Homebirth in the hospital? Yeah, right, good luck with that. I was also annoyed to keep reading birth stories with interventions--while I support the moms' rights to choose interventions, and am not judging them for their choices, if these had been homebirths, would the interventions have happened? Women who plan homebirths usually want to have totally natural, unmedicated births, and are fine with not having medical options for pain relief, for example. That's one reason why I think the title is misleading.
As far as the "experience," I agree with the reviewers that discuss how some aspects of homebirth cannot be duplicated in a hospital--the privacy, calm setting, and lack of protocols, for example--and I hope that moms whose goal is to have these things for their birth, but don't want to stay home, realize that they are setting themselves up for disappointment by going to the hospital. It's true, as another reviewer stated, very few doctors and hospital staffs practice the type of care mentioned by Dr. Kerr in this book, it's the exception rather than the rule, and especially first-time moms shouldn't expect to easily "have it their way" at the hospital--it's sad, and not right, but they should expect to have to fight for it. They should realize this is one of the main reasons WHY the women who choose homebirth do so.
That's why I also hate that the book repeatedly disparages birth plans, "Burn the Birth Plan..." I understand labor and birth are unpredictable, and you have to be "flexible," blah blah blah, but it's really important that the new mom, her care provide and the hospital staff have an initial idea of the mom's wishes. Dr. Kerr should be more careful when she says that, in my opinion, it really undermines her credibility, and contradicts the whole point of the book. It makes her sound just like every other OB who pays lip service to a mom's wishes before labor starts, but then once it gets going, for whatever reason things change, and none of it is supposed to matter anymore--she and the moms in these stories keep saying that the changes are okay because the care was integrative, and the moms let go of their expectations. I hope that's sincerely true, and no one was manipulated here. Even with the stories that had what could be considered negative outcomes/situations (loss, C-section), the book tries to paint them in a positive light, which annoyed me as well. It's okay to have certain expectations for your birth, and realistic to feel disappointment when it goes differently than you had hoped. Dr. Kerr needs to acknowledge that, too. Every woman's feelings are valid and should never be dismissed.
I do give Dr. Kerr credit for promoting Integrative Care, and wish more OB's would be as considerate. I wish all OB's had experience like she did with natural birth, homebirth, and midwives...I wish many things for our broken maternity care system, which in desperate need of change. But until real change happens, I am planning to stay home the next time I give birth.