This has been a source of a lot of discussion in our house. DD is 17 months and historically has not been the most patient of children, lol, so while DH and I were totally hoping that she would be able to be there (so that our whole family unit could be present to welcome this babe into the world) we weren't sure that DD would be up for it. However, her disposition and patience has been improving tremmedously as of late (I think she is getting less frustrated these days because she is starting to be able to verbally express herself to us) and when I had a couple of scares this pg she has been with me at the MW and the hospital and behaved wonderfully, so we are cautiously hopeful that she will be able to be there. Right now the plan is for us all to go to the birth center together, and for DH and DD to be present during labor if they/I want or as long as Em holds it together, and if she melts down DH plans on having all of her loveys and care items plus ample snacks, etc. to keep her entertained in a separate room until it is time for the birth, then my MW will grab them so they can be there when Pen is born. Our backup plan for if Em is sleeping when I go into labor or is really not in the right mood (for those of you with toddlers, I'm sure ykwim, lol) then my MW's daughter (who's our sitter) has agreed to come anytime day or night to watch her for us...so, yeah I think it is a tough decision if you have LOs at home, depending on their ages and temperments, good luck mamas with your decisions!!