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Comparing Variation in Hospital Rates of Cesarean Delivery Among Low-risk Women Using 3 Different Measures

Armstrong, J.C.; Kozhimannil, K.B.; McDermott, P.; Saade, G.R.; Srinivas, S.K.Society for Maternal-Fetal Medicine Health Policy Committee

Obstetric Anesthesia Digest: December 2016 - Volume 36 - Issue 4 - p 214
doi: 10.1097/01.aoa.0000504745.72109.cf
Mother, Fetus, Neonate
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(Am J Obstet Gynecol. 2016;214(2):153–163)

Maternity care clinicians and health care delivery systems have been working toward safely lowering the cesarean delivery rate in low-risk pregnancies. Currently, there are 2 low-risk cesarean delivery rate measures that are being used for hospital reporting: the first developed by The Joint Commission (TJC); and the second developed by the Agency for Healthcare Research and Quality (AHRQ). The definition of “low-risk” according to both these measures includes term, singleton, live birth deliveries without high-risk diagnoses. However, both these measures are not clinically comprehensive.

Division of Women’s Health, Aetna, Sugar Land, TX

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