It may depend on state, but I thought that c-sections are MDs only. Given that ~30% of all births in the US are via c-section, I wouldn't agree that such cases are rare.
If I were a woman I'd probably rather live in some of those low C-section countries than the high ones. But this is "policy analysis by general country vibes," probably not very accurate, haha.
[0] I admit there is perhaps some bias here