One can decline everything - in DC 2 years ago I declined vit K and hep B. It was put up on the wall chart not to give anything to the baby and my directives were respected. No pushback. They just don't tell the new moms what you can decline - they're trying to get them when most vulnerable and sleep deprived. Being prepared, having a birth plan, and a support person who knows what you want/don't want and will go to bat for you is they key. With my first I had a doula there and she was awesome, with my second it was my sister (doula was virtual as number of support people limited).