Although cesarean section deliveries can be lifesaving for both mothers and their infants when indicated, their overuse is cause for concern due to their association with increased maternal morbidity and mortality, cost, and utilization of sometimes scarce health system resources [3] . Numerous researchers have investigated the predictors of higher than normal cesarean section rates [9] [10] [11] [12] [13] [14] [15] . Principal among these include including physician-related factors, insurancerelated factors, hospital and health-system factors, and maternal preferences. Additionally, cesarean section rates have also been found to vary by male versus female provider [15] , public versus private hospital setting [16] [17] [18] [19] , adoption and use of clinical guidelines [20] , public versus private insurance status [18] , and even day of the week and time of day [17, 19, 21] that women present for delivery. Patient race [16] , age [22] , income [22] , and preferences [23] have also been linked to increased c-section rates.