Yeah I took epacris statement the same as you dach. I went into my first birth as a young 19yr old with absolutley no idea. For my 2nd/3rd births I was more informed of choices available and voiced as such. Even post natally I was not pressured when told I needed a blood transfusion, simply refused, and that was that. THIS knowledge/education that I gained after my first birth, enabled me to birth subsequently in a positive manner. And btw, my second was public delivered by midwives, and my last was private with an ob.