I had a hospital birth last time, and the hospital setup is pretty nice - you have your own room - no sharing. They do have separate postpartum room, but usually you don't leave the LDR for a few hours. And the LDR I was in was HUGE... way too big actually. I didn't labor in it though (thankfully - those beds suck!). They had to race me down the hall during pushing stage because I'd been in the antepartum unit for 4 days and they didn't think I'd go as fast as I did when my labor started.
I had continual monitoring, but that was mostly due to the circumstances of my being there in the first place (PROM at 29 weeks), so that was ok. They didn't do an episiotomy - didn't even mention it. Phew! They did stitch up my 1st degree tear, and my midwife says she usually doesn't do stitches for a 1st degree tear. If I'd known that, I would have said NO - don't stitch me! that was the worst part of the birth experience for me... It was a student learning how to stitch, and it took 45 minutes! Then the stitches irritated for 3 weeks until they finally fell out. Yuck.
For baby - they asked ahead of time (when we first went in) if I wanted him circ'd or not. I said no, and that was that. They didn't have any problem with that. They also asked if I planned to breastfeed, which of course the answer was yes. I had meant to tell them no Vit. K or eye gunk, but didn't remember to in time - baby was taken away to the NICU for all that stuff, so I wasn't present when they were looking him over. I was able to refuse the Hep B vaccine though, since they don't do that to preemies until they're about to go home. So when they said "He's going home in a couple days and we'll do the Hep B vaccine tomorrow", I said NO, don't do it. And they wrote on the chart not to give him that. Not a problem. I think they also verified that I didn't want him circ'd - that's another thing they would have done before going home if I'd wanted it. He was 4 weeks old when he went home, btw.
I'm not planning a homebirth since it's illegal here to have an assisted homebirth, but I am planning a "homebirth away from home" in a little house my midwife has just over the state line - 15 minutes from my house. That is, as long as we come up with the rest of the money for it. DH saved the money he'd gathered up for last one, since we never ended up needing to pay her. But he did have to dip into it recently, so we need to come up with a bit more, but we should be able to do it.
I'll be seeing an OB in tandem, just because my last birth was so preemie - I want to have an OB to go to if something happens again! But there's only 10-20% chance of that, so odds are that I should have my full term midwife attended birth. I wouldn't mind being in the hospital if they didn't have such stupid rules - like no walking after your water breaks, etc. But sometimes if you have the right OB (which I do), they will get around some of it. You do still have to have a hep lock if you refuse an IV - you can't be totally needleless in the that hospital. I hate needles.