I find a really big difference between hospital midwives, and the private midwife I have hired for our homebirth. While I haven't had negative experiences, the hospital midwives I have seen, especially when it comes to this birth which is a vbac, they are alot more into procedures and protocol, fair enough I guess they have to follow hospy rules. But my private midwife is so relaxed, and wonderful.
Maybe if you are thinking you won't go to the birth centre when the time comes, you should look into having a homebirth and look around for a private midwife??? They really are alot more into what you want from the birth as they don't have ridiculous protocols to stick by. I don't know anything about your high risk condition, but depending on what is, homebirth is not unsafe the way some people like to think of it. In some ways it is far safer than a hospital.
I feel the same way about obs as you do midwives, I don't believe a word they say!!