the answer is not necessarily.
I had a c-section and tbh although major abdo surgery it was relatively straight forward to get through surgically. Pregnancy and the aftermath were rather more complex for me. She was worth it though!
the main considerations FOR C-SECTION were if they could do a general aneasthetic and they did xrays on my neck when I was 6mths pg.
you will need to see the aneaesthetist (ideally who is on duty the day you are booked in) to look at your back and if nec do an ultraound so they can do the needle for epidural.
Joints and tight spaces effected by RA are not easy!
how to be a velvet bulldoser