במאמר המקורי שעליו מתבססת הכתבה נאמר כי Unlike in the Netherlands, where all home birth attendants are professionally trained, home birth attendants in the United States may be inadequately trained, Grunebaum said. וגם: In addition, home birth attendants in the United States don't have firm criteria limiting which patients they should see, and so they may attend deliveries for high-risk pregnancies.