Quality Improvement Initiative to Support Vaginal Birth and Reduce Primary Cesarean Delivery
In 2019 a multidisciplinary group was formed with the purpose of evaluating opportunities for improvement and implementing targeted strategies to reduce nulliparous, term, singleton, vertex (NTSV) cesarean deliveries. Key stakeholders were engaged from the beginning and included private and hospital-employed physicians, midwives, residents, nurses, and leadership. Following basic principles of quality improvement, a fishbone diagram …