Women with private health cover can opt to have a CSection just because they want to (which is why private hospitals have such high CS rates).

I chose to have a CSection in the public hospital system for my 2nd DD's birth because my first VB left me with post-traumatic stress disorder. That wasn't documented anywhere in my medical records but after hearing my story the Drs were quite happy to approve a CS for me. Which is just as well because when I visited the birthsuite the room we looked at was *just* like the one I'd given birth in the first time and I wigged out completely! So not sure if that's considered a medical reason or not.

BTW - an injection in the leg would not be adequate anaesthesia for a CSec - it would block sensation in the legs but not the abdomen where the wound is made. Was she in labour already and had a shot of pethedine to cope with the pain while the anaesthetist was found and the surgery prepped? If it was an emergency CSec and she didn't already have an epidural in, they would have put her under a general anaesthetic and the injection in the leg might have been a preparatory sedative, or even something to stop her from vomiting while she was under. Does that make sense?