It's great that the midwife on this web link wants to encourage women to VB but I read a very myopic view from her/him. As in 'you have a vagina; you can should birth a baby this way' and that any woman who CHOOSES 'a medicalised birth' (why didn't s/he just say what was meant - ELCS? I doubt anyone would choose forceps or ventouse) is somehow ill-informed, or some vacant recipient of celebrity culture who sees Victoria '4 c-sections' Beckham' as their role model.
I feel insulted by this, tbh. I am one of those women who developed a long term back problem (coccydynia) from a mis-managed VB. I have no love for the midwives who insisted I kept pushing for 2 hours despite me telling them there was something wrong with my back.
I elected for a CS for my second birth as prophylactic choice: I chose the more predictable risks of ELCS over the uncertainty of whether I'd be able to stand/sit without pain. I agnonised for nearly 3 months about mode of delivery, so I do get fucking angry when I hear/read that people think women go for CS because it's the perceived 'easy option'.
And I do think hospital stats have an influence. Atthe hospital where I had my CS, my OB said that they need a 15% CS rate. The month before I delivered, the rate was 34%. It's obvious that if you can VB and you don't fit the usual categories for CS, you'll be pushed that way.
My second birth was beautiful. I much preferred the calm, controlled nature of ELCS over the hours of rolling around screaming in pain that was my VB experience.
FWIW, my experience with midwives the second time around was what I'd always hopes it would be. They were magnificent, so it demonstrated to me that I'd actually had a bad team first time around.
I guess the truth hurts sometimes, maybe? The truth is what HCPs read on MN.