DD was born with a midwife, I had a water birth. Wonderful birth experience, to tearing, no IVs etc. The hospital where I had her (the only one around where I can have a midwife) is about 90 minutes away from where I live. I do have a midwife this time around so if I want to have a similar experience, I can have it but I have that looong drive and I'm in Canada so it's winter (read: possibly stormy, snowy, icey road conditions). What I liked about this birth experience is that I didn't tear and the water really helped with the pain.
Now there is a hospital in the town I live in as well, about 60 seconds away from my house. I could labour at home as long as I want in my bathtub if I want to labout in water, and drive to the hospital when I'm getting closer to the end rather than at the very start (I think the 90 minute drive stalled my labour last time as I had to be induced with the breastpump). DH could go home to sleep and bring DD to see baby without having her on the (potentially) bad roads. The doctors there are on rotation and are a little hit-and-miss which makes me nervous, plus I work with many of them.
So, WWYD? Mentally prepare to make a long drive to have the midwife/water-birth or mentally prepare to labour at home and deliver very close to home not knowing which Dr. you could have for the delivery?