The other familiar aspect is that this family ultimately chose a home birth with a midwife for the birth of their child. I personally believe that this is a healthy choice for healthy women with uncomplicated pregnancies and access to hospital care if the need arises. I spent most of my midwifery career working in out-of-hospital settings, and I can attest that the best source of business for homebirth and birth center midwives is our dysfunctional hospital-based maternity care system. So many women who never considered having a baby anywhere but the hospital came to us for their subsequent births because they had been traumatized or just simply disappointed in their previous maternity care experiences. Certainly by far the best place to get *participatory* maternity care these days is in a home birth or birth center settings. Unfortunately, not all women can or should give birth in these settings, and they’re too often stuck with the opposite of participatory care. The story of a woman who is fighting to have a vaginal birth after a prior c-section at Page Hospital in Arizona provides a poignant example of this. The hospital is threatening her with court-ordered surgery if she arrives at the hospital in labor (despite the fact that she *had* a VBAC at the same hospital 2 years ago before the hospital had changed their policy). I am told that this particular woman is planning to give birth at a hospital 5 hours away from her home (a hardship, given that she has 3 kids to look after). But an increasing number of women in her situation are choosing to have home births, sometimes without any professional attending them at all.