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Ideally 100% of those that medically need C-sections will get it, and those that don't wont.
I think there was a study that was cited in the book about the reduced C-sections rates, but of course the devil is in the details like you say, best to do your own research. I have personally updated my beliefs in favor being more resilient to time pressures of labor and that use of a doula isn't just a waste of money as I previously had thought.
You speak as if women don't have preferences. Hint: they do.