Sorry to jump on this but - Legally speaking they are also required to attend you in a birthing centre too. ESP if that is where you turn up in labour, and don't want to be moved... However the reality of the pressure to be transferred say if you are breach or twins ect will be more intense. You can negate this by planning your birth with the head of Midwifery and your MW before-hand - this is, afterall, something you can plan for.
You might be surprised at the number of variances of norm they are happy to accommodate - There margins are NOT as narrow as you might think. For instance, my stand alone birth centre, will happily accommodate (and have to, on maternal insistence), twins, twins in the pool, high BMI, anaemia, GD, etc, etc.. they “can’t” refuse you - they can only advise.
But it still comes down to personal choice, and what you are comfortable with - Things like, if your choice is to have an epidural, you generally won't be able to get that at a birth centre (some attached to a hospital with an Obst unit, it will be possible to arrange), and if you have clinical signs of PE - your "choice" still can't be limited, but I doubt that many of us will choose to go for that, considering limits in resources of the location. But as long as you are aware of any limits in the resources of a certain choice, you can really do whatever you like. Same applies to home, birth centre or hospital.
Sorry I know that most of us know the limits - but it is still important to note that the law and your rights are the same. We are ALL allowed to go against medical advice.. even if it is on medical "territory" the legal duty of care is the same.. and your own responsibility towards your own health is the same.
Some women who face “difficulties” with the medical system with certain medical conditions and who have utter confidence in their bodies, take the option, against medical advice, of going out-side the system and opt for a homebirth (either with or without a independent MW), because of the reasons of the pressure the “system” puts on them - and their visualisation of their birth has been effectively ruined by pressure - this is a sad situation, but a very understandable one, as the element control is placed firmly back with the mother… and that is where it should be at all times. Regardless.
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