Hospital setting or this

This. I had natural birth with twins and took them home the same day. Hospitals were not safe then and are much worse today. I had one baby breech and the Dr was able to turn her so she was head first. Good luck finding a Dr willing to do that today.

This pic just doesn't look sanitary in any way.

Definitely this! Our daughter and son in law had this. Only the pool was big enough for him to be in there with her for support. The midwife and her assistance gave what I would describe as 5 star platinum concierge service. Did all involved laundry and took the garbage out. And they leave the placenta attached to baby for awhile. (Wrap in disposable bed pad.) Whole experience was safe, quiet, calm, secure. So much better.

The clean-up would be easier tho.

Wow, that brings back a lot of emotions! Women need to know they can give birth naturally and safely.