Things I have seen that have not been empowering:
Catastrophic massive obstetric haemorrhage
Uterine abruption
Undiagnosed anencephaly
Amniotic fluid embolism
Fulminating preeclampsia
Breech extraction
Macerated 40 week + 18day stillbirth
Meconium aspiration
Do I care deeply on a personal level that these things happened because women 'trust birth' and want to go it alone in pregnancy? No, I don't.
What I care about is being the one to have to sort it all out. It's fucking grim.
Something is going wrong if women want to reject our basic (& it is basic, what we offer) help.
There's nothing empowering or glamorous about a maternal death. It is harrowing.