But retiring after 1-3 is normal, and most medical providers operate under that assumption. They might as well hack it all up or leave it a mess because you only use it a few times anyway. During my most recent trip to the maternity floor, my regular doctor (who knows where I stand and wouldn't have given me occasion to tell a tale like this) was unavailable and I got someone else from her group. Assessing my situation (you'll recall this is after the main event), he asked with what I perceived to be uncertainty if we were going for six. Apparently this affected his decision about what kind of care I was going to get.
This made me very unhappy. The kind of care I want is the kind that leaves me optimally operational, and this is the kind of care every patient should get. I can't imagine that cutting corners or "going easy" on a patient in need of treatment is doing her any favor, regardless of her plans for the future (and 30 minutes after giving birth is hardly the best time to ask someone about such plans).
I become increasingly convinced that an obstetrical care provider needs to know not only a patient's medical history, but also her anticipated medical future. I know this business is terribly awkward to bring up. But maybe we also shouldn't sell medical professionals short. A good one will know that it's not his/her business to offer commentary on lifestyle. I certainly don't want to be under the care of someone who holds an aggressive belief that I should be Done anyway. And chances are that if we show ourselves to be reasonable and intelligent people we'll win ourselves a little credibility as assets to the genepool who might be dealt with gently for excessive procreation.
I've got more of a claim on this body than any health professional, and a health professional can only call the shots I want if she knows how I want them called.
(Incidentally, the first piece of advice I'd give to any pregnant lady based on all the birth stories I've ever heard is avoid inductions.)