Like all parallel medical services, it falls to the patient to figure out who is legitimately skilled and who is not: EXCEPT,
most women having babies are in their twenties and early thirties and I personally didn't have the kind of life - experience necessary to question whether or not my government would provide me with sub par care and just assumed that if the government was paying, it must be safe, and the midwifery community capitalizes on this by running advertisements (which OB / GYN are not permitted to do) advertising themselves as being less
interventionist, less c - section (no shit, Sherlock, but you'd have to
read between the lines to understand why), and better outcomes.