Health, you’re a doctor and ACOG is the lobbying organization for OB/GYNs – no one expects that you or they are going to be supportive of women choosing anything but a hospital birth.
This “other finding” – of a tripling of the neonatal mortality rate – are we talking about something like the difference between 0.02% and 0.06% (six hundreds of ONE percent) in a meta-analysis? While that would certainly represent a tripling of the neonatal mortality rate, it’s statistically insignificant (not to mention intellectually dishonest).
An OBGYN is trained to perform surgery – they are not there for most of the labor anyway, and if they do show up and it’s taking “too long” (i.e. they are missing dinner, ball game, etc.), things “start happening” – continuous monitoring, induction with pitocin, which becomes “failure to progress” (or, failure to be patient), which becomes a c-section…
If a woman is properly and thoroughly educated, low-risk, with a back-up plan in place, no one needs to judge her decision to have a home birth.