Hi- I'm in the Washington DC area. It's pretty mixed here, too. Of course you have your mainstream hospitals who do everything the medical way. We also have a few freestanding birth centers (where I had ds and plan to have the next one), midwife practices who deliver only in hospitals, and one midwife practice that does homebirths. There are also some lay midwives who do HB but it's pretty underground. In my particular community, it is quite crunchy, so most of my mommy friends use the birth center or lay midwives.
It is frightening though, many of the birth centers have shut down, and many hospitals have fired thier midwives. The climate is pretty tough for midwives here which scares me b/c I don't know what I'd do without them!
mamtoady- we lived near Traverse City for a while, I stayed in Interlochen while my husband took some classes. I'm glad to hear it's so mama-friendly there!
Zack419- I'm an 'inner city kid' too
I'm from Philadelphia.