Abstract
(Am J Obstet Gynecol. 2022;226:556.e1–9) Cesarean delivery rates have been used as an outcome quality measure for evaluating obstetricians and hospitals. This rate, however, does not account for high-risk maternal factors. This study aimed to create and evaluate a new metric for comparing the quality of obstetric care, using the cesarean delivery rate among nulliparous patients with vertex-presenting singleton fetuses at term adjusted for pre-delivery maternal risk factors, neonatal morbidities, and maternal morbidities.
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