Originally Posted by MarionLS
Are women allowed to plan this way for first time births? Isn't it just based on medical necessity? Or is all that changing?
A lot of doctors will do c-sections for maternal request. There are also a lot who won't, but at least in the U.S., you largely get to choose your provider, and you absolutely get to plan this way if that's what you want.
And some medical needs are forseeable, and allow for some planning and decision-making. If your baby is breech, for example, even a hospital that "does" vaginal breeches will be happy to schedule you for a c-section if you're uncomfortable with the risk of attempting vaginal delivery. Same for twins. If you have an active herpes outbreak around the time you expect to give birth, they'll section you. IF you're post-dates, you can often make the argument that you don't love the risk of having an induction, and then potentially winding up having to page in a surgeon if things don't go well, so you'd rather just have surgery during the day. I had a "planned" c-section for placenta previa (planned, as in, when I came in hemorrhaging, they planned to send me into the OR as soon as it was ready, but had things gone the way we expected, we'd have scheduled a section for 37 weeks or so). If you're pregnant and have a pelvic deformity or a heart problem, you can absolutely be planning your totally medically necessary c-section from day 1.