I co-own a free-standing birth center in Virginia and I have been a licensed, practicing midwife in Virginia for 15 years. Our practice serves about 100 clients a year.  I could give many examples from the births I have attended as to how a dose of pitocin or IV fluids would have been helpful and perhaps even have avoided an unwanted transfer to a hospital. I can list off countless examples of the "work arounds" my clients have experienced in order to get needed medications such as Rhogam or Vitamin K. But many of those stories have already been told in other comments. The fact of the matter is that licensed midwives in Virginia should be able to practice to the full extent of their scope which includes being able to carry and administer medications as we are trained to do. It is a matter of public safety.