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 21.5% in 2021. Overall cesarean delivery rates in 2021 for first-time mothers in Nebraska was 22.3%, below the Health People 2030 Target of 23.6%.

Project Resources
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)