So, for a few reasons I have accepted the fact that my planned homebirth is very likely not going to happen, and I'm planning on a hospital delivery (though laboring at home as long as humanly possible).
But my OB's office only delivers at one specific hospital, which isn't particularly known for natural-birth-friendly practices, we'll say. =P Very "traditional" L&D, lots of pushback about stuff like refusing pre-emptive IVs or wanting to eat/drink/stay out of bed during labor, etc. No birthing tubs, no midwives on-staff, strict time progression requirements, etc. Pretty much everything I didn't want in a hospital/birth. Yay.
So I'm considering going to another hospital which is better-suited to my preferences. The downsides to this are: 1) it would be a little further away (about 30 minutes rather than 15-20), and 2) I'd be taking my chances with whatever OB happens to be on staff. No opportunity to build rapport, express preferences, etc. My insurance will have the same coverage regardless of hospital selection, and this hospital has midwives on staff as well as birthing pools available, and a generally more natural-birth-friendly attitude.
However. I LOVE my OB, but there are about 12 OBs in his office and I've had much less luck with his colleagues. So far I've met 4 or 5 other OBs and have actively disliked all of them (I don't take well to being patronized, strong-armed, or judged within the first 60 seconds of a meeting)... and of course they share on-call duties so it's really "OB roulette" as to which OB would be delivering me, anyway. For this reason, I'm tempted to ignore the second concern, and just go to the hospital which is more likely to give me a less-stressful birthing experience, as I'm likely to be get stuck with an OB I don't like, anyway. (Although I will at least have been able to express my preferences / have them on file with whatever God-syndrome'd OB ends up being on-call when I go into labor, so I guess that's something.)
So, ladies... what would you do? Stick with the devil you know, or throw caution to the wind and bet on the devil you don't?