That is assuming there is choice. Not everyone can afford private health care. Going public, there is little choice. Yes you can get a doula, yes, you can a private midwife etc, but once you are in that hospital, it is basically the combo of the ob and midwives on duty (even in a midwife continuity program). Large cities, there is some choice of hospital, but it does seem to more the hospital choosing you. Rural cities, no choice. Even those with private health insurance have a limited choice with ob's as there are so few.
Maybe the moral of the story is don't choose a HCP that you cannot trust to respect your wishes?
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