Both of my children were home-birthed: my eldest in the State of Washington and my youngest in the Commonwealth of Virginia. Although my VA midwife had three times as many years of experience as my WA midwife, I understood that birthing at home in VA was inherently riskier as my widwife could not legally administer a narrow range of medications pertinent to pre/post-natal care and birthing, for which she was trained and certified. Some of these medications might be a matter of convenience (e.g., not needing to make separate trips to a doctor’s office to receive rhogam shots) - but consider that convenience is a matter of privilege and a barrier to access for others.