Miriam, this statement confuses me greatly. The only hospitals I know of that do not have L&D units are those that don't do obstetrics at all (which is, I admit, a growing number, but those hospitals transfer laboring patients, the only deliveries they do are precipitous ones in the ED). Those units are in constant use, and all laboring patients are sent there. So I can only think that you mean something by L&D that the rest of us don't. Could you please explain?
Homebirth is not necessarily cost effective - it's cheaper, in monetary terms, if you consider *only* the cost of the delivery, and if the delivery goes smoothly. If things don't go well, the costs mount exponentially and instantaneously. Furthermore, home is an environment in which there is no chance of pain relief, which many women want, and which they should be able to get.
It's hard to have this conversation when you insist that women who want ceseareans, or who schedule them in advance, are deceived, misled, or frivolous, without considering the possibility that they're educated, informed, and doing the best they can to deal with the challenges of their lives.
Agreed. I wonder, if one supports "birth choice" why doesn't one also support a woman's choice to birth in a hospital? To have an epidural? To have an induction? To have a C-section? If a woman makes an informed choice, should that not always be supported? Or do we only support people who make decisions identical to ours?