{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T23:39:44Z","timestamp":1765323584865,"version":"3.46.0"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"crossref","award":["R01HD084819,R01HD099197,R01MD016012"],"award-info":[{"award-number":["R01HD084819,R01HD099197,R01MD016012"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study aimed to examine the correlations between pairs of maternal, infant, and maternal\u2013infant dyad quality measures to provide a comprehensive assessment of perinatal care.<\/jats:p>\n                  <jats:p>In a retrospective cohort study using birth and fetal death certificates linked to hospital discharge data from Michigan, Oregon, Pennsylvania, and South Carolina (2016\u20132018), we examined correlations between pairs of maternal, infant, and maternal\u2013infant dyad quality measures. Maternal quality measures included nulliparous term singleton vertex (NTSV) cesarean birth, nontransfusion severe maternal morbidity (SMM), and a composite maternal outcome. Infant quality was assessed with a composite outcome measure, whereas the dyad measure combined maternal and infant outcomes.<\/jats:p>\n                  <jats:p>Among 955,904 dyads across 266 hospitals, 25.9% had NTSV, 0.7% had nontransfusion SMM, 12.3% had the composite infant measure, and 19.3% had the dyad measure. The correlation between nontransfusion SMM and the dyad measure was 0.12, whereas the correlation between the composite infant measure and the dyad measure was 0.86, which was higher than the correlation between the composite maternal measure and the dyad measure (0.47).<\/jats:p>\n                  <jats:p>We observed minimal correlations among these perinatal quality measures, especially when aggregated beyond individual outcomes.<\/jats:p>","DOI":"10.1055\/a-2517-2501","type":"journal-article","created":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T18:57:51Z","timestamp":1737053871000},"page":"125-127","source":"Crossref","is-referenced-by-count":0,"title":["The Relationship between Various Measures of Perinatal Quality"],"prefix":"10.1055","volume":"43","author":[{"given":"Nansi S.","family":"Boghossian","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy T.","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Vermont Oxford Network, Burlington, Vermont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey S.","family":"Buzas","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics, University of Vermont, Burlington, Vermont"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciaran S.","family":"Phibbs","sequence":"additional","affiliation":[{"name":"Health Economics Resource Center and Center for Implementation to Innovation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California"},{"name":"Departments of Pediatrics and Health Policy, Stanford University School of Medicine, Stanford, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Passarella","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeannette","family":"Rogowski","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Administration, The Pennsylvania State University, State College, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George R.","family":"Saade","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, Eastern Virginia Medical School, Norfolk, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"Lorch","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania"},{"name":"Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,2,10]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"e164396","DOI":"10.1001\/jamapediatrics.2016.4396","article-title":"Variation in performance of neonatal intensive care units in the United States","volume":"171","author":"J D Horbar","year":"2017","journal-title":"JAMA Pediatr"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.ajog.2016.05.007","article-title":"Site of delivery contribution to Black-White severe maternal morbidity disparity","volume":"215","author":"E A Howell","year":"2016","journal-title":"Am J Obstet Gynecol"},{"issue":"15","key":"ref3","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1001\/jama.2014.13381","article-title":"Association between hospital-level obstetric quality indicators and maternal and neonatal morbidity","volume":"312","author":"E A Howell","year":"2014","journal-title":"JAMA"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"e20162364","DOI":"10.1542\/peds.2016-2364","article-title":"Hospital variations in unexpected complications among term newborns","volume":"139","author":"Y V Sebasti\u00e3o","year":"2017","journal-title":"Pediatrics"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1097\/AOG.0b013e3181d9f4b6","article-title":"Evaluating risk-adjusted cesarean delivery rate as a measure of obstetric quality","volume":"115","author":"S K Srinivas","year":"2010","journal-title":"Obstet Gynecol"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1006\/cbmr.1997.1448","article-title":"Vital statistics linked birth\/infant death and hospital discharge record linkage for epidemiological studies","volume":"30","author":"B Herrchen","year":"1997","journal-title":"Comput Biomed Res"},{"volume-title":"Data from: Oregon Health Authority Hospital Reporting Program. Oregon Hospital Discharge Data","year":"2023","key":"ref7"},{"issue":"09","key":"ref8","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1377\/hlthaff.2023.00398","article-title":"Perinatal care measures are incomplete if they do not assess the birth parent-infant dyad as a whole","volume":"42","author":"S C Handley","year":"2023","journal-title":"Health Aff (Millwood)"},{"issue":"08","key":"ref9","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1001\/jamapediatrics.2023.1580","article-title":"Association of sickle cell disease with racial disparities and severe maternal morbidities in Black individuals","volume":"177","author":"N S Boghossian","year":"2023","journal-title":"JAMA Pediatr"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1111\/j.1475-6773.2010.01130.x","article-title":"The hospital compare mortality model and the volume-outcome relationship","volume":"45","author":"J H Silber","year":"2010","journal-title":"Health Serv Res"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1038\/s41372-021-01298-x","article-title":"Understanding the relative contributions of prematurity and congenital anomalies to neonatal mortality","volume":"42","author":"C S Phibbs","year":"2022","journal-title":"J Perinatol"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2517-2501.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T23:34:56Z","timestamp":1765323296000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2517-2501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,16]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,12,9]]},"published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2517-2501","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"type":"print","value":"0735-1631"},{"type":"electronic","value":"1098-8785"}],"subject":[],"published-other":{"date-parts":[[2025,1,16]]},"published":{"date-parts":[[2025,1,16]]}}}