The ideal hospital birth setting, as a pp said, would have more to do with the staff than the props. (First of all I think the ideal place is probably at home as long as the woman wants a natural childbirth, but I know that for medical reasons some women have to deliver at the hosp. at their midwife's request).
I had a hospital birth recently where the staff was very respectful of my wishes, even though I had to sign a waiver at one point. However I attended a friend's birth a year ago at the same hosp. and the nurse was awful! Kept saying my friend would have to have a c-section, and they also had her hooked up to every imagineable kind of monitor or medical device (epidural, catheter, irrigated uterus with saline, an IFM, and an internal cx monitor).
If I hadn't had a birth plan I would have recieved the standard procedural care. For example right before I started pushing the nurse prepared a syringe. I asked what that was and she said pitocin, and they would inject it after the baby was delivered, and that it was standard procedure. I asked that they hold off on the pitocin injection unless I started having heavy bleeding or something. Turned out I didn't need it at all and had all kinds of comments about how little I bled. Also had them delay the cord cutting and other non-standard requests like that. They were great about reading my birth plan and knowing what I wanted, although I did remind them just to be sure.
I think it all depends on your birth plan and how firm you want to be about it, and also your freedom to ask for a different nurse or doctor if they are not respectful of your birth plan. My nurse, in accordance with my birth plan, stayed out of the room and monitored me from outside. She only came in every hour or so and then popped back out again.
The hospital where I delivered had very large and beautiful rooms for labor and delivery, plus about an hour afterwards for bonding. The lights could be dimmed, the bed could be made into a birthing chair-type thing. The decor was faux wood floors and soft colors. The bathrooms were also huge with a comfortable seat and hot spray wherever you wanted it. Upon request the woman could have a rocking chair, birth ball, squat bar, mirror, and I'm sure I'm leaving some stuff out. The rooms also had a recliner, a sofa, and a TV for the comfort of the support people. I had four people at my birth and no one said anything about that being too many people.
The hospital nursery only cared for babies upon request, like if mom was recovering from csection or something. The rest of the women and babies had "couplet care" which meant one nurse for mom and baby, and baby roomed in the whole time. An LC popped her head in later that day after I had the baby and wanted to know if I needed any help.
One other nice bonus: I'm vegetarian and when they didn't have a veg. menu selection they asked me what I wanted instead! I had them custom make mac and cheese and an egg sandwhich for me. For dinner they actually went out and bought a Boca burger for me instead of the standard beef patty served for dinner! :-)
One thing I would change about the atmosphere was to hide or remove the medical equipment. The bed was set up next to a cabinet with a computer monitor and the cx and doppler stuff in it. In one corner was the cart with all the forceps and scissors and stuff draped with a blue cloth. The warming table was across the room, and the oxygen mask was also in plain view. If they had taken those things away it would have been a lot less hospital-like. Also, they only had one labor tub for the whole ward (about 12 beds) and waterbirth was not permitted.
Lastly, they required women to be monitored in triage in bed for 60 minutes unless they were in obvious labor or close to giving birth. The triage area had very uncomfortable beds and only curtains btwn. patients. If someone was closer to giving birth than you, they got priority over getting a room. Luckily for my second birth someone had major vomit in triage and they sent me directly into a labor/delivery/recovery room so I got to skip that stage.
7yo: "Mom,I know which man is on a quarter and which on is on a nickel. They both have ponytails, but one man has a collar and the other man is naked. The naked man was our first president."