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Midwives were mostly confident (52%; n=13/25) or very confident (28%; n=7) about taking care of females having a planned residence delivery but would not always feel sustained by colleagues. Many females ranked their care as exemplary or very good. Midwives reported minimal support from colleagues for home birth provision. There clearly was a need to guide women in their particular birthplace option and empower pregnancy care providers to facilitate this through a fully resourced