Hi love, I live in Italy, jut south of Milan and gave birth 12 years ago in Milan.
Best bit of advice, check your hospitals policy with regards to pain relief. Some have a "no pain relief" policy which is not fun to fall foul of, cos they really really mean it.
I've just been to the new hospital in Bergamo, wow that is ENORMOUS! I spent an hour wandering around lost cos all five towers look the same and I couldn't remember which door I came out of.
MIL was on the medical ward, dead flash beds, two people to a room. I'd guess that the other wards were pretty much the same.
I reckon they won't have a "thou shalt suffer woman!" policy cos it is that high tech and American looking I can't immagine they'd mesh that with ye olde headset.
You don't have to have a medicalised birth here, the law is pretty much the same, you can't do anything to a patient without their consent.
Be aware that when stressed or in pain one's Italian can bugger off and leave you a bit incommunicado if the doc doesn't speak English. It's nice to have somebody in there that speaks both languages.