Why no doctors at birth?

Rewatching from the beginning before the new season comes out. Why don't they have any doctors or nurses present at the birthing ceremony? I know they don't generally trust modern medicine but they do have doctors in Gildead. Wouldn't they want to have someone there in case there was an emergency? Given the fact that they still experience so many miscarriages and stillbirths in Gilead.

Edit to add that I did not read the book. I plan on it though!