pixie, other women who are adjudged to lack capacity to make such a decision DO have medical decisions made for them including where they give birth.
Think of this a bit differently....We don't know what the lady wants to do or what she thinks about the safety of home birth...I think we can assume that, even if the pregnancy is an accident, she wants a safe birth and a healthy baby...maybe she hoped that by the time she was due to be delivered, she would have overcome her agoraphobia. Of course we know nothing about her medical history and neither should we.
so here's the scenario......she wants, is really desperate, to choose to be able to go to hospital, either for a planned delivery or if its needed but she just CANNOT do it, her illness won't let her. Maybe she even knows that whatever she says now, when the time comes she will refuse to leave her house, even fight physically to stay there. her care team know all this but they also know that at the point where she needs to leave the house, they cannot do anything against her will without legal support for their actions and she knows this too. So what this ruling has said is that if she needs support, even insistent support with restraint to leave her house then specially trained carers are allowed to give it. It also allows for her to be taken into hospital before the actual birth so that hopefully she can settle and feel safer in her surroundings before labour begins.
having dealt ( a little) with people with very strong and distressing phobias, I honestly don't think this is evidence of male fascism. medical fascism or anything else...it does however lift a corner of the covering over the medical needs of folk we don't often hear about.
To finally add some context, as people may know, I am a retired Occupational Therapist. Our whole professional ethos is around facilitating and supporting patient choice often in the face of disapproval from relatives and other medical professionals. I don't and never have advocated setting aside patient choice and agency lightly.