This is from nearly two decades ago, and the literature was concerned that c-section rates were as high as 25%. Now the rate in Alabama overall is 38% and in some counties it’s as high as 68% (per the Alabama Public Health Department link I also posted). C-sections vs vaginal birth isn’t what I was considering when I wrote the proposal, but upon reconsideration it would be worth it to include vaginal birth vs c-section in the study, not just home birth vs hospital birth. This would require further research into why c-sections happen when not medically necessary and the literature on VBACs, etc.
edit, corrected link: