Kind of an odd post, I know. i am definitely going to deliver in a hospital since I had a postpartum hemmorrhage (this is not up for debate),but I am trying to figure out which hospital and it is kind of a big decision since DH and I are definitely moving next June. Depending on when we TTC will determine what hospital we will go to (the one here in VA or another on the east coast) Anyhow, our previous hospital had 24 hour in house anesthesia and doctor backup. I had to use the doc backup since I was passed out in a pile of blood and had to be revived. So, the hospital here doesn't have either of those things "in house" and has to call out for them. I delivered a huge baby (almost 10 pounds) and also worry about shoulder dystocia. If my baby is stuck and there isn't a physican in house and the "gaskin" maneuver doesn't work, can a midwife use the forceps and/or vacuum. Yes, I know I am freaking out and not trusting birth, but I never thought I would hemmorrhage either. I think when a woman feels safe, she will birth better and i want all of my bases covered. Did any of you have shoulder dystocia with a midwife and how was it handled??