Women have a right to make their own risk assessments and valuations, but they also have the right to know what and how much they are risking.
I always thought I couldn't handle more trauma in my life, that I was already broken by my experiences, and then my baby died (a birth injury, insufficient interventions were available to help her in the situation we found ourselves) and I managed to not lay down and die. Not everyone feels this way but for me a living breathing mother and baby is the bottom line.
Yes, caregivers must be compassionate and respectful when they communicate risk and they should not assault their patients.
But the bottom line for me (yes I understand not everyone feels this way & they have a right to a different valuation) is always going to be coming out alive. That is what I care about when it comes to my "birth experience." I can heal from my experiences but I can't heal dead; my daughter is not coming back to life. And I reject the idea that the availability of interventions and skilled providers increases the risk of death because there is no proof that is true.