Melissa's children were born in Iowa under the care of midwives but in a hospital setting. In Iowa all midwives who are legally practicing are Certified Nurse Midwives and many of them are providing care within a hospital setting. The hospital that Melissa gave birth at was set up more like a birth center than the typical hospital image that you may have in your head. It had a large tub as well as other comfort measures that aided her with finding more natural methods of coping with labor than typical hospital pain medications. Melissa also practiced Hypnobirthing which really made a big difference with her births and kept her from even considering asking for an epidural.