BUT...the three women I know IRL who have had elective c-sections are:
- A woman who had a traumantic unplanned c-section with her first. When she was getting ready to have her 2nd, she was dealing with a SN toddler and had her own anxiety issues. She elected to do a c-section because it felt like the best way for her to birth.
- A woman who had a traumatic unplanned c-section when she was a single mom with a poor support network, and then lost the baby to SIDS 6 weeks later. When she was pregnant with her 2nd, she had major mental health/anxiety issues and felt like a planned c-section was her best strategy for getting through the birth.
- A woman with cerebral palsey who had an unplanned c-section with her first and elected to have a c-section with her second.
None of these women were particularly "natural parenting" oriented and probably would not have found their way to MDC. Personally, if someone on MDC said she was electing a c-section, I would assume that there was a pretty damn good reason for it. But as you all know, I always err on the side of trusting that women know themselves and their own situation best.
"Elective" is a difficult term to deal with, in respect to c-sections, because it's used in two completely different ways. According to the medical profession, I've had three "elective" c-sections. According to me, I've had one.
While I personally have issues with maternal request "too posh to push" c-sections, I also don't believe that they're anywhere near as prevalent as many articles and OBs would have us believe they are. I think that most c-sections that appear to be truly elective (ie. maternal request, as opposed to "non emergency"), are probably along the lines of the second of your above examples, where there are unusual emotional/psychological aspects involved. (This would apply to some survivors of sexual abuse, for instance.) However, the other two examples you cited aren't elective c-sections, except in the medical sense. Prior c-section is given as a medical reason to have another c-section. In many places, a woman isn't "allowed" to give birth vaginally if she's already had a c-section. So, coding those as "elective" just muddies the waters.
I believe that when people object to elective c-sections (as in MDC's statement that they won't host discussion of the merits of elective c-section - not sure if that's still a current part of the MDC UA or not), they're referring to the small number of truly elective ones. People are welcome to disagree with that stance, but I personally see it as completely irrelevant to the question of whether one can discuss a c-section for pre-e, or previous c-section or any other medical reason for a c/s.
I really wish the term "elective" would vanish from the medical profession, except in cases where there is no medical indicator for the cesarean. The current usage just creates confusion.