Our first daughter was breach, so caesarian was the only option. With the epidural, she didn't feel a thing, and was pretty much out of it during the process. She was kind of groggy, but does remember me bringing her our daughter.
As I was standing by the incubator, I looked over and could see the doctors holding my wife's uterus. They were cleaning it off and were going to place it back inside her. It was kind of disgusting, I admit.
Medical science is amazing.
p.s. sickle cell?? Is your wife African American? I've never heard of that being a complication of pregnancy.