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To evaluate whether racial and ethnic disparities exist in obstetric care and adverse outcomes. We analyzed data from a cohort of women who delivered at 25 hospitals across the United States over a 3-year period. Associations between race and ethnicity and severe postpartum hemorrhage PPHperipartum infection, and severe perineal laceration at spontaneous vaginal delivery, as well as between race and ethnicity and obstetric care eg, episiotomy relevant to the adverse outcomes, were estimated by univariable analysis and multivariable logistic regression.

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