The 2010-2011 maternal health initiative seeks to improve the rate of vaginal birth among first-time mothers, women who come to labor and delivery intending to give birth vaginally but who may end up with a c-section, sometimes as a result of the failure to apply evidence-based, best practice care. PQCNC's goal is to increase the rate of vaginal birth in this population by 25% by January 2012. Each participating hospital will set its own site-specific goal.