I have a midwife, so I have the option of both, but still am planning a hospital birth. I would consider a few things. 1) How far are you from the hospital if something went wrong? Yes, the midwife is there, but if something goes really wrong, you may need to go to the hospital. Also consider when you are due (snow? bad roads?), and average ambulance times in your area. I know that was a big thing for me, being due in January. 2) The perks and support at the hospital (meals, nurses...). This depends on what you are going home to. I know when I get home, it will just be me, baby and our 4 year old, as hubby will be at work, so having that extra help the first day is a big thing. 3) Think about the mess! This is your second, so try to remember the mess when you had your first! Atleast at the hospital they clean it up. At your home, it is your job. Some midwives will help, but that depends on your midwife! In the end, it is your choice. I have friends who had homebirths, and loved it, but these are the things that come to mind for me! In the end, it all depends on what you feel in your heart is right for you and your family! Oh, and keep in mind that even a hospital birth with a midwife is very different. You won't just be lying in bed, they'll get you up and moving. They also make it more calm and relaxed than a dr.