I'm sort of in the same boat in that I have limited options. This part of NJ is a desert for anyone wanting a birth center or natural births in general. But I'm a bit chicken about doing the homebirth thing, though I do have a hospital nearby. But maybe I'll work up the courage to do it at home. My husband who at first balked at the idea of a home birth is even considering it. That's how bad the first one went! I won't even get into it, but I had midwives!