When I had my only baby, it was pretty much silent. The nurses, doctor no one talked to me or explained anything. They barely showed up until it was time to cut me open and then after telling me it was going to happen 15 minutes later, just did it. No explaination. I did not scream or anything. Just cried buckets of tears quietly while they did it. During the 18 hours I was in labor in the hospital, I just did my breathing during contractions. It took 3 hours to get an epidural (after 15 hours) because the nurse couldn't be bothered to listen. I guess I was too quiet. I too worry about Katie because my husband also ranted about what a wonderful positive experience childbirth was. Let's hope she has some supportive people around her that can understand what she needs!