Cesarean birth in the United States occurs in over 30% of nulliparous births. This is higher than rates recommended by the World Health Organization and current evidence suggests that a significant number are unnecessary and preventable. The Healthy Birth Initiative: Reducing Primary Cesarean Collaborative aims to reduce unnecessary Cesarean and promote physiologic birth through implementation of safety bundles. This presentation discusses the work of the collaborative and bundle implementation and presents the work of a participating hospital and their outcomes through the first 18 months.
Learning Objectives:
Objective 1: Attendees will know current national and state rates for primary cesarean and factors that contribute to state, institution, and provider variability.
Objective 2: Attendees will be able to define normal and abnormal labor progress according to modern labor data from the Consortium for Safe Labor, and adopted by the American College of Obstetricians and Gynecologists (ACOG) and the Socieyt for Maternal Fetal Medicine (SMFM), and endorsed by ACNM.
Objective 3: Attendees will learn strategies that they can implement in clinical practice to promote physiologic labor progress.
Objective 4: Attendees will learn strategies to reduce primary cesarean rate through bundle implementation, and be able to apply these in clinical practice.
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