I guess mostly, it seems to me a very poorly-written article. The author is obviously still processing her ideas, and maybe that's the point, but she goes back and forth between a respectful discussion of NCB and ridiculing, doubting comments about it all. She still doesn't seem like she's read a whole lot, and instead is reacting to very specific comments or ideas that seem pretty unrelated to each other or to a typical approach to NCB.
And the Dr. Gregory character is...just...
. Seriously. It makes me so sad when characters like that are held up as a representative of the hospital/ob model of care. My hospital births were nothing like what Dr. Gregory or the author described...and the idea that preparation (beyond a hospital course) or a birth plan will somehow make it more likely for you to get a c-section is laughable.
My birth plan was so respected at both of my births, it makes me proud to say I had a hospital birth. I LOVED it. I loved my OB and the nurses for advocating for me, for respecting me, and for respecting our wishes as a couple. It was an incredibly warm atmosphere. Not once have I ever been given the impression that the doctors or nurses view birth plans as the realm of anxiety-ridden, control-freak mothers, nor do I think anyone is under the illusion that a birth plan is anything more than a birth wish, should birth go as births normally do.
The author, unfortunately, seems to be one of those people that is deliberately uneducated about childbirth. She admits as much for her first birth, and based on how she discusses some of her new "knowledge" of NCB and homebirth, my guess is that she still hasn't cracked the spine of many books about birth or natural birth. When you're deliberately uneducated, what do you expect? That a natural birth, free of interventions, will just be handed to you? Sorry, lady, that's not how it works. Not with midwives or homebirths, either. Especially not with OBs, or any health care provider, you don't trust or really know all that well.
Do the work. Read up. Just because, in the end, birth is unpredictable, doesn't mean that preparation is useless. Preparation does not guarantee an easy birth, and goodness knows you can be educated/prepared and still have a traumatic birth...but just because the worst case scenario can happen to the prepared does not mean it gives everyone the excuse to be unprepared. And sheesh...just because you can find a hospital, somewhere, with a Byzantine approach to midwives and Bradley methods....and because you can find an OB that thinks birth plans are crap...that does not mean it excuses you from educating yourself, from preparing, and from learning about what your body needs and does during labor and birth.
She seems determined to be the victim, to find every excuse out there (based on stereotypes of doulas, homebirths, and mean OBs) that says she was justified in not educating herself, having a birth plan, hiring a doula, or doing a homebirth.
If I was injured in car accident, but hadn't prepared myself by say...buckling my seatbelt, having safe brakes, or practicing defensive driving....even if I'd been "victimized" by getting hit by a bad driver. Aren't the extent of my injuries, to some extent, my own fault? So no matter if I can go out and find some quack that says seatbelts can really kill you, or safe brakes are over-rated, or people who practice defensive driving are really just anxious control-freaks who end up getting in more crashes...no matter how I try to justify my own bad choices, my own stupidity, the reality is my bad choices led to my injuries.