When we used multivariable logistic regression to adjust for potential confounders (Table 4 ), the association of provider’s elicitation and responsiveness with cesarean delivery at KP-WC remained significant; women who reported higher scores on elicitation and responsiveness were 84% less likely to deliver by cesarean. Inaddition, at KP-WC the association of empowerment and self-care with cesarean delivery became statistically significant;women who reported higher mean scores on empowerment and self-care were twice as likely to have delivered by cesarean.