My experience with refusing a procedure was to have the ob in question "chuck a tanty". She took her gloves off, threw them to the floor, insisted that she "always" performs episiotomies (sp) and went to leave the room. It took DH threatening to throw her out a window if she did not put her gloves back and continue with her job before she would continue.

So whilst there may be a policy of right to refuse, I am not sure if the hospital actually knows how to cope when that happens.