The Horror Story of a Train Wreck

There are horror stories that you kind of get from the hospital and that goes back to the point I was making about integration. Most states that are all states most that regulate midwifery they have specific guidelines and rules for when you have to transfer. So it is kind of like a nuanced issue but the way transfers are inevitable they happen there's transfers in the book and birth is unpredictable so I just think the challenge for our health care system if we want midwife care to be more accessible and integrated into the mainstream is to make sure that these two systems are working together.