Five Steps Hospitals Can Take to Safely Lower Their Cesarean Rate

We asked maternal patient safety experts from ACOG, SMFM, the Institute for Perinatal Quality Improvement and March of Dimes how hospitals can safely improve their C-section rates.



Decisions made regarding cesarean birth in a woman's first pregnancy will likely affect the rest of her reproductive life. For this reason, both ACOG and SMFM recommend safe reduction of primary cesarean utilization. Both organizations recommend practice modifications and implementation of patient safety bundles that will minimize risk of maternal and neonatal morbidity and mortality from placenta accreta


How Arkansas Lowered Its Cesarean Rate Quickly

Data tells stories. Arkansas has long had one of the highest total C-section rates of all US states. A few years ago, CDC began publishing state data on VBAC a low-risk cesarean rates. While Arkansas has one of the highest repeat C-section rates in the US, its NTSV rate is just one percentage point away from meeting the HHS Healthy People 2020 goal. Our organization found out how this happened.

The acronym POSTBIRTH is a way for nurses, new moms, partners, family members and friends to identify problems in the hours, days, weeks and months after giving birth. Learn  the nine POSTBIRTH warning signs and help save a life.


If You've Had a C-Section, You'll Want to Know More About the New VBAC Guidelines

The American College of Obstetricians and Gynecologists (ACOG) published new vaginal birth after cesarean (VBAC) guidelines this week, intended to help facilitate better access to a trial of labor after cesarean (TOLAC) for women with a previous cesarean birth at any hospital in the Unites States. These replace the previous guidelines recommending that a physician be "immediately available," a term that was viewed as confusing and that experts say contributed directly to the decline in VBACs in the United States. So, what do the new guidelines mean for women who want to attempt a VBAC?