I know a couple of women that have had their children with the help of a midwife. I wanted to but wanted to give birth somewhere other than home, like a birthing center. The midwife that I started seeing was in a practice with an OB/GYN and could deliver at a hospital (since we have no birthing centers) but halfway through my pregnancy she lost her privileges at the hospital and could only deliver at home. So I ended up going with the OB/GYN instead. I was happy though, maybe because I was delivering in a hospital already anyway. My Dr didn't have any problems doing what I wanted to do vs the "standard procedures". So I still ended up with the kind of birth that I wanted....no episiotomy and no epidural and no pressure to do anything differently (from him at least....the nurse kept trying to push at least a consult with an anesthesiologist but I said no). I wouldn't be opposed to having a home birth as long as I was REALLY close to a hospital, just to be safe....better safe than sorry!