Yes, especially to the bolded. Birth is UNPREDICTABLE. There's so much 'hokey' stuff around it, it's insane. So many people will believe that writing a c/s part for their birthplan is just 'asking' for it to occur. Ummm, no, it's not. No more than writing a will is asking to die.
For me, I find control soothing. My last c/s, I asked to not have my arms strapped down. Made a HUGE psychological difference. Why? Because not being strapped down meant I wasn't completely helpless. No one likes feeling out of control. Not even tiny babies.
Even though I was going for a VBAC, I made sure to put down several specific c/s requests, such as double suturing, stitches instead of staples, free hands, and my issues with certain anesthesias and pain meds used. All led to a MUCH better experience. I still have psychological issues linked to having to have another c/s, 'failing' in my VBAC, etc. However, the actual surgery itself wasn't so bad because I took back some of my power during it. I was NOT at the mercy of the doctors. I was a participant.
With EOL - the ethicists while differ, many believe the goal-based approach, helps resolve or answer the technique or procedure issues. For instance if someone refuses to be on a vent overall and has that in their advance directives or HCPOA, but the problem is a short-term vent because of pneumonia how does a MD resolve the conflict or understand the directive without a goal-based statement. I think the same could help with birth and the creation of resources for moms to receive support if needed.
I think in a previous thread... the conversation continually pounded what the moms who had a CS could do in getting acceptance in the NCB and I think it was pointed out that targeting the moms was not the answer, but to target the MDs, CNMs, LMs, Doulas, and CBEs in changing their message to not monday-morning QB, or to immediately feel pity for that woman and into a message of listening and acceptance.