Congrats, and good luck. I am not sure why you think you cannot get a midwife here, you can. If you want someone to be with you the whole way, find a midwife doula and hire her for the birth, unfortunately USA health care system thinks it is a waste of money for a doctor to focus that much time on one person. AS for SAH, I would never have a child there. We live south, and my husband has had go to the emergency room a few times, he still believes he is invincible, and we have never really had good experiences.No since of urgency, dirty floors and walls, giving the wrong meds once. The one time I had to go t the emergency we drove up to Seton on 34rth. If you would like the name of a practice that has a midwife and easy access to doulas, just send me a private message, I would be happy to share.