Elective as in pre-planned, rather than emergency on the day. But for medical reasons it is totally right. What I am talking about is the new phenomenon of many women- in the USA in particular, and also, as said, popular with wealthy expats where I live- choosing to have a ceasarian, not generally due to 'fitting birth in between meetings' - but mostly due to fear (call it 'too posh to push' if you wish) or much worse, artificially early to avoid physical 'disfigurment' (sp?) in the last few weeks.
I had an emergency section after a long labour as I would not dilate- and DD1 had the same for the first, and an elective for second. (I begged the obstetrician in Leics to allow me to try and give birth normally to second- and he agreed- providing I agreed to section should it become necessary. In the end forceps where required at the end, but I was so pleased I manged to go through normal labour to the end). Ceasarian's are real life-savers, and it is possible both DD1 and I would have died in labour without- but it should be only when it is medically necessary, no??