I have had 3 homebirths and have attended many other births. I have seen midwives having to transfer to hospitals for very simple things, such as stitches needed, when they are trained to do it, but not legally allowed to. I have seen women refuse to go to hospitals to get stiches and risk infections and suffer in pain because they are afraid of hospitals,  or taking the baby into a place so full of illnesses. In other countries such as England,  midwives are allowed to use all their training to help women, including medications and other procedures deemed necessary by the Midwife even in a home setting. Midwives should be free to use all their skills that support women's safety and health.