In acknowledging woman-to-woman help it is important to recognize that power, within the family and elsewhere, can be used vindictively, and that it is not only powerful men who abuse women; women with power may also abuse other women.

Fathers' sharing in the birth experience can be a stimulus for men's freedom to nurture, and a sign of changing relationships between men and women. In the same way, women's freedom to give birth at home is a political decision, an assertion of determination to reclaim the experience of birth. Birth at home is about changing society.

In all cultures, the midwife's place is on the threshold of life, where intense human emotions, fear, hope, longing, triumph, and incredible physical power-enable a new human being to emerge. Her vocation is unique.

In most societies birth has been an experience in whichwomen draw together to help each other and reinforce bonds in the community. Now that eradication of pain with effective anesthesia is often the only issue in any discussion of birththe sacramental and social elements which used to be central to women's experience of birthseem, for an increasing proportion of women, to be completely irrelevant.

All that is needed for the majority of labors to go well is a healthy, pregnant woman who has loving support in labor, self-confidence , and attendants with infinite patience.

Childbirth takes place at the intersection of time; in all cultures it links past, present and future. In traditional cultures birth unites the world of 'now' with the world of the ancestors, and is part of the great tree of life extending in time and eternity.

For far too many, pregnancy and birth is still something that happens to them rather than something they set out consciously and joyfully to do themselves