I have a access to a great freestanding birth center.
I still am choosing to have my baby at home.
The reasons include: decreases the likelihood of travel during labor (instead of 100% chance, lower to whatever my chance of transfer is), my body is already familiar with my germies and not with whatever germies might be elsewhere- hospital or birth center, my kids are here and are comfortable here, if my kids get overwhelmed by the birth they can just go upstairs to play or get on the computer, no travel after the birth unless I have transfered- I get to just chill out and not worry about check out in 4 hours or in days, all my stuff is here so no worries I will forget to pack something.
There is just no way to have a truly HOME birth outside of the home. That said, birth outside of the home can rock. My favorite part of my daughter's birth was getting the "babymoon meal" after the birth- steak and lobster and sides, dessert, drink, etc, served to me and my hubby, with my new baby right there. Didn't happen after my homebirth.

I did find with my out-of-home birth that during the 20 minute car ride, I only had maybe 3 contractions, and they were all very managable. I guess the stress of travel sandbagged my labor? Probably good, as I was 9cm when triaged. And to think, I was worried I would have to go home because I was less than 5cm.
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