Unfortunately we only see the "bad" outcomes. In my area we have a lay midwife that has lost creditably with the nursing staff long ago. When her patients come in they are train wrecks. Pushing for 5 hours against a 8 cm cervix, push with a FHR in the 90s...turns out that was the moms HR....baby had no heart rate when she come in by rescue for "exhaustion", and a PP pt that was allowed to slowly bleed out for 6 hours before being brought in because she was "dizzy & couldn't hold the baby to breastfeed". They only gave her apple juice thinking it was her blood sugar. Turns out she had a cervical tear and retained placenta. These are just a few examples....and each time it happens, we have to wait for charting, prenatals and other information because she "has to gather my thoughts". It is hard to not be frustrated when these cases come in.