Pre-delivery there was no pressure to do a c-section. None at all. My wife definitely did not want one.

At the time of delivery, though, there was very much pressure to do a c-section. Although the admitting resident didn't seem to pressure my wife, care was quickly transferred (because of shift reasons) to other physicians (resident and attending) who did.

The way this manifested, though, was sort of subtle. For example, my wife had a procedure done to speed up the delivery; however, as we found out later, we were definitely not sufficiently informed of the consequences of the procedure, one of which was increased likelihood of a c-section. They tried to talk my wife into a c-section, and then when she declined, they tried to talk her into other procedures that would speed up the delivery, and would omit mention of the fact that they were associated with increased likelihood of c-section. Overall, even if c-sections weren't being explicitly mentioned, they were kind of relied on or assumed, for time and convenience reasons. The discussion was sort of like "Oh you don't want a c-section? Ok, then how about X to speed things up? Oh--I forgot to mention that now we probably have to do a c-section? Oops!" It came across as manipulative to me.

My wife did not have a c-section, but this was probably only because the nurses there (who were phenomenal) were actively arguing with the physicians to not do one, and to wait. We weren't really in the hospital that long either.

I wonder if this is more common at teaching hospitals, so that attendings can hand off the waiting to the residents in training.