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[silver_wolf101]

This is one of the reasons I love my birth professor so much - her choice of words. I'm studying/reviewing the information she posted online. Right now, it's the various stages of labor. During the second stage of labor (pushing) she actually wrote: "It feels like you're pushing your baby out of your butt." It amuses me

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Unlikely

[lord_of_entropy]

#3 Less drugs are possible at a hospital birth, but that does not mean that the default of the two is inaccurate. Striving to make hospital births better then they are standardised to be is a noble goal.

#6 is actually one of the least flexible because of training. In a high speed situation like the end of labour, practice that has been purposely drilled to be near reflex does rule, which indeed was the point. Thus, the standard operating procedure of the hospital to quickly cut the cord will be what is carried out without precisely timed intervention.
I have personally witnessed this phenomena twice, against parental wishes both times, at each of the births I have attended- the last in December of 2007.

#7 & #8 have one big root problem, which is staffing. Hospitals in particular, and the country generally, are facing a massive shortfall in nursing staff, and this high demand means more work per capita. If your solution is "bring your own staff", that's certainly a good idea, but again is addressing how to upgrade hospital care as standardly provided.

#7 also has the challenge of considering perineum tearing to be either a given, or something that is so easily fixed with minor surgery to not be an issue. For example, in the aforementioned December 2007 birth I attended, the OBGYN in question made a point of telling the birth mother that she was personally opposed to the idea of perineal tearing being automatic, and would do her best to make certain that surgery wasn't necessary.