It isn't just the OB, my nephew had to have surgery a couple years ago and it was the same thing. It is a pretty small hospital.
See, I'm actually angry because the nurses and doctors tried to talk me out of it. "Are you sure?" "It's permanent, you know, no going back." "Why doesn't your husband have the surgery." "You're so young!"
I had to watch a video from 1987 that, after telling me how babies are made (thank God someone did, I've always wondered), told me about all the different types of BC and further encouraged my DH get fixed.
I told them the DAY I went in for my first appointment that we were done after our son was born and reminded them frequently. I have 5 kids. I have no desire to have to buy a 10 passenger van to get groceries.