{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["3(9)"],"submitter":["Bonheur A"],"pubmed_abstract":["The \"Birthing-Friendly\" designation, intended to guide birthing individuals toward quality hospitals, has become widespread. However, our analysis of hospital data finds that the Birthing-Friendly designation does not differentiate hospitals based on meaningful quality measures. Our analysis shows that while Birthing-Friendly hospitals are larger and engage in quality improvement efforts, they do not consistently outperform non-designated hospitals on core maternal health metrics such as early elective delivery rates or births-to-staff ratios. The designation likely reflects a hospital's capacity to adopt basic quality improvement programming structures more than its ability to provide consistent, high-quality maternal care. To address this, we propose a more robust measure that includes c"],"journal":["Health affairs scholar"],"pagination":["qxaf170"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC12449076"],"repository":["biostudies-literature"],"pubmed_title":["Making the \"Birthing-Friendly\" hospital designation better."],"pmcid":["PMC12449076"],"pubmed_authors":["James KF","Bonheur A","Andrew M"],"additional_accession":[]},"is_claimable":false,"name":"Making the \"Birthing-Friendly\" hospital designation better.","description":"The \"Birthing-Friendly\" designation, intended to guide birthing individuals toward quality hospitals, has become widespread. However, our analysis of hospital data finds that the Birthing-Friendly designation does not differentiate hospitals based on meaningful quality measures. Our analysis shows that while Birthing-Friendly hospitals are larger and engage in quality improvement efforts, they do not consistently outperform non-designated hospitals on core maternal health metrics such as early elective delivery rates or births-to-staff ratios. The designation likely reflects a hospital's capacity to adopt basic quality improvement programming structures more than its ability to provide consistent, high-quality maternal care. To address this, we propose a more robust measure that includes c","dates":{"release":"2025-01-01T00:00:00Z","publication":"2025 Sep","modification":"2026-06-03T15:39:47.188Z","creation":"2026-04-29T03:12:36.712Z"},"accession":"S-EPMC12449076","cross_references":{"pubmed":["40979231"],"doi":["10.1093/haschl/qxaf170"]}}