Last year in Miami-Dade County more women had cesareans than vaginal births.
This is tragic and outrageous from a medical ethics perspective. One reason for the high section rate? Virtually no docs in that part of the world carry malpractice insurance because it is too costly, so they fly bare and use cesareans as a shield if the tiniest issue crops up during labor. The rest of us pay the price of soaring medical expenses.
I also think there is something culturally different there. During my book tour, I spoke in just about every major city in this country but there was only one place -- Miami -- where a woman stood up after my talk to say that she would rather have a c-section "just because" than deal with the pain and inconvenience of a vaginal birth. It's a culture of Botox and face lifts and filling in swamp lands to build fake castles. Why do we try so hard to cheat nature?