We currently have no legal midwifery or homebirth options so we will be having a hospital birth. And you know what? I am totally okay with that!
With DD we had a midwife but they legislated midwifery the month before we were due, red tape held everything up and basically, anything but hospital birth with an OB was illegal.
We had to be induced because of BP anyway, and it was a pretty traumatic event for me - I was terrified of induction and knew the pain was likely to be worse, I was scared of the hospital and imagined all sorts of terrible outcomes, and I was pretty hysterical by the time I caved and had the epidural.
Now though? We LOVE our GP, who also specializes in pregnancy and birth and hope she will be there at this delivery as well. I am no longer terrified of the hospital, it turns out it was a wonderful place with very supportive nurses and doctors. I am really hoping for a natural start to labour, no induction, and hope that the labour will be a bit less painful/more manageable and my state of mind will be less panicked, and I also know when I should ask for the epidural. I don't feel guilty about getting it any more - as soon as I got it and stopped panicking, my first labour went very fast and very smoothly. And I am no longer afraid of the post-partum stuff either. I had a very fast recovery after DD.
So, all around, I am much less frightened, know what to expect, and know that if I want it, pain relief is no longer a scary/guilty thing for me. I'm kind of excited!!