Once again they also show that they don't care about the patient. They want the patient to be awake, and relaxed, so they can get better tissue intact.... ugh.

The doctor says that their samples just don't come out as well if the woman isn't dilated enough. "You're pretty much maxed out and, that's their tolerance so sometimes it's a little bit more difficult.  And if they're completely relaxed, it's easier to not do so many passes with the forceps. So it just really varies and like I said, a lot of it depends on the dilation that was obtained."

If they're getting to the woman's pain threshold, her pain "tolerance" to try to get more tissue, intact, then they are hurting the woman on purpose, when they didn't have to.