"Birth Plan" at your own risk

So I was with a couple in the hospital, as they were approaching the birth of their 2nd child. The mom had arrived in transition (about7-10 cm dilation), progressed quickly and was starting to push.
Not surprisingly their OB was not on call, so the doctor who'd signed off on the birth preference sheet was not their to see that their wishes were carried out.
No problem! I remind the OB who is present that this couple has indicated that they would like to practice expectant management for the placenta delivery (as opposed to the hospital protocol of giving synthetic oxytocin as the baby is being delivered as a preemptive protection against hemorrhaging. In expectant management you let nature take its course and would only give a synthetic oxytocin if the mom actually hemorrhages). They want this in conjunction with a desire for delayed cord clamping/cutting (as research shows that leaving the cord pulsing for 2 extra minutes boosts iron reserves in the baby for up to 6 months).
However, it became clear that this young doctor had no idea how to permit nature to simply run its course while watching carefully (she repeatedly asked me for guidance on when to clamp, when to cut, when or if to put traction on the placenta etc.). I'm just the doula, not the OB! That's your job isn't it!?!? Apparently not. If you wishes fall outside the protocols the doctor has been trained within, I guess you may run into them not knowing how to behave in any other way.

Not an aspect of helping people create birth preferences that I ever imagined I'd encounter.