You're right Hoobley, it shouldn't ever be on the woman's shoulders, but unless the ob's of this world (both male and female - the female ones have me totally baffled by their stance sometimes, almost like they have forgotten they were born with a vagina and what it is used for) pull their collective finger out of their backsides and start going back to advocating vaginal births then it wont change, so unfortunately it HAS to come from the women. Afterall, the women are the ones that are paying their way so the more women start to question whether the c/s her ob has decided she is going to have is really necessary and make them accountable the sooner we will see change and reform.