Ditto what Amneris said. I think if you stay home during early labor and remain firm about what you want, it's definitely possible to have a natural delivery in a hospital. The hospital I delivered in has lactation consultants on staff and encourages 24-hour rooming in, and I had a good experience there. I bet LLL can direct you to doctors and hospitals that would likely share similar philosophies with you.
I had an IV and I received antibiotics for being GBS+, plus I did get an episiotomy. I don't think anyone particularly wants or plans for an episiotomy. I consented to it on my dr.'s recommendation, I didn't tear anymore beyond what he cut, and healing and recovery were very smooth and uncomplicated.