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Outcome standardization averages fitted conditional outcome risks over a specified target population's pretreatment covariate distribution. The same target distribution is used for each treatment strategy. Under conditional exchangeability, the positivity assumption and consistency, this average identifies the target mean of the corresponding potential outcomes. For a target consisting of treated subjects, average over their covariate distribution. A conditional odds ratio cannot generally be applied directly to an aggregate mean risk: the nonlinear odds-to-probability conversion must be performed before averaging. Outcome standardization supplies that individual-risk calculation.

As a rough rare-event calculation, divide the observed elective-group event count by the reported adjusted odds ratio:For a homogeneous illustrative risk, the exact odds conversion starts from $p_1=9/1515$ and givesThe corresponding baseline risk is about $0.22\%$, compared with $1.62\%$ in the observed reference group, roughly seven times lower. Thus taking the adjusted result literally implies exceptionally low background risk among the elective patients.

This is a diagnostic approximation, not an identified mean of potential outcomes obtainable from the aggregate table. A conditional odds ratio cannot generally be inverted at an aggregate mean: individual background risks are needed for outcome standardization. Interpreting the calculation causally also requires conditional exchangeability, the positivity assumption and a correctly specified outcome model. At very small risks the rare-event approximation makes the estimate of roughly three events useful for checking the plausibility of the adjustment.

The groups were not formed by randomization. Their background health, access to care, clinic, country and reasons for selecting a delivery method can predict both the method and the outcome, creating confounding and selection bias. Moreover, the label describing the reference delivery may be determined after labour: patients whose attempted nonoperative delivery develops a complication can move into an operative category, leaving a selected uncomplicated reference group. Comparing intended strategies would avoid treating this post-baseline classification as a baseline assignment.

A useful comparison would therefore align eligibility and follow-up time, compare intended delivery strategies among patients genuinely eligible for both, and account for sufficient pretreatment predictors. Logistic regression cannot create comparable patients where the positivity assumption fails or remove unmeasured confounding.