see, I knew there was a reason to ask this. The extra eyes looking at it from all angles is always helpful!

I figured for me I would be in a good position to not worry about a C-S seeing how I don't plan on having any more kids. But the only way I could possibly be sure of that is to never have sex again - and that just doesn't sound like much fun - so certainly I would have to consider that I would want to vbac. But add that on top of everything else (grand multiparity, prior uterine atony) and I would be hard pressed to find someone willing to let me vbac - not to mention, would I want to risk my baby under all those circumstances.

I don't anticipate that I would need to consider anything regarding this. The last time my labour stalled and they were "discussing my options" without me, I went through a MFER and then my body shut down, causing the PPH. But that is where my problem starts mentally. To put it gently as possible - I have a serious aversion to medicos sticking their hands and god knows what else wherever they please like its open season. I understand for sure that at the time it was a medical emergency - but that really does not undo how it made me feel. As it is I have since left going in as late as possible to minimise the amount of times they decide to check to see how far I have dialated. I'd personally prefer they didn't at all.

I am extremely lucky to have never torn - and the idea of asking for it to be done for me by someone who I don't want down there in the first place is already bad - but then they'd have to stitch it up.

Really - all the options are bad no matter how I look at it. I am just trying to decide for me which is less worse than the others. So much to consider and all the input is very welcome. I just will continue to sit here and tell myself that it wont come to it and it will all just be a discussion on a forum - but at least I will have planned for it anyway.