I am planning on using both a birth center and the hospital. I am planning a VBAC. The local CPM does not do primary VBACs so I hired her as a monitrice and will be able to labor at her birth center. Then when it is time to push we will transfer to the hospital to push the baby out. We feel this is the best way to get my VBAC and my doctor is fully supportive of this. In fact she is the back up OB for my midwife so they work closely together, even share an office!
Then as long as everything works out this time, we will have a homebirth with our midwife for the next baby in a few years!