Quality of Care Measures for Women During Pregnancy, Labor and Delivery

More than 6,000 deliveries are performed at Cedars-Sinai annually. The Cedars-Sinai Department of Obstetrics and Gynecology is dedicated to providing high quality patient care, and tracks a number of measures to support this effort.

A limited set of quality data is submitted to The Joint Commission on a quarterly basis and made available to the public. View the most current information submitted to The Joint Commission. Performance across additional measures tracked by Cedars-Sinai is shared below.

These measures include:

Safe and Effective Care Given During Labor and Delivery

When a woman delivers a baby vaginally there are fewer possible complications for both mother and child. In some circumstances, it is necessary to intervene with surgery by delivering the baby using a cesarean section.

If this occurs during a woman's first pregnancy, it is considered a primary cesarean delivery, and it puts the woman at increased risk for complications in future pregnancies (such as repeat cesarean delivery). Hence, a quality goal is to have a low percentage of first births by cesarean section (low primary cesarean rate).

Quality Measures for Delivery Care Cedars-Sinai 2016 Nationally
Number of women having a cesarean section and delivering their first baby, 37 or more weeks (full term), head down (vertex), single birth among all women delivering full term, vertex, single birth. 26.9% 25.9%1
Total number of women having a cesarean (either a primary or a repeat cesarean) 32.5% 32.0%2
Percentage of women who successfully deliver vaginally after having once had a cesarean (VBAC) 15.1% 9.2%2

View performance on additional measures reported to The Joint Commission (Early Elective Delivery and Use of Antenatal Steroids for Preterm Deliveries).

1Source:  The Joint Commission Annual Report on Quality and Safety 2014.
2 Births in the United States, 2015; CDC National Center for Health Statistics Data Brief No. 258, September 2016


Pain Management During Labor

Fear of a painful labor and delivery can cause some women anxiety about giving birth. In managing labor pain, an obstetrician has to weigh the benefits of less pain and anxiety during labor with the effects of the various pain management options on the mother and the infant.

Sensitivity and reactions to pain are highly individual.  An important measure of the quality of care a pregnant woman received is her perception of how well her labor pains were managed during delivery. The chart below compares the responses of women who gave birth at Cedars-Sinai on a survey about the quality of care they received with the average responses of women surveyed by the Picker Institute.

The chart below compares the percentage of Cedars-Sinai patients who stated that they had the right amount of pain medicine compared to percentage of women delivering babies nationally, based on Picker scores.

Labor and Delivery Patient Satisfaction

Women who delivered babies at Cedars-Sinai were asked two questions about their experience as patients at the Medical Center:

  • Overall rating of the care they received. The women were asked to rate their experience on a 10-point scale, with 10 being "best hospital possible."
  • Willingness to recommend the hospital. The women were asked to rank the hospital on a 10-point scale, with 10 being "best hospital possible."

The results below show how Cedars-Sinai scores compare to the national average, per NRC-Picker.