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Kamilla Gerhard Nielsen, MD

  • Speaker Type: GOLD Learning Birth & Beyond Online Symposium 2022
  • Country: Iceland

Kamilla Gerhard Nielsen is as obstetrician and psychotherapist part of the delivery unit in Aabenraa in Southern Denmark. A unit that has worked towards minimizing intervention in a safe environment with good outcome for mother and child. After joint effort from doctors and midwifes the department now has a cesarean section rate of 13 %, which is the lowest in Denmark. The rate of elective cesarean is 3 % and the unit has a high rating of satisfaction in Denmark from women giving birth.

Kamilla teaches with in several countries on the Upright Breech Birth, Fear of Childbirth and Occiput Posterior workshops. All theoretical and practical workshops with the aim of reducing unnecessary intervention in childbirth.

CE Library Presentation(s) Available Online:
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Note: Currently only available through a bundled series of lectures
Reducing Cesarean Rates Through Teamwork and Innovation: A Case Study From Denmark
The cesarean delivery rate in America has increased steadily from 5% to 30-32% over the last 50 years, along with an increase in costs as well as short- and long-term maternal, neonatal and childhood complications. In Denmark, extensive teamwork between obstetricians and midwives has succeeded in reducing the cesarean section rate at the Hospital of Southern Jutland (SHS). Ten initiatives were implemented over eight years from 2010 to 2018. The department focused on natural childbirth, teamwork, vaginal breech birth, VBAC and only performing cesarean section (CS) when medically indicated. After implementation of the initiatives at SHS the rate of elective CS decreased from 8% to 3%, emergency CS stable at 13%, and the overall CS rate decreased from 20% to 16% in 2021. In comparison the national rate went from 21% to 19%. These reductions were made without any significant increase in birth complications such as instrumentation at vaginal delivery, low pH or low Apgar scores. One of the biggest changes at SHS is the rate of vaginal birth after previous cesarean section. The department has a team working to support women with fear of childbirth by making specific birthing plans. The department shares a belief that a good vaginal birth experience is better than an elective cesarean if the women feels safe.
Presentations: 8  |  Hours / CE Credits: 8  |  Viewing Time: 8 Weeks