The right to choose the place of birth

The latest figures published about maternal mortality are good news in Uruguay, as the number is almost null. But I wonder what price women are paying to sustain these numbers. 

Obviously we are the stakeholders in this. However, we also have the right to choose where and how to give birth in safe conditions. In Uruguay, 99% of births take place in medical institution, and in certain maternity cesarean rates are as high as 80% (The WHO suggests no more than 15%). 

It seems clear that the price of such a low rate of mortality is based on institutional deliveries and interventions. But I wonder, could it be possible to humanize birth and maintain these rates? Why the Public Health Ministry did not enable the first birth center in the country founded in 2011? Which provided free care to most of the population, placing birth within the first levels of care (ie, 

very low cost, to a level of prevention and not pathology). To lear more about “Centro de Maternidad Montevideo": http://www.institutoperinatal.org.uy/es/cmm/default.aspx

INFANT MORTALITY RATE INCREASED IN 2011

Infant mortality rate increased to 8.93 per thousand in 2011, according to the Pan American Health Organization.
"The slight increase in the IMR 2011 compared to other years is at the expense of the mortality of children under 7 days old, early neonatal, and particularly in premature infants," said the Director of Public Health, Yamandú Bermudez.
Bermudez noted that "post-neonatal mortality (children between 28 and 364 days old), classically associated with public policy, continues to decline."
The causes of the increase are explained by the "improvements in the birth registration system (...) as well as changes in the management of pregnancy (early pregnancy termination to safeguard the life of the mother), said Bermudez.
Walter Perez, president of the Uruguayan Society of Pediatrics, found that two phenomena that are worsening and are likely to impact on this increase are premature (often linked to lack of controls during pregnancy) and respiratory infections (most associated with housing conditions, overcrowding and humidity).

Source: http://www.montevideo.com.uy/notnoticias_171185_1.html
http://www.lr21.com.uy/salud/1046374-triste-regresion-aumenta-la-mortalidad-infantil-en-uruguay-tras-seis-anos-de-decrecer