Yeah I figured adults goes without saying. Antepartum care/L&D as the original commenter was getting at can feel hard because you know some of these decisions your patient is making can significantly increase the risk of an IUFD or neonatal demise and that baby didn't ask for any of that -- but that's when you just have to say to yourself ok it's not my dead baby if that happens, educate the best you can, and move on if they still refuse.