Now that I am in the third trimester, I'm really happy to finally have worked out a birth plan with the help of my gynecologist and midwives! I have an incomplete spinal cord injury at the t10 level (around the belly button). For me that means that I cannot move my legs, but still have feeling below my level of injury.
While the pregnancy and baby is healthy and not really affected by my injury, there are/were concerns about what I can feel, whether things will go differently than in an able bodied person, and what I can move/control, especially regarding the delivery of the baby.
I live in the Netherlands, where home births are common. Unless you have a high risk pregnancy, your baby will also be delivered by midwife rather than a gynecologist. You can have a home birth with your midwife, hospital birth with your midwife, a hospital birth with the hospital midwives, or a hospital birth with a gynecologist. For all hospital births, the gynecologist on call would be aware of/make final decisions regarding emergency situations.
Because of my injury, a home birth or using a midwife from a birthing center was immediately out of the question. As soon as we found out that I was pregnant, we got in touch with the OB office at our local hospital and we have been discussing the birthing options since then. Actually, my doctor has been very calm and reassuring about it, but I've kind of been my obsessive self and needing to plan every detail out.