Digital Commons Network^™

Promoting Vaginal Birth In The Nulliparous Term Singleton Vertex (Ntsv) Patient, Tina Davis-Larkin, Kim Kocur, Valerie Swiatkowski, Ellen Mcnicholas, Emily Welps, Laura Sylvester, Lindsay Brauneis, Maria Cava, Emily Wetherell

Nursing Research & Professional Development Conference

Background

Cesarean section (C-section) delivery can be a lifesaving procedure but is overused and can also be dangerous. Improvements focused on ‘first births’ (nulliparous, term, singleton, vertex (NTSV) deliveries) help prevent repeat C-sections.

Local Problem

The C-section rate for NTSV births in the Labor and Delivery (L&D) unit at a large, urban, Level 1 trauma center was 31.9% in January 2022, indicating C-section overuse and initiating a a unit goal to reduce the rate.

Method

We shared current C-section rates, required computer-based training modules about C-sections and vaginal births, discussed vaginal versus C-section criteria for each patient during morning huddles, …

Promoting Vaginal Birth - A Collaborative Approach, Olga Lazala, Paulina Ibarra

Nursing Research & Professional Development Conference

Background

Over 90% of women whose first birth was by cesarean section will have a cesarean birth with future pregnancies. Cesarean births not only pose significant maternal and fetal risks for the current pregnancy but, for future pregnancies as well. A goal of Healthy People 2030 is to reduce cesarean births of low-risk (full term, singleton, vertex), nulliparous women to 23.6%.

Local Problem

The cesarean section delivery rate for nulliparous, term, singleton pregnancies (NTSV) at a suburban, Level 3 perinatal hospital was reported as a mean of 31.1% for the first 7 months of 2022 with an all-time high cesarean …