Do I misread the concluding paragraphs? "The skill required to bring a child in trouble safely through a vaginal delivery, however unevenly distributed, has be

Do I misread the concluding paragraphs? "The skill required to bring a child in trouble safely through a vaginal delivery, however unevenly distributed, has been nurtured over centuries. In the medical mainstream, it will soon be lost." "In a sense, there is a tyranny to the score. Against the score for a newborn child, the mother’s pain and blood loss and length of recovery seem to count for little. We have no score for how the mother does, beyond asking whether she lived or not—no measure to prod us to improve results for her, too. Yet this imbalance, at least, can surely be righted."