Prevention of Primary Cesarean
In 2014, ACOG and SMFM published a consensus document on the Safe Prevention of Primary Cesarean Delivery. NPQIC facilitated the dissemination of this information throughout the state and has supported the implementation of the recommendations. ​Cesarean delivery rates for first-time mothers in critical access hospitals improved from 28% in 2018 to 22% in 2021. Results for 2024 show increases in the percentage of NTSV (nulliparous, term, singleton, vertex) cesarean deliveries at critical access hospitals in Nebraska to 29.8% and 24.5% at non-critical access hospitals. Overall, the state rate remained steady at 23.4%. The Healthy People 2030 target for this objective is 23.6%.
Go to our interactive dashboard to examine Nebraska's NTSV rates in more detail.
Project Resources
NEW ACOG Committee Statement: Quality Improvement Spotlight: New NPQIC Brief on Doula Care (2025)
ACOG and SMFM Obstetric Care Consensus: Safe Prevention of Primary Cesarean Delivery (Reaffirmed 2019)
Preventing the First Cesarean Delivery: Summary of a Joint NICHD, SMFM, and ACOG Workshop (2012)
CMQCC. Toolkit to Support Vaginal Birth and Reduce Primary Cesareans
AIM: Safe Reduction of Primary Cesarean, Patient Safety Bundle
ACOG Committee Opinion #766: Approaches to Limit Intervention During Labor and Birth (2019)
