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Prevention of 1st Cesarean Delivery

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 2023 show an increase in the percent of NTSV (nulliparous, term, singleton, vertex) cesarean deliveries at critical access hospitals in Nebraska to 26.9%. 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

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)

Implementing a Systemic Approach to Reduce Cesarean Birth Rates in Nulliparous Women. Obstetrics & Gynecology (2017)

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)

AWHONN Maternal Safety Consensus Bundle: Safe Reduction of Primary Cesarean Birth, Supporting Intended Vaginal Births (2018)