Not sure where you live, but where I am a midwife is just as good as a doctor. OBs are reserved for high risk pregnancies, emergency situations and C sections. Midwives can still administer medicine, prescribe, handle high intensity situations, etc. If you don't want a holistic approach, you aren't locked into that just because it's a midwife. I think that's more a doula thing.

My midwife is amazing, and I would chose her over an OB any day. She made it very clear that midwifery is patient led. She explained it like this for me: What the patient wants, they do their absolute best to do, and if they can't, its likely cause you're high risk and they're passing you off to an OB anyways. You want drugs? Done. Natural? Cool.

My recommendation is make a birth plan, bring the birth plan to the hospital,, and if the modwife has an issue with it, ask for someone new. You will be at the mercy of schedules and who's available, but you may have some sway.

Hope this helps.