08/20/2025
In birth work, one of the most frustrating truths is this: many of the things labeled “too dangerous” by doctors are not actually unsafe, it's simply outside of their training. What’s dangerous for a provider with no experience or education in a certain birth option is not the same as what’s dangerous for a skilled, trained professional.
💧 Water Birth
Doctors often say, “That’s risky.” But research shows otherwise. Large studies confirm that for low risk pregnancies, water birth is just as safe as land birth. Babies born in water show no increase in neonatal death, and mothers often experience less hemorrhage and smoother recoveries. The real issue? Most OBs have never been trained to support or manage water birth, so it feels unsafe to them.
🏡 Home Birth
In the U.S., planned home births are considered controversial. But the data doesn't agree. For low risk pregnancies attended by licensed midwives, neonatal mortality is about 1.2 per 1,000, compared to 0.6 per 1,000 in hospitals. We also see far fewer interventions, smoother postpartum recoveries, and high maternal satisfaction. Again, this is “dangerous” mostly because OBs don’t train in home birth and rarely collaborate with midwives, making safe hospital transfers harder than they should be.
🏥 Birth Centers
Birth centers bridge the gap between home and hospital. Accredited centers have lower cesarean rates and comparable neonatal outcomes to hospitals. The “danger” is only a perception because most OBs don’t spend time learning how integrated, midwife-led care works.
🤰 VBAC (Vaginal Birth After Cesarean)
VBAC is another area where outdated fear dominates. Success rates are 60–80%, and the risk of uterine rupture is less than 1% with a low-transverse scar. Yet, many doctors still refuse to attend them. Why? Because they haven’t been trained in managing VBAC safely. A successful VBAC carries less risk than multiple repeat cesareans, but without proper training, OBs label it “too dangerous.”
🌙 Breech Birth
Most hospitals mandate cesareans for breech babies. Yet, studies show that when providers are trained, about 70% of planned vaginal breech births succeed safely. The difference comes down to skill. Unfortunately, breech training has all but disappeared from OB education in the U.S., making vaginal breech birth rare, not because it’s always unsafe, but because the skill has been lost.
What’s “dangerous” for a doctor with no experience may be completely safe with a skilled provider.
When OBs label certain births as unsafe, they’re often revealing gaps in their own training, not the reality of the evidence.
Midwives and providers who continue to study water birth, breech, VBAC, and home birth techniques know that with proper screening, skill, and safety protocols, families can have safe and empowering experiences.
Don't settle for a provider based in fear tactics. Find one who will support you, who is up to date on today's birth education, and won't fear monger you into a cesarean.