Just wanted to say, having had to transport after birth to hospital for major suturing with my second birth, I would still birth out of hospital, even knowing I "may" need to transport after for suturing. I brought baby to hospital and my midwives let the hospital know to keep away from baby. I lucked out and had no problems with hospital staff and baby was left alone and our wishes respected. It does suck having to get up and out the door right after birth, but to me, it still beats having baby in a hospital.
And I would bet money that my tear would have been 3rd or 4th degree had I been in the hospital to begin with.