I completely know how you feel with the medical fears and risks "creeping" in. I am a L&D nurse and worked at a big teaching hospital. I have seen many bad situations and unfortunate occurances (babes and moms). It was especially hard with my first pregnancy, but this time it seems easier - maybe I am just too tired to worry as much. Try to enjoy this time and the birthing process - you will be safe. All the worry does you no good - you have to go with the flow and keep all your options open. Also, write a BIRTH PLAN - no residents, students, observers, etc! If you are at a teaching hospital ask for the attending - also keep in mind the MD isn't usually called until you are complete and pushing - talk to your nurses they will be the ones assisting you in labor. Know your hospital policies before (NPO or clear liqs, epidural time, length of time without progress, criterial for C/S or other interventions). At this point, you have to trust yourself and your body - you will know what's best for you. Also, a C/S isn't the end of the world - healthy mom and baby are all that matter.