Birth and pregnancy are VERY medicalised in Italy.
Everyone who can afford it will have a private gynaecologist who will see them at least once a month during pregnancy. Only the poorest of women tend to use the consultorio (it's the same for dentistry etc)
Epidurals are pretty common these days, but weren't up until quite a short time ago. Birth tended to be totally without pain relief, or a C-section. Italy has been criticised by the WHO for having one of the highest rates of C-sections anywhere. It's connected really to the thing about everyone seeing a private gynae. Easier for them to deliver your baby at 9am on Thursday morning rather than hanging around waiting for you.
Once the baby is born, you'll breastfeed. Some hospitals will actually refuse to let mothers use formula while they're still in hospital.
Homebirths aren't common.
I gave birth in Italy (south) 20 years ago. Can't fault it. Healthcare in general in Italy is excellent. I saw the gynae monthly. Had an epidural. Was in hospital 48 hours. Then back on Day 5 for postpartum check up. I had stitches.
No health visitors as such, my own GP came out to see me on day 6 as I was running a temperature.
All under 14s have their own paediatrician.
There are now a fair few medicine degrees taught entirely in English, (two in Milan) and I think you'd be extremely unlucky not to find a doctor in one of the big Milan hospitals or Gallarate itself who didn't speak English.
Good luck!