ok,
i had 3 C/S.

2 em c/s under general- they insert it BEFORE i went under.
1 c/s with an epidural and the catheder went in AFTER i had the epidural in....

i would Q their practise, although i have to say the 2 i had inserted before the general weren't too bad. they were uncomfortable, but i would lie if i'd say they hurt, they really didn't.

good luck