It has dawned on me that another reason for wanting a c-section with #1, would be to actually have a respected choice with #2. In Canada, and in British Columbia particularly, women who want to have vaginal births after c-sections (VBAC) are actually encouraged to do so. This is despite the relative risks of repeat c-sections compared to VBACs. It actually is a preformance indicator of the health care system, and those in the ministry of health (whoever they are who decide these things) actually want to see the number of women who attempt VBACs in BC increase. It's a bit mind-boggling (to me) in a province where only 1 hospital in BC currently has DOBA - but at any rate it is what it is.
I have a friend who is currently pregnant, and if she decided to go for a VBAC she would be free to do so. She is currently planning a RCS (repeat c-section) - but without a doubt, knows that the final decision of c-section or VBAC is hers and hers alone to make. I am somewhat envious of her freedom to choose at this point in time.
So I can add to the reasons for wanting an elective c-section: The Right to Choose Mode of Birth with subsequent births (all be it that vaginal births subsequent to a c-section do have higher risks).