It isn't what you or I think but rather that your client gets the information she needs to make an informed decision. The Childbirth Connection website has good information on what this constitutes and how to do this. Send your client to: http://www.childbirthconnection.org/article.asp?ck=10084&ClickedLink=0&area=2 for a brochure that spells out her rights and to http://www.childbirthconnection.org/article.asp?ck=10081 for material specifically about making an informed choice. These should be good preparation for a discussion with her doctor. To them, I would add some red flag responses from my book, Thinking Woman's Guide to a Better Birth. If her ob engages in any of these bullying tactics, she should, in my opinion, run for the door. A person who behaves in these ways--sadly, all too common among obs--is not someone you would want taking care of you and your unborn baby.  

• scare tactics
• anger
• ridiculing her desires, concerns, opinions, or competency to make decisions about her care
• patronizing remarks
• attempts to co-opt her partner 

-- Henci