Ah, another reason why I'll be happy to retire in a couple of years. Perhaps we should just install zippers at the first prenatal visit and get it over with. If the patient has said she doesn't want the pain of labor then that, unfortunately, is being used as a reason. Quicker, easier (for the doc anyway) and more $$ in the till. I'm so uneasy about the trend also.
It sounds like there are two issues here: one is patients requesting and getting an elective primary c/s and the other is being scheduled for one, but requesting a trial of labor. Questionnable practices in both cases, IMHO.
I have to agree with the spinal/epidural thing. There's NO WAY IN, well, no way, I'd ever agree to having either. It just freaks me out and in 30 years of labor nursing I have seen few, very few indeed, c/sections which were done so slowly as to compromise the infant. They are fast, no matter what, so why not let the patient truly decide, instead of pressure them into having that needle stuck in their back. In more cases than I can count, the spinal or epidural wasn't adequate, the patient had pain issues during the surgery, only to be told it was "pressure." Yeah, right. Not me, baby. Put me to sleep, play your music, do your job and I'll b e oh-so-happy when I wake to have it all done with.