We focused on the role of interpersonal processes of care (IPCs) and the likelihood of cesarean delivery. IPCs describe various aspects of the provider---patient relationship, including communication, patient-centered decision-making, and interpersonal style. IPCs could influence the decision to deliver by cesarean, yet very few studies have analyzed these issues. For example, better provider--patient communication could help educate patients about the risks vs benefits of operative delivery and reduce the number of women who request an elective or repeat cesarean delivery.