As long as she's consulting with a good midwife for prenatal care (my
perinatologist actually prefers for most of his high-risk patients to have
regular care with a midwife because of the closer relationship) who is going
to be able recognize signs of problems, I don't see this as a problem. While
I cannot consider a home birth (this one will be a C-section, and has a
pretty high chance of being another complicated pregnancy), many women don't
need the level of care provided by a hospital. A good midwife is less of a
medical professional than a friend who has been through this before, and
tends to stay out of the way.

It really sounds like fear talking, not logic here.