I worked in a level three NICU for several years. I would never have my baby at home with a mid-wife. A very skilled mid-wife that is able to pick up on fetal distress that requires hospitalization may still run the risk of long term or permanent damage to the baby. In a emergency situation there needs to be interventions taken with-in seconds to minutes to guarantee the most optimal outcome for the baby. We are talking all it takes is a few minutes of decreased oxygen supply to the baby to cause permanent brain damage. People who delivery their babies at home may have no ideal that there was fetal compromise during delivery, if they were not hooked up to a fetal monitor during the delivery. At the hospital oxygen will be applied if need to increase oxygen supply to the baby. I know some mid-wives do this at home or in birthing centers. As for me, I would not take the risk of compromising my baby delivering at home. Not to say bad things don't ever happen in the hospital, and a lot people have wonderful deliveries at home. You don't know if you are going to have a smooth delivery until it's over. I think you have much better outcome for you and the baby at a hospital with a highly skilled doctors and staff.