Clarabelle, I'm not going to argue numbers with you, partly because I'm in the middle of nightshifts, partly because I have no access to ATHENs (or whatever its called... CINAHL?, I forget), and partly because you might well be right. Here is my argument, it's not a 'building location' problem, there is no mystical field of energy around hospitals that causes maternal problems. Instead it's a staff training issue, if they are properly educated as to the necessity, or not, of transfers then you wouldn't need an unnecessary (and possibly dangerous) artificial border of needing an ambulance transfer to weave through traffic. So, in my opinion, the best response would be to correctly train staff and have the policies in place to reduce admission to hospital, but still to have the facilities nearby should the need arrive.