There are various reasons someone might choose to birth at home, one being a pandemic. Having a traumatic birth at a hospital might drive a mother to birth in a calmer setting for the health of both her and the child. These mothers should be able to get the best care possible. Certified nurse midwives should be able to access the medications required to care for the mothers without need to contact the local hospital. They have done the work required to hold their certifications so why hold this back?