It depends on the hospital! Not a very helpful answer I know, but very true.
I had two wonderful hospital births (with 2 different care providers) at my small local hospital...
They meet all the mama/baby-friendly guidelines, they have one of the best VBAC rates and lowest primary c/s rates in the region (even ICAN likes them
), they don't allow formula sample/diaper bag thingies at all (they make their own mama bags with LLL info, a baby board book, a little onsie, handouts on pp care and their support line, etc), the labor/delivery nurses are amazing and many of them are certified LC so there's always someone there to help with any nursing problems or questions (many have had natural births themselves and are very supportive in a BTDT way), and doulas, midwives, family practice doctors, and OBs all mingle together pretty happily.
You can labor anywhere and any way you want, they have tubs and showers for all (even mamas with ruptured membranes), they do intermittent monitoring and will use a fetoscope instead if you ask (even for vbac mamas), you're encouraged to use whatever position/vocalization/tools work for you. They even have a special "hypnobirthing" room (I used hypnobabies for my vbac)! And this is in a teeny tiny 4 birth suite sized labor and delivery ward. Mamas can eat (they even provide food if you forget to bring any) and drink whatever they want (I had Thai food delivered in my first birth) and they even provide support for the partners (which DH really appreciated). No required IVs, no suggestions of medication, and lots of positive support.
Sadly, despite everything, I did have my primary c/s there (though by the time I got to the hospital I think here wasn't much anyone could do...but despite that they let me keep trying for another 19 hours without meds, and when I did get the meds and then the c/s eveyone was VERY respectful and kind and I didn't get any negative comments about natural birth or about "healthy baby is all that matters"...one of the nurses who had had a vbac even came in to talk with me about c/s recovery and healing). But even with c/s mamas they make sure you're breastfeeding in the recovery room, and they don't even have a nursery! All the babes room-in and if you need a break the nurse takes the babe and sits with them one-on-one while you shower or nap. And with c/s mamas they realize you need extra help and a nurse was always there to help me care for dd if my DH was asleep and I needed help carrying her to the rocking chair or changing her diaper. AND they let me nap with dd on my chest instead of telling me to put her in the "baby-box" baby bed next to the bed.
My vbac birth was amazing with tons of support and after the birth I swear half the hospital dropped by to congratulate me...many remembered me from my last birth and were so thrilled that I'd had the natural vaginal birth I'd worked for. And as a small town hospital, well, there's a real small town feel.
BUT...this is NOT a normal US hospital! And most mamas are not going to have had such positive birth experiences in hospital settings.