Naturally, this does not apply to circumstances of evident and immediate danger. It does not go up, or down and it won't go away. For the unborn and new babies in those families, having their mother's labor and birth attended by a skilled, experienced and regulated midwife is a human rights issue . And especially from the baby's standpoint, it seems crucial to avoid forcing families into choosing between an unattended birth or inexperienced uncredentialed caregivers who are disarticulated from medical backup. So the result is enclosed.
Specific directions are in the front sleeve of the document itself.