We had a midwife taking pics for us and she got all the graphic ones as well as the nice ones and we are so glad that she did. We can now look back and see what actually happened and we get to see them bringing DD3 into the world little bit by little bit. If you don't want those sort of photos in the book then don't add them but still have them done as they are priceless later on (you can always make up a book for others to see with the nice ones iykwim)