After seeing the whole season now, I didn’t see any mention of Joy’s “professional” midwife at the first 19 hours of labor. I get the feeling the midwife showed up, felt the baby was breech, tore Jill a new one and demanded that Joy be taken to the hospital ASAP. I have my doubts that a real midwife would have missed the breech, but I can absolutely believe Jill would.
Josiah and Lauren’s house looks like it was originally a house then converted into some kind of medical facility. Probably a rehab center of some sort.