Well it is almost third world if 5 women a week aren't able to get to a hospital! There have been so many rural closures some women travel 2 hours or more to go to hospital, some having to leave families behind. I suppose you would have to also ask the 30% of women suffering psychological stress from birthing in the hospitals too - if you told them their suffering wasn't as bad as being in third world I am sure some would argue Without being in their shoes and experiencing what they do it's hard to know.