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. Results for 2022 show an increase in the percent of NTSV (nulliparous, term, singleton, vertex) cesarean deliveries in Nebraska. Overall, the state rate increased to 23.4% (21.1%). The Healthy People 2030 target for this objective is 23.6%.