I had a drug free, vaginal birth and I had pretty good support (starting from husband who was a great labor coach, my helper who used to be a midwife in Phil, midwives from Annerley, yoga classes, my pregnancy group which is now my baby group, my Ob- Lucy Lord, midwives from Matilda were just amazing) from all, throughout the pregnancy and final labor in HK. All everyone counseled me was to keep my options open and not feel bad if I am not able to get through the labor without drugs or need a C. No one pushed me one way or the other. And luckily for me, all went smoothly.
I have another friend who also had a natural (drug free/ vaginal) birth with a different Ob (Chinese)- I forget his name. He was ok with her being more than 2 weeks overdue. She did schedule an induction but went into labor naturally on the eve of a typhoon of all days.
1. Not allowed to do homebirth with a certified nurse midwife- Yes, agree.
2. No birthing centers in Hong Kong- True
3. An extremely high c-section rate in Hong Kong.
True- but you have to find the right OB for yourself. For eg, NYC has as high Csec rates inspite of home birth doulas and birthing centers.
4. Birthing coaches/doulas not allowed in the birthing room (right?)
Perhaps true for public hospitals but you are allowed birth coaches/ doulas in Matilda for sure. I found out upfront. Basically any 2 people other than yourself (besides the Matilda midwife and your ob) can be present.
5. No access to hot water/tubs during labor (right?) I dialated from almost 8 cm (I was able to stay at home for a pretty long time) to full in the hot water tub in less than half hour. I absolutely loved it. The tub was clean, the bathroom was lovely.
I was also allowed to squat with a mirror but I could only do a semi squat due to the pain and pushing was easier for me when switching on knees. In the last bit, I was getting quite tired with the squat and needed to concentrate more on the pushing so I did get up on to the bed but more in a sitting position than on my back.