Abstract

(BJOG. 2021;128:1456–1463. [Epub April 6, 2021]) Analysis of nulliparous, term, singleton, vertex (NTSV) cesarean births remains an important measure for quality of care. Hospital-level NTSV-cesarean statistics are endorsed by many quality leadership organizations as a metric of interest. Relevant to interpreting NTSV hospital-level cesarean rate is the degree to which patient factors modify risk, including obesity, maternal age, and pregestational diabetes. The case mix at hospitals may contribute to differentially distributed risk factors that increase the likelihood of NTSV cesarean delivery (CD). This cross-sectional study investigated whether medical, obstetric, and demographic factors were associated with risk for NTSV CD.

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