I have been going to out of hospital births since 2015 in a home birth and freestanding birth center setting. Recently i attended the birth of a young woman with her second baby and after a straight forward delivery she had one of the most significant hemorrhages Ive seen in the 7 years i've been attending births. Luckily this client had decided to see a secondary provider and pay out of pocket for the access for anti-hemorrhagics that she fully intended on self administering, which she did. With the use of these medications we were able to minimize bleeding while we transferred to the hospital for a higher level of care. I whole heartedly believe that she was a good candidate for a home birth and that these medications saved her life. It was very much a possibility that even after adequate education that she would have chosen to not seek out those medications and in that case we would have gone without. It is also concerning to have clients/ partners/ grandmother/ friends/ whoever administer IM medications with no training, while the one trained professional in the room is unable to.