Case: A 28-year old G1 P0 (first pregnancy, no prior births) at 39 weeks is thought to have a large baby. The ultrasound estimated fetal weight (EFW) is 9 lbs. The patient was considered overweight with a BMI of 29 and the total weight gain during pregnancy of 45 lbs. The patient’s glucose screen was negative. The physician recommended a primary Cesarean delivery because the baby was “big” and the mother will most likely end up with a Cesarean regardless. At delivery the baby weighted 7 pounds, 8 ounces.
The California Maternal Quality Care Collaborative (CMQCC) is excited to announce the kick off of the 2017 statewide quality improvement collaborative “Supporting Vaginal Birth and Reducing Primary Cesareans.” Your hospital is invited to participate in this initiative at no cost thanks to funding by the California Health Care Foundation.
The American College of Obstetricians and Gynecologists (ACOG) District IX is pleased to announce an opportunity for hospitals in California to participate in a statewide quality improvement project to Promote Vaginal Birth and Reduce Primary Cesarean Births. The first 35 hospitals in the state to sign up will receive their training at no cost.
The Toolkit is a comprehensive, evidence-based “how-to” guide designed to educate and motivate maternity clinicians to apply best practices for supporting vaginal birth. Cesarean births among low-risk, first-time mothers have been the largest contributor to the recent rise in cesarean rates, and accounts for the greatest variation in cesarean rates between hospitals.
The Toolkit contains key strategies and resources to:
Secretary Diana Dooley of the California Health and Human Services Agency recognized 104 hospitals with a 2016 award for achieving the Healthy People 2020 goal for low-risk, first-birth Cesarean sections (C-sections). These hospitals reached the goal in 2015.