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Such a trial should not limit the choices of women who already have a preference

The crucial question is: What would be the purpose of a randomised controlled study of home versus hospital birth? It could be argued that more information about the outcomes associated with home birth would increase the opportunity for women to make informed choices about their care. However, the questions that women and their partners have about home birth centre on issues of safety and how to arrange a home birth in the face of opposition. While they would be interested to hear about breast feeding and psychological outcomes, those who are doubtful are concerned about the risks and those who are keen to have a home birth …