Toolkit to Support Vaginal Birth and Reduce Primary Cesareans

The Toolkit to Support Vaginal Birth and Reduce Primary Cesareans 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:
  • Improve the Culture of Care, Awareness, and Education for Cesarean Reduction
  • Support Intended Vaginal Birth
  • Manage Labor Abnormalities and Safely Reduce Cesarean Births
  • Use Data to Drive Reduction in Cesareans

The toolkit is available to download after completing a brief survey.

Download:

Toolkit to Support Vaginal Birth and Reduce Primary Cesareans (2016)

The Implementation Guide

Slide Set for Professional Education

Webinar link: Introduction to the Toolkit to Support Vaginal Birth and Reduce Primary Cesareans

 

Individual sections of the toolkit are also available to download by clicking on the links below:

Appendix A – Summary of the Obstetric Care Consensus on Safe Prevention of the Primary Cesarean Delivery (ACOG /SMFM 2014)

Appendix B – Safe Reduction of Primary Cesarean Births Bundle (AIM, 2015)

Appendix C – Tools Arranged by Section

Appendix D – Tools Arranged by Topic

Appendix E – CMQCC Birth Preferences Guide

Appendix F – Coping with Labor Algorithm

Appendix G – Guide to Second Stage Management of Malposition

Appendix H – Cesarean Birth Performance Measures

Appendix I – Informed Consent for Elective (Non-Medically Indicated) Cesarean Birth

Appendix J – Pre-Cesarean Checklist for Labor Dystocia or Failed Induction

Appendix K – Labor Dystocia Checklist

Appendix L – Labor Duration Guidelines

Appendix M – Spontaneous Labor Algorithm

Appendix N – Algorithm for the Management of the Second Stage of Labor

Appendix O – Active Labor Partogram

Appendix P – Algorithm for the Management of Category II Fetal Heart Tracings

Appendix Q – Algorithm for the Management of Intrapartum Fetal Heart Rate Tracings

Appendix R – Induction of Labor Algorithm

Appendix S – ACOG Key Labor Definitions

Appendix T – Model Policies: Fetal Surveillance; Freedom of Movement; Induction of Labor; Pain Assessment and Management