Hi nicole,
yes it is very normal to have cramping at 18 weeks. I had cramping that started about then, and everytime I got out of bed, my stomach cramped. I'm 32 weeks now, and I have started to get cramping in my calf muscles aswell. I haven't been told that sleeping on your back can cause any harm to bubby, my doctor did mention that sleeping on the back can become uncomfortable, as the baby is lying on your organs. I find that lying on my side is actually much more comfortable.
As for the removal of an ovary, I truly don't know if that would be a cause to have a c - section, that is something you would need to speak to your doctor about. I can't imagine you would need c - section because of the scar it left.
Good luck with your pregnancy.