Hospital with an OB for me.
Both of my other children were delivered in a hospital with an OB. However, I've managed to avoid episiotomies. I did have an epidural with both kids, with DD because I was freaking out and losing my mind, and with DS because I was stuck in bed trying to avoid the cord prolapsing.
This time, what I really want, is not to be stuck in bed. I wanted to move around with DS, but because that cord kept coming between my cervix and his head, I was stuck. This time, I really hope I can move!
As to who will be there...probably hubby, my mom (she's already assuming she'll be there like with the other 2!) and hubbie's mom. Thats who has been there the last 2 times, and its been a great experience each time.
I don't doubt my choice of a hospital birth, its the right choice for our family, but I can sure see why a homebirth is for some!