i find it very helpful to discuss situations that warrant the need for cesarean birth. i have, of course, my own list (comfort level) and it will differ from anyone elses. but sharing our thoughts and info is never a bad thing.
i think, if i were made uncomfortable by this civil sharing of information, i would ask first what i was projecting into it? no harsh words have been shared here, but a lot of very useful info has beeen shared.
mamas need to know the what and why of cesarean necessity. they need to tools and info to find their own comfort level- for instance, i wouldnt have a cesarean for herpes, but others would. the important thing is that people are empowered to make a choice for themselves, not just told by someone they "have to". that is what i like about these sort of discussions. they challenge us to really dig into our hearts and discover where we stand. there is no judgement here. there is no wrong answer.
by discussing what would and would not guide me to choose a surgical birth, i am not judging a mother who has other reasons. there are some here, i know, who would choose sooner, some who would choose later than i.
Lauren, i think i was speaking about whether it should be a reason a Mama should feel cesarean was absolutely neccesary, not whether her practitioner would force her to have a surgical birth. It is true, many things will risk you out of normal attended birth... you just wont be able to find an OB or midwife, yk? (unless you travel, and a lot of mamas do...) In my case,though, if i felt educated and very strongly about my situation and did not feel it warranted a cesarean, i would birth unassisted if need be. of course, if i felt a strong need for a cesarean i would choose one. ( i havent given much thought to a situation where i wanted a cesarean but couldnt get one ... i imagine i could find an OB here easily who would give me one. who knows?)
i agree, stafl, that a discussion about avoiding cesarean is a great one. but if no one talks about the medical situations that lead to cesarean, who will know how to make their choice? if mamas are not talking about it, that leaves the OBs and midwives. i dont want to just listen to their recommendation and comply- i want to be informed and to have given it a good soul search in advance, so that i can fashion my own choice out of a wealth of knowledge. i am simply not comfortable with the thought that my midwife would tell me something, and i not give it any thought, as much as i trust her. frankly, i dont think she would be comfortable with that either. she makes sure when we talk that i am active and aware in the conversation... she doesnt make decisions for me, she is just my companion. she wants to know my comfort level, and she lets me know her emotional and legal comfort level. we have discussed all manner of situations... and the reason i am babbling on and on is that i think this thread and ones like it are useful, at least to me, because i plan to discuss all of these things with her.