Karli, have you or could you try the tact of telling midwife what you want to happen, I.e I want to be able to go in to hospital early labour so I can get pain relief, I want this because of x, y, z? I have often felt the midwives are very dismissive, then by the time labour happens it's too late as you're often in no state to regain some control (that was my experience last time). Do you know if you qualify for a doula? Where I live you can have a doula if you meet certain criteria and they can help you 6 weeks before due date, be with you at the birth and be your advocate, and 6 weeks after if that's what you want. I really could have benefited last time because as I said I had absolutely no control and no choice how I laboured and gave birth so I really could have done with someone who knew my wishes and rallied for me when I couldn't.