K.R.
I recommend using a midwife and/or birthing center. They are usually great about listening to what you want as long as it is safe. They also tend to view pregnancy as a normal family experience rather than as a sickness. My midwife was Heather Caudell but she delivers in Lewisville hospital so she isn't in the Plano area. When I asked her how many people could be in the room with me she said as many as I wanted as long as they didn't get in the way and didn't get loud enough to disrupt other patients. Since I delivered in the hospital, I would have been able to have an epidural and still have my midwife deliver my baby. However if you choose a birthing center you don't get the epidural but most can give you a shot for pain. I was able to do it without the epidural. I did get a shot of Stadol that basically let me take a nap during the middle of my labor. At least you have been through it before and have an idea of what the pain is like. I was a first time mom and had no idea if I could handle the pain or not. Birthing centers are usually good about offering different suggestions for pain relief, such as massage, birthing balls, different positions, laboring in water, etc. Plus they are setup to be family friendly. When I was pregnant I did a lot of searching online about birthing centers and midwives in the Dallas area. Several of them were contracted with my insurance in case that is a consideration for you. I would definately use a midwife again.