professionals in OB to read "Ina May's Guide to Childbirth" by Ina May Gaskin, you can find this book in any larger store and it is written by a CPM that is internationlly known. I could not put this book down once I got it, and have shared it with my co-workers.