If you announce, "I'm just going to snip a little pizzy" to a woman who is strapped into stirrups and lying in the stranded beetle position, vulnerable and disempowered, and then you start cutting before she even has time to draw breath let alone say anything, you can't then write in the notes, "episiotomy given with consent". It is common assault.

But this is what happened to this mother. Imagine how she felt, reading the notes later.