To be fair, when it comes to the difference between techs and medics in maternitys there isn't anything that I think medics can do that a midwife can't do already. As far as I know, medics give synometrine and that is about it (something that midwives do as routine). I'm not sure if our medics can intubate newborns, but I don't think they can. Prolapsed cord we transport in a pressure relieving position, breech isn't too much of a problem, as we try to transport, or get you folks out to them. Or just cross our fingers... Shoulder dystonica is one of those "get them to hospital NOW" moments - and while I know all about episiotomies and that "pull the legs back" position (I forget the real name for it and can't be bothered to Google), I'd still be happier with them in hospital. Any of those would be a nightmare job where you have to jusdge the distance from house to ambulance, then the running time to hospital, and the difficulties in transferring a patient with a cord prolapse or arm waving at us protruding from what you normally sit on...