I would think with the knowledge and experience you have, you could totally hold your own and get the birth you want in a hospital setting.

To be honest, that's why I opted to deliver in a hospital with an OB. I was totally confident that with DH as my advocate (totally versed in the "medicine" of birth and neither of us at all intimidated by doctors or nurses). I got my natural delivery the second time around, and the first time around, I am confident that the interventions I had were necessary.