My mind still hasn't changed on this topic - I still want an elective c-section. I am hoping that this is an option and that my decision will be respected. My Dr. will be giving me a referral to an OBGYN at my next prenatal appointment (at 33 weeks). I hope that the OBGYN will be receptive, as frankly trying to find one who is when I'll be less than 7 weeks from my due date seems to be a daunting challenge. I want to avoid a vaginal birth as fiercely as many women want to avoid a c-section. The ironic thing is, that women who want vaginal births even in light of circumstances that are likely to merit elective c-sections (VBAC, breech) are likely to be more supported than the woman who wants a c-section in the absence of any medical reason.
So what do I perceive to be the advantages of an elective c-section:
1. Avoidance of pelvic floor damage and tearing.
2. Avoidance of going through an extensive labour and needing a c-section anyway.
3. Ability to mentally and physically prepare for the delivery.
4. Minimization of very adverse birth outcomes for my child.
5. Ability to organize support resources for my recovery.
6. Control over the experience.
7. Minimization of the risk of sexual dysfunction.
My understanding is that overall the risks (to the mom) of the two birth methods are relatively comparable, particularly in light of the fact that many planned vaginal births do not result in unassisted vaginal deliveries.