Because complications are rare, pulling complications out of the home birth pool is like pulling tokens out of a bag with a lot of tokens. So removing the mothers who had complications the first time shouldn't affect the home birth statistics positively enough to detect. Which is just what we observe: home births rise to the safety level of hospital births on and after second birth, but do not exceed it, despite the theoretical skew from first-birth complications electing hospital the second time around.
no subject