Hi,
I have been struggling with a similar decision.

DS was born by emergency cs after labour failed to progress (I was induced after my waters broke but not contractions). I was mentally and physically very exhausted after the event, having not really slept for 48hrs by the time my DS was born. I think that this contributed to my BF issues and to some extent my PND (although there was lots of other factors as well).

Now pg with DS #2, another emergency cs is my least prefered option of giving birth. So I'm having to decide if I try for a VBAC or if I go for an elective cs. I guess for me there are a few confounding factors in that my ob will not let my pg go past 40wks due to health reasons (so at 40 wks I would be booked in for a cs anyway if I decided to try for VBAC but dont go into labour before 40wks). I also have a low placenta, and a scan at 34wks will determin if it is still low and if so, that will prob mean that I have no choice but a cs.

However, ignorning all the other factors, I've still been grappling with what decision to make. My ob is pro a repeat cs. I would like to birth naturally, but do not want to end up having to have an emergency cs. I am concerned about the public perception of 'elective cs' (and in some ways just hope that my placenta is still low so that the decision is taking out of my hands - how bad is that!). My gut feel is that I will go with an elective cs, even knowing the risks. I guess I dont trust that the outcome will be different from last time if I do attempt VBAC.

Not sure if this will have helped at all, but good luck in your decision.

FG