There was a counterintuitive study of obstetricians that I cannot find right now that showed that in one state over many (10?) years the ones who did the most C-sections were the best doctors - because when researchers looked at the underlying data the realized these doctors treated the patients who had the worst predicted outcomes and beat the national odds - I think they theorized that these doctors had the best ability to choose the optimal method of birth and were not afraid to choose c-section when it was necessary.
Yes, I think this was particularly against the grain because mothers are commonly told to look for a doctor/practice who does not resort to a C-section right away, and judge this by the number of C-sections a doctor/practice performs.
