Now that the world is sleeping, I'd like to speak a bit to the philosophy of Andaluz, having been served by their midwives in my births and now being one of their midwives. Our philosophy of care may differ slightly from other practices in that we abide by a passion for true informed choice and will allow women to have the ultimate say about their bodies/babies, potentially moreso than other practices (as evidenced by the occasional other practice referring a more complicated (but still in the range of normal) situation to us knowing that our comfort level may differ). We don't fire clients for not doing what we say. We inform them of the risks, benefits, advantages and disadvantages of all testing, interventions and actions. We abide by our licensure laws as set forth by the State and inform our clients of what our legal boundaries are. We give a lot of information and are passionate about our clients choosing their risks/path with full informed consent. I believe in this with all my heart and was grateful to have this from my Andaluz midwives when other healthcare practitioners -- even midwives -- were trying to tell me I was broken for birth (pelvimetry and history of shoulder dystocia) after my first two births.
I really believe it is not fair to judge a midwife who is willing to believe in a wider range of clients. The midwives at Andaluz are taking on a greater risk by seeing a wider range of normal, but we feel like women deserve this chance. It is fairly well-known that we take most area breeches and twins because a. we believe in these mamas and b. we've been believing in them for so long that we've started to rack up a lot of experience. But it does leave us vulnerable in that we are more likely with these higher risk births to need to transport.
Andaluz has had a good working relationship with OHSU, although we were recently informed during a transport there that they had heard we had recently had some bad outcomes at other hospitals. It turned out to not be us that they were talking about. Other midwifery practices came forward to claim these outcomes. We take nearly all of our transports to OHSU and sometimes transport is medically necessary, as I'm sure you know. I have never been turned away from or discouraged from going to any other hospital. We did have one doctor once express his discomfort with out of hospital birth when we were arranging to transport to him at a hospital we almost never work with and when we addressed it, the hospital bent over backwards to apologize. We have our share of supportive doctors at various hospitals who actually like what we're doing.
Andaluz is currently the highest volume midwifery practice in the area, and as such is going to have the most transports. A practice that is only doing 2, 4 or 8 births a month is not going to have a chance to be noticed or talked about. The point of view of the staff at our receiving hospital is skewed by our volume and the fact that they are only seeing these cases in our high volume practice (and not all of the great, normal births!!!). Our transport rate is about 6% with about a 4% cesarean rate. These are really normal/good numbers, but our volume creates a different impression for someone who only sees the transports. We do not transport moms in labor for time reasons unless mom's or baby's vitals are out of the range of normal. It seems really strange to OHSU that we would "allow" someone to labor for 3 days before coming in for an epidural or cesarean, but it's not a matter of allowing them. It's a matter of that mama having choices and knowing she can elect to transport but we are going to stay with her and support her wherever she chooses as long as she and her baby are doing fine. And we are not going to abandon her if she refuses to take our advice. This process and these choices are fundamentally her right.
I have personally been involved in transports to OHSU which have gone beautifully.
My apologies to the OP, pepe, for this enormous digression, but I had to respond. I'm glad that Shannacat shared her perspective as it moves us all to talk about these things and get the truth out there.
Pepe, re-reading your post, it sounds like your biggest concern is induction and unnecessary intervention. Just stand your ground and say "I do not consent" if you are pushed by the hospital care provider you choose. If they can't work with that, find another one. (Also, I am certain that at Alma or Andaluz you would not be pushed to induce or accept interventions). All the best to you in your search!