Raw Dawgin' it;1067538 wrote:low risk = lower chance of infections. Has nothing to do with having your kid at home or in a hospital. Since birth centers and mid wives don't use drugs they only accept low risk patients. Again, if there are any complications they are taken to the hospital ER.
That's partially true, but it's tough to quantify. Most people using birthing centers, doulas, or midwives are people who are pretty serious about going the natural birth route. They tend to take more birthing classes, be in better shape, monitor signs better, etc.--all things that lead to fewer complications regardless. Basically, they're yuppies/urban hippies who are overwhelmingly young, white, well-educated, and affluent. So you're right that there's a selection bias when looking at ranges of outcomes comparing the two, and that makes it tough for a head-to-head comparison.
Still, c-section rates are dramatically lower in non-hospital or midwife-assisted births, and c-sections are a pretty big factor when it comes to infection risk. By choosing to avoid a c-section (or by taking steps to lower the risk), you can thus lower the risk of infection. If the baby is breach, of course, it doesn't matter, as a c-section is going to be done anyway.