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Quality-Improvement Strategies for Safe Reduction of Primary Cesarean Birth
Journal article   Peer reviewed

Quality-Improvement Strategies for Safe Reduction of Primary Cesarean Birth

Niraj Chavan, Allison A. Eubanks, Arthur Ollendorff, Stephanie Radke, Paula White and American College of Obstetricians and Gynecologists’ Quality and Safety Initiatives Delegation
Obstetrics and gynecology (New York. 1953), Vol.145(5), pp.542-552
05/17/2025
DOI: 10.1097/AOG.0000000000005888
PMID: 40245424

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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.
Life Sciences & Biomedicine Obstetrics & Gynecology Science & Technology

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