Out-of-hospital birth is a choice only for women who are in good health and who have had normal pregnancies. Interventions are often not necessary for healthy women having normal labors, but if the need arises, the woman is transferred to the hospital. Those planning out-of-hospital births, therefore, expect to labor without pain medication and without medical intervention. It must be remembered that caregivers in out-of-hospital settings have fewer facilities (and possibly less skill) should emergency situations arise. Minutes count.
Many women, of course, are not comfortable giving birth away from the emergency medical facilities available in hospitals. This disadvantage of out-of-hospital births should be carefully considered by all women contemplating birth outside the hospital.