You obviously misread her question. This isn't about a more experienced OB. She is wanting to have her baby at the hospital where her Rheumotologists reside. Women with autoimmune run a risk of flare up and complications after giving birth. Even if she stayed in town for the sake of appeasing her OB if they even delivered the baby, should she have complications afterwards, she would be treated by Rheumotologists that have no idea of her history. Let's say at most, she's about to give birth and is around 9 months right now. That's 9 months of prenatal care (less since she's already had her initial appointment) for a doctor to overview and catch up on versus what could be years and years of Lupus information for a local Rheumotologists to learn to treat her.As far as your surgeon example, in most cases when you require surgery, you'll be refered by a doctor (primary or otherwise) to have the surgery done, you typically have one or two appointments with them before, they do the surgery and then you follow up with your original doctor. If you want to hard compare, she's had her pre op appointment already so she's fine to have the baby out of town. It's also an issue of her husband having to miss work and for her being a high risk to travel so much back and forth, just for short check up appointments.If OB's cared That much about the sentiment of deliver a patients baby, they would schedule to deliver them. Not leave it to chance by saying 'Well if I'm on call I'll do it, otherwise someone else will'. I don't see her not trusting her OB's at all. If she went into labor early or was unable to travel, she may be fine with them delivering, but this is about her Lupus and her care as well. I think she's weighed her options fairly well. Again, it's a patients right to choose. It's a hard decision to balance, but no womens pregnancy is like anothers, and she's doing the best with what options she has.