OP, I was told at a young age that I wouldn’t be able to have children. Through my 20s I felt that this was probably a good thing - even by my early 30s. I could only imagine all the negatives (detonating my life, no sleep, no time to ourselves, expensive, loss of independence etc etc).
I was constantly on hormone treatments so no chance of falling pregnant naturally. I think making the choice to actually try for a baby when it’s such a massive unknown is incredibly difficult and had I happened to get pregnant earlier I think my outlook would have been very different.
Anyway, when I was 32 my mum died, and my perspective changed when she was very sick. Suddenly I felt that my life would be really empty without children (I’m not saying anyone’s life is empty, it was just how I felt!. I didn’t want to trust that feeling as I thought it would just be the bereavement talking but the feeling got stronger as the months went on.
I knew it would be hard to get pregnant and I knew the criteria for NHS IVF locally meant we needed to start trying right away. Didn’t occur to me I would actually get pregnant but that first month was successful.
At my 12 week scan we found out we were having twins. Honestly I was really upset and terrified. I had been worrying about how we would cope with one baby and now we were having two. None of my friends had kids. I knew nothing about babies or toddlers. I babysat my friends baby for an afternoon and I thought there was no way I could manage with two.
On top of this I suffered from severe tokophobia (fear of labour). Twin pregnant was physically hard and the tokophobia made it even harder. I was so unwell through the pregnancy there’s no way I could have worked between 6 and 17 weeks and 28 and 35 weeks when they were born.
You say MR cs don’t happen in the nhs but they do. NICE guidelines are behind you on this. You have to fight for it and jump through a lot of hoops but they have to at least refer you to somewhere else if they won’t do it. If you do have a baby, you tell the midwife at your booking appointment that you absolutely want a c section and what would be the process for that. If it’s tokophobia thats a factor in all this then I’d recommend early counselling as it did help me. I had a scheduled section planned but ended up needing an earlier emcs. There’s some misinformation here - in reality while vaginal birth is generally safer for mums, c sections are generally safer for babies, based on mortality and serious related disability statistics.
Maybe i’m reading too much into your post because I relate but I think you do want a baby, and you’re shitting yourself about the unknowns. Everyone knows the negatives but the amazing positives are so impossible to feel before they happen.
Having said that, I’ll briefly tell you about my experience and why your plans for a short maternity leave may not work. I had my emcs, my twins were taken straight to nicu. One was in there for 2 weeks, the other was in there for over 2 months. He had restricted growth in the womb and was diagnosed with a rare illness. At 3 months he still weighed 5lb and was like a newborn. He was then readmitted to the children’s unit HDU for a fortnight and I had to stay with him 24/7. DH had to take two weeks off work to look after the other baby at home.
By 3 months you might be raring to but I must say I doubt it, unless you could also afford a night nanny at least a few times a week so you can get some sleep. I’ve never known exhaustion like it in my life and they didn’t start sleeping well until they were 15 months. I started working part time when they were 10 months old, very very part time. DH works from home and looks after them while I’m at meetings.
Our lives have completely changed. We’ve been out on our own twice in two years. One of our twins has complex health needs and my life is a constant stream of assessments, tests, forms and appointments. I never thought I’d be able to cope with something like this, and it is super hard but honestly I cannot imagine my life without them. They are the best thing about my life, hands down. They’ve made me into a better person and honestly, the things that were important to me before (particularly my career) just aren’t a priority for me now. I spent so many years focussed on working my ass off for someone else, cared so much about doing a good job, I lived my job. Now I work my ass off for them and I wouldn’t change it. My only regret is not having them sooner to be honest - I wish my mum could have met them. It’s very hard doing this without her, we have no regular family support which makes life harder.
I don’t know whether you should have a baby, but I know I felt similarly and it was the right thing for me.