I thought I'd update with an outline of what I have been working on so far in terms of our birth plan. Initially, I was planning on a home birth. However, Tricare (in their infinite wisdom) will only pay for a home birth if it's attended by a CNM (certified nurse midwife). The wonderful state of Georgia is among the few states that does not recognize anything but CNMs (not CMs or CPMs or basically any kind of direct-entry midwife- in layman's terms, all midwifes recognized by the state must also be RNs). Additionally, there are NO CNMs that attend home births in GA anymore! On the upside: if you do have Tricare, don't live in Georgia, and want a home birth, Tricare will pay for it. Great, huh? Don't let anyone tell you different- make sure you talk to a supervisor.
So what to do? I considered a birth center in Savannah, but I didn't want to have to worry about the drive. Then I got lucky- my Tricare rep and family practice nurse actually went above and beyond and found me an amazing CNM that works in an ob practice in Warner Robins! Carlene practiced home birth for 25 years, but since the laws in GA make it so difficult to practice, she moved to the ob. Now I get to see her exclusively for my appointments, and she will be attending my birth (in the hospital, unfortunately). She is amazing, I love her already, and she is dedicated to ensuring that I am able to have the birth setting that I want, pending emergency issues, of course. I am so happy to have such a strong advocate for natural birth on my side.
Additionally, I am working with a doula from the area. I am interviewing with her next week, but from talking with her on the phone, I am confident she will be great. She has also worked with Carlene in the past, so they have a good working relationship (from what I could gather- I'll ask more questions in the interview.)
Overall, the current plan is to stay at home as long as possible. I'll be helped by the doula, who will help me make the decision as to when to head to the hospital. Then the CNM will take over, with the doula still helping me, of course. I'm hoping to limit the time I spend there, and thus the chances for intervention. Fingers crossed (and many prayers) that everything will allow for the kind of birth experience I so want!