Sorry it's taken me so long, I completely forgot!
Right. I have severe anxiety, and during pregnancy it worsened and developed into severe depression too. Although my mental health had improved at around 6 months pregnant, it started to worsen again right at the end. I've always been terrified about childbirth, and my fears were getting worse and making me really anxious. I was dithering about asking for a c-section but felt like I shouldn't. But then I was diagnosed with gestational diabetes really late in my pregnancy and that tipped my anxiety over the edge. I became more terrified about things like shoulder dystocia, and also knew that I'd be induced early, meaning I'd be more likely to have an assisted delivery or emergency c-section. At this point I told the consultant that I was terrified and wanted a c-section. He talked through all the things I was scared of, and risks, both in relation to a vaginal delivery and a c-section, realised I knew what I was talking about, and straight away offered me an elective c-section. He felt that it was the best thing for me and my baby, and my mental health was very important. Things had been so bad during the pregnancy, nobody wanted things deteriorating again. My c-section was booked for 38+6 and I was told I'd need the steroids. They are standard practice now for any planned delivery before 39 weeks.
Things then changed even more. I developed a severe PUPPS rash, and was tested several times for obstetric cholestasis (all negative). On one of the occasions I was at the PAU being tested, my arms were itching so much I was bleeding from scratching. At that point the midwife who was seeing to me had me seen by a consultant and they decided I couldn't be left any longer. So I was admitted that day and given the steroids, which helped with the itching, and they brought my c-section forward a few days to 38+3.
All the medical staff involved (that's a lot!) were of the opinion that it was fine to deliver my baby at 38+3, particularly as I'd had the steroids. My mental health was taken very seriously. It's my belief that baby needs a happy mum, and a few days can make a big difference. For me, the itching was making things intolerable. A few more days would have resulted in me having a new born baby after several weeks of no sleep. As things were, I'd had a few days respite from the itching due to the steroids, but it was starting to come back, so the c-section was at the right time. I'm now the proud mummy of a six week old baby boy, and my mental health is better than it's been for a very long time. I don't think I'd have been feeling anywhere near as good as this if I'd waited longer, or been induced. I definitely think I'm a better mum because my head is in such a good place.
Good luck! Sorry for the essay. I got carried away. Sure it's not all relevant.