I am a birth doula, lactation consultant and a breech home birth after cesarean (all a variation of normal and not a high risk emergency) mom myself. It is imperative that midwives be allowed to use the full scope of practice that they are trained including administration of medications. Birth is inherently safe and therefore home birth is inherently safe. CPMs are fully trained in normal physiological birth but they are also fully trained and capable of handling an emergency if it we're to arise much more so than most of the EMS department that would respond in an emergency situation. The health of our community and the health of moms and babies depends on CPMs being able to use all of their skills often times saving lives. It's completely unethical to tie their hands behind their back and disallow them to use skills that they are fully trained in.