My UC-transfer-csec occurred when I was 41, and in an abusive relationship. That whole period of my life was hugely stressful! It was the first time that I didn't UP/UC--but had an OB co-care (the backup OB for my midwifery practice, he knew I was planning hb if not UC). Somehow I thought it would be better to have that, and it was--I kind of thought (without really thinking much about it) that if I needed *any* med help, I'd need 'the whole 9yards'. Tho of course it begs the question: did having an OB backup help LEAD to problems for me? Or was it solely an indicator that I intuitively knew I'd have problems? Who knows. In any event, I pretty much ran the prenatal show, blew off his concerns about my age and baby's size, didn't do any testing, just the standard b/p, urine strip, etc. I did have one u/s near the end--I laughed at my OBs worries about baby size since I'd already UCed a 10lb baby, but decided to follow his rec for a u/s just to see what it was like (in 6pregnancies, had never had one).
I just wanted someone I trusted to be there for me at the hospital should I need that...and he was. He was pretty great actually...hehehehe, for an OB! I am definitely grateful that he was there for me, I know going in cold could have been QUITE a different story...but also I'm definitely clear that *I* made all the decisions, do not think of him as my hero or anything (then again, NO ONE is my hero but me, except when I'm not )
Anyway--my life at that time was not on an even keel in any way, and it is to all that immense stress/insecurity that I attribute my son's somewhat traumatic birth. Did being a mw help? I don't know...maybe a little. I saw signs that there were potential troubles brewing, but I could have seen those signs as well, just being a well-informed UC mom (mec and blood). I did know I was not 'midwife enough' to be my own mw in case my son was in need of help at birth.
I knew there was a problem, and I was the one to call for surgery after laboring more hours at the hospital--my doc was willing to go on a bit more, despite very low, very long decels, lots of mec and small but gradually increasing blood flow w/contrax. My son kept trying to descend, then jerking back up again, over and over and over again! It was maddening. I knew I could have gotten him out fast--but the doc wanted me to wait cuz I was 'only 8cm' and it gave me time to consider (tho being in high intensity labor, it wasn't exactly 'thinking') that if I DID push him out, chances are we'd both be in trouble--at least as far as my med helpers wanting to give us both the maximum of intervention! So I just insisted on surgery--turns out my son was so wrapped up in the cord that he couldn't descend, and was pulling on the placenta every time he tried-- which had started to detach a bit (explaining the bleeding, and probably the mec, too--LOTS of cord compression tho he always recovered well btwn contrax).
Anyway--a very traumatic time for me all around; it was VERY hard to come to peace with that birth because the birth was so wrapped up in the wreck of my whole life at the time. I got rid of the abuser pretty soon, but he spent another 3 yrs making mischief of various sorts. My son by the way was fine--NO NICU, apgars of 9 &10, he stayed w/me except a brief period while I was in recovery (only because I failed to ask/insist to just hold him then), we were home in 48hrs...I doubt we'd have seen that if I'd pushed him out, or waited much longer for surgery. I think it would have been the whole resuscitation 9yards, NICU, more problems caused by 'medical cures' etc.
So in the end I do know it was the right call, and do claim my power and knowing at that birth...in the long run, perhaps it was my MOST empowering birth because as stressed out as I was at the time, being victimized by that guy, well it's quite a feat to have remained clear enough to make good calls at the birth. But it's taken me a LONG TIME to get there!
Otherwise, for me my other 'successful' UCs were less dramatic by far. Just normal birth...an everyday miracle...wonderful, blissful, but also kind of like 'of course I had a normal good birth--birth works.'