It's a sensitive issue because it's very easy for both sides to get their hackles up and stop talking and since my wife straddles the divide between "normal" and "crazy-ass woo" we both tend to get caught in the crossfire rather a lot. She has an OBGYN she relies on a lot (because some planned home births go to the hospital, and it's a good thing, too) who is obnoxiously proud of his sectioning skillz. And why not? He's a surgeon. That shit's baller. But he won't back many midwives in the area because they're antagonistic anti-hospital crazies that see the involvement of conventional maternity care as a failing, rather than a useful life-saving intervention that should be utilized freely. That 60 is an interesting number. My wife knows two or three midwives that routinely do 10-12 births a month.