[soudiere]

Rate of complications will be the same, outcomes from those complications won't be the same. Accident rates on the highway might be say, equal among people who do/don't wear seatbelts, but outcomes are not.

Look at common complications, like postpartum hemmorrhage (usually > 500 ml blood loss). "estimated 76.7m delivery hospitalizations, 2.3 million (3.0%) were complicated by postpartum hemorrhage. From 2000 to 2019, the rate of postpartum hemorrhage increased from 2.7% to 4.3% ... proportion of deliveries to individuals with at least one postpartum hemorrhage risk factor increased from 18.6% to 26.9% ."

https://pubmed.ncbi.nlm.nih.gov/36701615/

Bottom line with a home birth, everyones training is around when things go smooth. Medical center is where people have thousands of hours of training on how to save your life.