Toolkit to Support Vaginal Birth and Reduce Primary Cesareans

Date Published: 
Jan 18, 2017
Author(s): 
Smith, H., Peterson, N., Lagrew, D., Main, E.

The Toolkit 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

**Appendix Q, Example Algorithm for the Management of Intrapartum Fetal Heart Rate Tracings, has been updated (9/20/17)