Journal article
Quality-Improvement Strategies for Safe Reduction of Primary Cesarean Birth
Obstetrics and gynecology (New York. 1953), Vol.145(5), pp.542-552
05/17/2025
DOI: 10.1097/AOG.0000000000005888
Abstract
The nulliparous, term, singleton, vertex (NTSV) cesarean birth rate is a metric that may be used to evaluate obstetric care and compare performance across similar hospitals and regions. Safe reduction of primary cesarean birth prevents the need for future cesarean births and associated maternal morbidity risk. Quality-improvement methodologies such as optimizing culture of care; practice environment; data collection and monitoring, including monitoring of data by race and ethnicity; and proactive management and planning for known and unanticipated drivers of cesarean birth may safely reduce NTSV cesarean birth rates. Obstetrician-gynecologists should engage with patients in informed decision making, informed consent, and birth preference conversations, particularly related to induction of labor and cesarean birth, to support equitable and respectful obstetric care and outcomes related to NTSV cesarean birth.
Details
- Title: Subtitle
- Quality-Improvement Strategies for Safe Reduction of Primary Cesarean Birth
- Creators
- Niraj ChavanAllison A. EubanksArthur OllendorffStephanie RadkePaula WhiteAmerican College of Obstetricians and Gynecologists’ Quality and Safety Initiatives Delegation
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.145(5), pp.542-552
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/AOG.0000000000005888
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Number of pages
- 11
- Language
- English
- Date published
- 05/17/2025
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9984824329902771
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