The tone is ridiculously condescending. Epidurals are BAD. BAD women. BAD BAD BAD.
I don't think she was refused an epidural though was she. At last check she was 7cm dilated and they decided to check her dilation before making a decision. And she was fully dilated and it was too late for an epidural. I agree that if you ask for an epidural, you should have one. But only if it's a viable option.