I had hospital births for all 4 of my kids.
My first pregnancy was twins, so I went to a perinatologist - and thank god I did - I almost lost them at 18w due to my cervix wide open, and water bags descending... when the time came to deliver, I agreed to a scheduled induction (mistake #1...) and after a grueling unproductive unhappy labor, I ended up with a c.
My second pregnancy was with a mw at a different (smaller) hospital - I wanted a change of care to a mw practice who would support my decision to vbac, and a natural birth (bradley, etc...), and also a level 2 or better nicu just in case. Despite everything and being super-informed, and having a great natural labor, I ended up with another c as DS was starting to show signs of fetal distress not tolerating such a long labor and his heart tones were going flat despite moving around, hydration, naps, etc. Not an emergency yet, but on its way. I'm glad I was in a hospital because it gave me peace of mind. I know that sounds contradictory, but I know we all tried everything possible to labor wonderfully, with full support, and the big guy was actually stuck (posterior, asynclytic, 10lbs 3 oz...) Before doing the c, I asked them to try and go up manually and see if they could pull him out. Sounds crazy, but they tried - even with a vaccuum. DS has a huge noggin, and he was really wedged in there. Maybe it was the castor oil induction I did at home, and my water breaking, sending him down the runway before he was aligned?!?
My third pregnancy was also at the same mw practice at the hospital. I labored at home as I did with my second pregnancy, and arrived at 10cm +3, and delivered vba2c 35 minutes later. My prenatal care was amazing. I tell you though, having this be my first experience pushing, I'm glad I was in such a supportive environment. If I was at home, I never would have pushed the way I did, even with a doula. I had complete faith in the mw who delivered my baby - and it was the first time I had met her! Plus, knowing if I ended up with distress, as in the last time, I would be aware, and they could save me and my baby within minutes. So that gave me lots of confidence to turn inward, and let my animal instinct go wild.
If I were to have another (eek!!!!) I'd love to have a home birth as I now know what it's like to successfully push a baby out. Though, if I did, I would make sure to have the best darn team with me for support. the only drawback is we're a good 40 minutes from the hospital if anything should arise, and that's with middle-of-the-night speeding through red lights and no traffic or construction (does that even happen in boston???)
It's such a personal decision. I'm glad I was in a hospital for all 3 times. Each time had a different story to tell, and I learned a lot while there. The last time, it was as close to a home birth as one could get - I didn't even have an IV or any meds. Just me, DH, mw, and her nurse. It was calm, quiet, beautiful, warm, dimly lit... bliss!
I know that at this particular hospital, if you're a mw patient, you have one team of nurses, even postpartum, and if you're an ob patient, you have another team of nurses, and they can make or break your comfort level. If you are in a hospital, and you don't like your nurse - or anyone else for that matter, get rid of them and ask for someone else. It's very important to have a good connection with anyone in the room with you!