It depends what kind of birth you want. I didn't know any better and did the hospital birth class when I had my first child. It was very pro-epidural (in fact, they did not even make it sound like you could give birth w/o an epidural). It did cover basic anatomy, etc., which I think is good for ppl who haven't a clue (I'm an RN), but basically if I would have know that they DO offer a Bradley class in my area, I would have taken that. I had an epidural with baby #1, b/c I kind of got bullied into it, for baby #2 went med free, and baby #3 will be med free. I read, "Husband Coached Childbirth" and Dr. Sear's Birth book for baby #2 and now I feel that since I made it through that birth, ok, baby #3 will be ok too. However, if I could do it all over again, I wish I would have taken the Bradley birth class. Everyone I know who has taken it raves about it. I also would have went with a homebirth this time around, BUT my DH works at the hospital, so the insurance coverage for me to give birth is pretty much free vs. us having to pay if we went with a homebirth (no coverage). So, it just kind of depends on what you want to do for your birth.