Adjusted* relative risks (aRRs) for cesarean birth and maternal
morbidity, and adjusted* odds of cesarean indications, by race and ethnicity.
Blue squares with blue lines indicate aRR or adjusted odds ratio (aOR), with
error bars for 95% CIs for non-Hispanic Black individuals vs non-Hispanic White
individuals. Red circles with red lines indicate aRR or aOR, with error bars for
95% CIs for Hispanic individuals vs non-Hispanic White individuals. Vertical
grey line is an indicator for a relative risk or odds of 1.0 (line of unity).
*Adjusted for clinical factors (maternal age, body mass index, modified Bishop
score at admission, study group) and socioeconomic factors (employment status,
insurance status, and marital status). †Vaginal delivery is the outcome
referent for all models in which cesarean birth is the primary outcome,
including multinomial model of indication for cesarean. ‡Composite
includes transfusion of 4 or more units of packed red blood cells, transfusion
of any other blood products, postpartum infection (postpartum endometritis,
wound complication, cellulitis requiring antibiotics, pneumonia, pyelonephritis,
bacteremia of unknown source, or septic pelvic thrombosis), intensive care unit
admission, hysterectomy, venous thromboembolism, or maternal death. Maternal
morbidity models are additionally adjusted for chorioamnionitis and excluded the
covariate of modified Bishop score.