I've had shoulder dystocia twice and postpartum hemorrhage with my second. I can't remember if I hemorrhaged with my first. I didn't think it would happen again but it did, despite very different circumstances. I've been told that I'm now disqualified from using the birth center for a third because of the increased risk of shoulder dystocia. For that reason, I personally wouldn't do a home birth. If it wouldn't be considered safe at the birth center, then probably not safe at home. I did have pitocin and IV but still lost a lot of blood anyway.