My guess is that in the hospital they don't wait as long, that in a home birth they're willing to wait longer before deciding they need to take manual action. (skepticalob.com)
He also notes that installing automatic response systems should be put in place, rather than employees performing a series of complex manual actions. (nystateofpolitics.com)
By now, most of us have seen several cases of sites that have been impacted by updates or received manual action. (gyitsakalakis.com)