Don't limit midwives! They are amazing people with a breadth of knowledge and skills they should be permitted to use. Why take away lidocaine and force a woman who had an otherwise uncomplicated birth to have to go to the hospital for stitches when her midwife could handle it? Why are you wanting to keep them from accessing rhogam which helps a woman not develop rh+ antibodies that would harm her next baby? These proposals make no sense. Let midwives use their skills.