Children birthed at home?!

So let me get this straight.

Children are rare in Gilead. Only a handful of women can bear children. Every baby is precious and thus there is a HUGE need for babies to be born healthy, and medical issues dealt with immediately.

So, answer me this. Why is it that if Gilead wants to cut off your arm or take away your female orgasm, you get taken to an EXTREMELY sterile environment (we know it's sterile because everything is white, including the floors) and every care is taken to make sure not a germ gets by anybody.

BUT when you're a Handmaid having a baby? You give birth on your Commander's wife's unsanitary bed in their house, surrounded by germy women huffing and puffing, with ZERO ability to do anything if the baby is a breech, or born with the cord around its neck (which I think happened in the show), or has any issues at all.

Why the heck is that? I get the ritual and the ceremony, but can't they do that stuff at a hospital? If every single baby is precious, why do they seem to not care that some die because they're born into an environment that's ripe with infection at best? You could still have the ceremony and the huffing and puffing but be in a hospital where if there's a problem, a doctor can take care of it right away. They have the technology to do prenatal care and see in advance if, say, a baby is going to be breech or has the cord wrapped around its neck. Why don't they use it? Do they really think after loudly proclaiming what a miracle a baby is, that God is OK if an otherwise healthy baby dies needlessly?