"The medical literature letters and opinion pieces reflect that. The latest ACOG Guidelines, July 1999, read more like a legal "expert opinion" piece against the HMO's than guidelines based on evidence-based medicine. Some of the references they use to back up their position are not from controlled studies..."
This makes the facts a bit more difficult to decide than before. It's not simply a case of X option being best for all women, or the worst for all women. Which is why the dialog between the woman, her partner and the careprovider should begin and continue until a decision is reached, in either direction.