We aren't telling friends and family IRL yet (so, shhh if you are one of my IRL friends), but I am officially pregnant! But I'm doing things differently this time. After four home births, I'm going to use a hospital this time. A new hospital opened up a couple of years ago that really does operate more like a birth center. A great CNM was the first provider with a busy practice, so she was able to get policies written the right way from the beginning: no standard IVs or monitoring, most women give birth somewhere other than the bed, etc.
My reason for choosing a hospital birth includes my distrust of the homebirth midwives in my area. My SIL gave birth two years ago today and her midwife horribly mismanaged things. Her midwife said it was fine to stay home with a 34-week baby because "labor would get him ready to breathe" and he "felt big for his age." My SIL also had pre-eclampsia (which is probably why she went into labor) and was bleeding heavier than her normal period during labor. Her midwife dismissed both of these things as variations of normal. After a traumatic, last-minute transfer to the nearest hospital, my nephew was born dead. The NICU team revived him and he is a healthy boy today, but the whole experience has really turned me off to midwives who take a cavalier, "trust birth" attitude in the face of clear complications. My home birth mw would have handled things differently, but I'm just not feeling comfortable putting that much trust in one person in an out-of-hospital setting.
Aside from that, I've also had "watched pot" syndrome with my last two labors. I felt anxiety about calling people at the right time and then my labors slowed (one stopped) after people arrived. So the idea of just showing up is appealing. I'm not planning on a doula this time, either, because of the whole calling people thing.
I am going to use Hypnobabies again. I may or may not have another water birth, but I'll probably use the tub and/or shower during labor. Water is my friend.