I am 39, and will be 40 when the baby is born. I'm in the US where the trend is to over-medicalize everything! I would have had the option to do midwife care with my first (since I was not yet officially old), but delivery would have been in the hospital anyway and I liked my ObGyn. There are options to do a birthing center near me, but none were as close as the hospital about a half mile away and I wanted to be able to walk. My delivery of my son went very smoothly with minimal monitoring and no medical interventions. My daughter was breech (and a month early, and her cord prolapsed...) so that was a c section with all sorts of interventions. I am strongly hoping to VBAC this baby.
With my first, an overzealous nurse had me coming in to get weighed EVERY WEEK when I was honest about how often I was being sick. It was so pointless. Now that I've switched doctors, I'm hesitant to mention it at all because I don't want it to turn into some kind of risk factor. I know how to identify when I'm getting dehydrated, and know to go to the hospital if that happens. Medications have not been great for me in the past, so I'm inclined to try and just manage it on my own.