In Canada, (as I was told by American doctors) doctors are paid the same for a caesarean section as for a normal delivery because of the national healthcare system, yet their caesarean section rate is the same as the United States where doctors are paid more for doing a caesarean.
The infant mortality rate in Canada is lower than the U.S. yet the caesarean rate is the same. Does this extend to the maternal mortality and morbidity?
To me this means that doctors simply believe in what they do with no foundation in science. This makes their behavior and decision making regarding birth and interventions more of a religion than having any foundation in science.
So...he was basically saying that we follow the US lead...even though you can find US OBs all over the place who state that they practice the way they do in order to protect themselves from lawsuits - a concern that doesn't apply to anywhere near the same extent in Canada. (I'd guess parents are less likely to sue for bad birth outcomes, because we do have universal health care, and they don't need a fat settlement to provide care to their special needs babies.)
To me, this is a scary state of affairs...our country is developing guidelines for obstetrical management based on the legal system in another country...:
Of course, this is all assuming that the OB I spoke to had a clue what he was talking about. In light of several other things he told me over that pregnancy, I do have my doubts about that!