“A lot of C-sections, too - as many as a third of all live births. Fear of lawsuits? Mother’s choice? No reasons given, unfortunately”
This is the real answer.
Childbirth loosens the vagina dramatically. Kegel exercises can help tighten the vagina, but a return to it’s former glory would require a Vaginaplasty.
Optional C’s are covered by most insurance plans. V-plasty’s are not.
By “real answer”, do you mean your belief? Are there any statistics showing that c-sections are primarily the result of mother’s choice, as opposed to doctors’ attempting to avoid potential lawsuits, or mothers’ increasing age?