Well, I had a hospital birth with a FAMILY practice dr with my first. He was great and totally relaxed until I got close to 42 weeks, then started wanting me to be induced. I declined at first, but then he "consulted" with someone at the University of Michigan hospital and changed his mind. So called me up on my birthday and told me to come in and be induced... I was just at 42 weeks. And I told him I did not want to be induced with cytotec. He said that I was so "not ready" to give birth that he was worried that if we used pitocin that I wouldn't go into labor and would have a c-section. Turns out he was probably right- it took 4 doses of Cytotec to put me into active labor. Then I had a premature urge to push, when I was "dropped" into active labor, starting at about 5 cm. The pain combined WITH the urge to push was so insane that I consented to an epidural... then all I had to do was concentrate on not pushing! Finally I begged them to check me and 'oh you're ready to push'! Then by that time, having been up for about 36 hours, I actually could not stay awake. They watched the monitor and would wake me up and tell me to push! It was extremely bizarre. (And NO I do not recommend cytotec inductions!)
Because of my bizarre and long induction, I chose a homebirth for my second. Had a lovely midwife and a lovely birth experience. If it was possible, I would go that route again.
However, this time around we live in a different state, and the options for homebirth are more challenging here. Yes, I could have a homebirth but the financial and emotional cost it would take to arrange that is too much for me right now. So we are going with a local practice that has CNM's that deliver in a pretty nice hospital that is mom & baby-friendly, and I believe that they have their share of natural births there, so the nurses should understand. I also don't like the idea of having my oldest around for the whole birth- she has a lot of anxiety, and I have concerns that she would not handle seeing me in labor all that well. When I had my second child I had a very short labor (less than 40 minutes once my MW checked me, and I was at 4 cm) and she was so young (2.5 yo) and just oblivious. So I have decided that I will just embrace the experience of birthing in a hospital and just go with the CNM option and have a good birth plan and lots of support, and I think it will be fine. :)