Heart349, there are ways to make a hospital birthing experience more palatable, and some hospitals have really great staff. It all depends on the culture of the institution. You can prepare beforehand to educate yourself on the regular types of unnecessary blanket interventions that they do, and write out your wishes. During labour you can be prepared and advocate for yourself, or be prepared to "negotiate" with the nurses/OB. You can prepare with questions like, "Why is this necessary? What are the risks and benefits? What happens if we wait 20 minutes? And hour? Can we try something else for 30 minutes and then revisit this if it's not working?" You know? So you're not totally at the mercy of the hospital staff.
I will say that having a doula is also helpful in this regard. You can discuss your labour and birth wishes beforehand and have some cues -- like if your doula says, "Heart, do you have any questions about this?" you'll know that you should be asking some questions.

The thing is, any wishes or decisions about procedures you want to have/delay/reject have to come from YOU or your partner. A doula can't speak for you, the hospital staff would just see that as interfering and may ask her to leave, you or your dh have to speak for yourself.