Hypothetical case....woman with 5 kids, probably more than one father, probably on Child Support, probably needing tranquillisers or anti depressants, probably more kids to come, sees her doctor who makes the comment
" Have you heard of the morning after pill?"
I agree. But there's a way of saying it.... and a way of saying it...!!
Maybe she took exception to his 'tone' or the 'look' he gave to her existing children as he said it?
If she saw her doctor on a pregnancy related matter then his comment would seem appropriate. On the other hand if her appoinment was related to an ear infection then he was out of order.
In a sense it really has nothing to do with her doctor how many kids she has or how many fathers are involved or whether she is claiming benefits. If she had come in depressed though, maybe the depression is stemming from the stress of her situation there for it would be relevant to ask her is she wanted more children and had she thought about contraception.