I will be having an elective c section this time arond after my emergency... I have had one viginal birth though which was also quite destressing. Dr's can acctually insert the mirena in the Doctors surgery now so it may be worth lookiing into that? If you truly would like a c section go for it but the recovery is certainly not nice compared to a viginal birth. My Dr did suggest Mirena because I'll be 26 when I have ub and they seem to think my idea of tube tying is a tad drastic (I don't see how it is, my body, I know I've only ever wanted three children... and no regardless of doctors saying it I don't want to "replace" a child if they pass).