I'll be having my baby at the hospital I work at. I'm not worried about it. I did ask one of my favorite nurses to come in for me and be my nurse -- she's willing to be "on call" for me -- how awesome is that?
I'm not too worried about modesty issues. We've all seen hundreds of naked people and we all look pretty much the same
I would like to keep the number of people in the room to a bare minimum, but I'm sure that will be respected. I'm a little worried that I'm go a little "nutso" in transition, but even if I did, who cares?...pretty normal really.
I would definitely ask your favorite midwife to provide your care for you and think about asking a nurse you feel comfortable with to come in for your birth, if that would be helpful.
I think a doula is a fantastic idea, especially if you want to labor at home for a long time. It helps to have that objective but nurturing person to be there to support and guide you in labor, whether you're a L&D nurse or not! I haven't decided if I'm going to have one or not ... it just depends, but several co-workers have offered to stop by and check on me or check my cervix at my house if I want them to (how cool is that?).
I have NO problem declining interventions and I will be asking to be discharged within 6 hours of the birth, but my midwife and the pediatrician are okay with that. We've just discussed everything beforehand so that there's no surprises and we're all on the same page.
My advice -- get your midwife, nurse and doula lined up. Get the support you need! Pick your battles -- if your midwife is way uncomfortable with not having a saline lock....well, maybe that would be worth consenting to. But stand firm on the things that are important to you and enjoy your birth! It's YOURS!