So ebil obstetricians are both trigger - happy scalpel fiends, desperate to cut wombyn open as soon as look at them, AND lazy, lackadaisical layabouts who won't go
near wombyn with a scalpel until it's
too late... Also, you said the woman still wanted to try for a vaginal delivery, so in other words the midwife wanted to overrule the OB AND the woman, and force an operative birth on the
mother.
As the day of Mary's debutante ball draws
near, the servants are conflicted by instructions from Mary's
mother to starve her until she fits into a gown that was made
too small.