OB delivery policies - what can you say "no" to?

AimeeL85

I have been thinking a little and started wondering about some things. These aren't things I'm worried about for my delivery, just curious.

Last week my OB mentioned that if babies got to 10 lbs. they automatically do a c-section.  It doesn't look like our LO will be that big so I'm not worried, but if she was, I'd still want to try a vaginal delivery and I'm sure a lot of people would. So what happens if you won't consent to a c-section for that, but they won't do vaginal? How much say do you have?

Or, if baby is breech and they don't do breech extractions, but you don't consent to a c/s, what happens? Can they refuse to do the delivery? 

Again I'm not worried about these things, but the 10 lb. c/s situation just got me wondering what happens in any situation where the OB and the patient disagree. These are just the examples I thought of...