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DONT EVER LET YOUR DOCTOR HAVE CONTROL OF YOUR BIRTH. He is being paid thousands of dollars from your insurance, AND you combined for the little time he spends in the room with you! He should be patient, and how the whole process goes from start to finish should be based on EXACTLY how you want it to go. If he acts like he is in a hurry, he is truly NOT genuine, and should not be a doctor in the first place. Doctors perform episiotomies ALL the time because they are impatient and want to get it over and done with so they can either leave, or see another patient to make more money in as little time as possible. If you refuse, they will even make you feel like you NEED one, and manipulate you in the heat of the moment! Be VERY judging when choosing your doctor, take you time, and go through a few or many if needed! and i saw great advice earlier, women doctor's are usually a better choice, not that you shouldn't be cautious of them either, but in many cases, they have been through it before, they feel for you, and they wont make cruel decisions that can effect you for weeks, months, years just to save themselves time or money. I am a Nursing Assistant in labor and delivery, and i have seen this first hand many many many times and it infuriates me. PLEASE take complete control over your birth. let everything happen naturally, push when you feel an urge to push, rest when you feel the urge to rest. It's how it's supposed to be done! Women have done it for millions of years and it's not untill recently that EVERYONE else is in control. So cruel and unneccessary. The doctors know it to. Not only should you take control, have your husband, your mother, best friend in there who is protective of you MAKE SURE they listen to you. I feel for all of you mothers, and expecting mothers. I am passionate and proud of you. And when i have my second child in March, you know i wont be afraid to tell the doctor BACK OFF, do NOT tell me what to do. Encouragement is one thing, manipulation is WRONG.

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