I think you are putting too much on the environment and not concentrating on yourself and your part in it. if you are negative and moany it will have an effect. Wherever you give birth......... its your body and your baby that are doing the work. It def helps to relax and let go of the thinking part of your head and just let your body do the work that it is designed to do. When you are in active labour not only do you not really care that much about the room you are in, but also, even the people that are with you. of course it helps if you have a calm atmosphere, if the midwife is knowledgeable. empathetic, relaxed and kind and if you feel comfortable but tis not as important as perhaps you might think before you actually go into labour. In the end as craigy said its just one day in your life, a very important and precious one, but women are doing it all over the world in all sorts of situations some of them a lot worse than Kings/St Thomas'/Lewisham on a bad day, and the hard work is when the baby actually comes..........