Sorry I'm late. I live in Kea'au right down the street (walking distance) from that Waldorf school. :)
The home birth movement here is huge. I know several home-birthing mamas and had a UC myself with a midwife-assisted pregnancy. I plan on having another one in the next couple of years. For those who want a natural birth, but not at home, we have a really fantastic birthing center, but it is about 3 hours away - too far for me to labor in the car! LOL! Don't even get me started on Hilo hospital. It surely must be one of the worst hospitals in the country to give birth at. The staff are highly abusive and we only have about 4 or 5 OBs on our island, so you don't get your pick. You get what they give you and shut up about it. :(
As someone said, the OBs here are all rabidly against home birth. My OB even made me sign (illegal) documents saying that I absolutely would not have a home birth or seek a second opinion from ANYONE while under his care. He also did some other things that were illegal. Nice to know our doctors only care about covering their own butts. You can try getting prenatal care from an OB and lie and pretend that you don't know a thing about home birth, but if they even remotely suspect you might be of the "hippie" variety, they are going to fight you at the get-go. I have super long hair past my butt, so that must have been what tipped my doctor off to my possible home-birthin' status. Dunno.
Just be prepared for a fight if you have to go to hospital, but if not, it's easy to get a birth certificate, etc. and we have a pediatrician in Waimea who is pro-home birth and works with the local midwives. He didn't even bat an eye when I told him we were going to delay vaxxing. He's my hero.
Oh, and Sasha (the aforementioned Doula) is a friend of mine! :)