I try to use the 30 minute rule---in most hospitals they need to be able to perform an emergency cesarean within thirty minutes, so that's the rule I used for my home birth. Can I get to a hospital that has in house anesthesia and an OB within 10-15 minutes? In places where they have integrated and collaborative care between home birth midwives and MDs in hospitals, there is usually something similar. It really stinks though, when circumstances shift though. Hard to go from what you consider an "ideal" birthing environment one to another that causes anxiety.
Mama to P. born at home 10/09, and W. born in the hospital 2/13