My first birth was at the end of a low risk pregnancy, and I had a family history of quick, uncomplicated births so a weekend of exhausting labour finishing in EMCS, baby having a brief trip to NICU and me ending up in HDU with symptoms of pre-eclampsia was a bit of a shock to my system. It hit me quite hard, but that's also in the context of having already been pretty much housebound with SPD (plus carpal tunnel syndrome) so was quite weak and out of my mind with cabin fever before I'd even got the birth recovery to deal with. In total, before and after the birth, I couldn't drive for 3 months which was a very lonely and isolated time for me.
I wanted a VBAC which is classed as high risk so ruled out a lot of the niceities that I would have as a first choice. After phoning the MWs in tears at 6m pg as DS1's 2nd birthday was dredging up a lot of flashbacks and baggage of moments that I was going to have to face again, particularly involving being monitored and I got an appointment with a specialist MW on labour ward. We were able to establish a plan that got me as active as my SPD ridden body and monitoring could allow. The actual labour was good in the end. I was comfortable over a birthing ball. I was in a relaxed state of mind with hypnobirthing tracks looping over. When the MW hit the big red button, it was explained calmly and the whole situation felt more managed than first time. Nothing more could really be done to prevent a trip to theatre and an unpleasant birth injury, but on balance it was a positive birth that healed some baggage from first time.
Birth is unpredictable, but the value of a birth plan is in establishing comfortable starting points within the options avaliable to you. That's harder with a first birth when it is all unknown. Second time, I knew that I did not want pethadine under any circumstances and that the pain is easier to manage with a clear head than being locked into a fog with it and losing connection with the surrounding world which was a major component in dealing with the unexpected elements of the birth.
Most of the ELCS stories I've heard have been calm and positive and a far cry from some of their EMCS predecessors. Actually my EMCS itself wasn't too bad, a spinal block after 40 hours of pain can do wonders
and the atmosphere in there was calm. I did get myself tied in knots over VBACs and "wanting to finish the job off properly" as irrational as that is. If I ever did have a 3rd (lifestyle, not birth issues), in the absence of guarentees of gently blowing out a baby into warm water, and my history, I probably would go for the more controlled risks of a ELCS.
We live in a world where we are presented with a semblence of control most of the time and we are sold myths with pregnancy and birth. At times like birth if that goes out of the window, it can be hard to deal with and that must be acknowledged. It's not always connected and proportionate to the immediate and long term outcomes of the birth and that's OK. One person's near death experience is another person's lucky to be alive.
Probably, the most important element of a decent birth is feeling connected and informed with the process, not details like birthing pools or forceps.