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I hope rural people like home births. That's how my mom's great aunt died: in the farm house living room with a stalled labor in the dead of winter. Her oldest son had to drop out of middle school to help raise his 10 siblings until he got drafted into WW2. My mom was only born in a hospital because her mom was going into kidney failure before her due date. Her next child was deprived of oxygen at birth, and since the nearest NICU was hours away he has severe intellectual disabilities and has been a ward of the state for decades. He was physically abused by paid family caretakers while waiting for a facility with an opening to accept him.