Dr Kuswanto said he remembered there was difficulty obtaining Kate's consent to an episiotomy (a surgical cut to the perineum with scissors or scalpel to make the baby's birth easier).
"Usually, when I explain to a woman that an episiotomy is necessary, the woman's consent is forthcoming.
"However, in this scenario words were said to the effect that 'I don't want an episiotomy .
"The feeling was that I could not do what I wanted to do."
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