I have had the experience of having both a hospital waterbirth in an aquadoula tub and my last birth which was a waterbirth homebirth. I can honestly say that if you have an opportunity to birth at home do it that way. My OB was supposedly a self proclaimed "midwife minded OB", which obviously sets him apart from 99.9% of all OBs. With that in mind he respected initially my requests such as NO Iv's, minimal monitoring, laboring in my own clothes. I checked in at 5 am, by about 3 pm he was getting antsy and was threatening intervention such as pitocin. I can tell you I was fit to be tied. I told him to get lost and labored with just my doula. He eventually kept coming in every hour to check on me and he got increasingly agitated at me as the hours passed and I felt that it only made my labor linger longer. The pressure that he was exerting on me to speed up my labor made me realize that even with one of the better OBs, they are still OBs who are on a time schedule when it comes to labor and they have to fit the model of care that the hospitals tell them is "safe". I had my birth the way I wanted at the end, my daughter was born at 8 pm, but it was not the most peaceful, blissful experience like I had in my own home. I had to deal with an unsupportive labor nurse who actually told me to my face that waterbirth was disgusting, as well as an OB that acted like a big baby that I didn't need him for anything as I labored quite well on my own without any help from the hospital. Interestingly, he did apologize later on that year and he told me he learned much from my birth such as letting the woman labor without threatening her with intervention so good came out of it. Although my local hospital is progressive to offer waterbirth in an aquadoula tub, in reality the staff is usually NOT on board to provide the most intervention free and supportive role in these births.