No good tools exist to measure the quality of patient care for mothers giving birth in hospitals. In a article titled ÒQuality of Obstetric Care and Risk Adjusted Primary Cesarean Delivery RatesÓ by Jennifer Bailit MD, MPH, Thomas E. Love, PhD and Neal V. Dawson MD, data from 2001 California Birth certificates was used to create risk adjusted primary cesarean delivery rates. Primary risk-adjusted cesarean rates were then related to risk for medical complications in both the mother and the baby.
Researchers found that hospitals whose actual cesarean rates were lower than expected had higher rates of complications for mothers and the babies. Researchers concluded that risk adjusted primary cesarean rates may be a useful tool to measure health care quality. (posted 7/2006) Jennifer Bailit MD, MPH, Neal V. Dawson MD,ÒQuality of Obstetric Care and Risk Adjusted Primary Cesarean Delivery RatesÓ