I was very lucky to have my midwife mainly dealing with the resident and other dr's for me. She helped to push what we wanted, but she also told me to ask all the q's i needed to.
I guess cause I'm an engineer and pretty used to having to force my way with older men in the workplace for project work, I dont have an issue with drs. Lucky I spose.
But if you have a kickass midwife that knows how to play the system it helps .
I would have to say I actually got the ideal birth this time, I'm very lucky, I guess it made up for the horror of Jenna.