I gave birth in Madrid 8 months ago. Basically they expect everyone to have an epidural early on, so they dont bother with anything else. When my husband asked for gas and air they looked at him like he was crazy-perhaps they thought he wanted it- in fact, with hindsight he probably did they like to keep you lying down for the whole of labour, hooked up to an IV, then they wheel you into a delivery room for the pushing. stirrups, episiotomy, the works. there is a birthing centre in valencia I have heard about. BUT my obstetrician told me he was involved with building another hospital nearby that takes all the emergency c sections from there, and there are loads. Spain also has a very very high rate of c sections. about half my friends were induced and all of them ended up having c sections in the end.
having said all that..... i was very happy with my birth. a lot went very wrong and if i hadnt been in such a high tech situation i prob wouldnt be writing this to you now- nor would i have my ds so will be going back to same doc and hospital for next one. The nurses were incredibly kind to me and my ob was a total hero.