Roshanarose - I don't know about then, but we used to have a lovely little cottage hospital - one half was for geriatric respite care and the other half for maternity. The nurses and midwives ran the maternity unit and only called in a doctor if they felt it necessary. Every woman I know loved that hospital - the midwives were very experienced, lovely people. The people in the geriatric unit loved seeing the new babies. The building was in a beautiful garden, very quiet. The food was cooked on the premises, and included home made cakes every afternoon. It was also very convenient for families to visit - much better than trailing 25 miles into the city hospital.
The senior partner of the local GP practice was a huge supporter of the hospital. he had been there for many years and was the doctor for the mountain rescue service as well. He actually came into the hospital and delivered my son when he (the baby that is) was "stuck".
BUT the senior partner eventually retired. The rest of the GPs in the practice did not support the maternity unit at all - they seemed unable to cope with what they perceived as the "risks" that they might be called in to deal with. They wanted every woman to have a high-tech birth in the city hospital, "just in case". I should add that all women who wanted to deliver in the unit were carefully assessed beforehand - one of my friends was unable to have her baby there because of some complications in pregnancy, for example - but another great thing about the hospital was that if you did have your baby in the city hospital, you were able to leave after 24 hours and go back to the unit, and there spend a week being cossetted by the lovely staff - particularly important, I think, for new mothers. The staff there had the time to help you with breastfeeding, show you what to do, etc.
The local health authority also - of course - wanted to close the unit, as presumably it is cheaper for every woman to deliver in one place. In the end - and despite a vigorous campaign of which I was a part - the authority and the GPs won; it was a sad day.
I had to have my daughters in the city hospital. It was huge, noisy, too busy, impersonal and generally the compete antithesis of the country unit - even though I have to say at once that the midwives were still extremely nice people - but you never saw the same one for more than a couple of hours. You got no sleep and went home feeling terrible.
I see this as an inexcusable disempowerment of women - the staff and the mothers. The staff were made to feel that no-one trusted them to do their jobs, the mothers were made to feel that their choice was not only irrelevant but downright reckless.
Rosemary