Participating hospitals are currently collecting data on their "NTSV" patients - these are nulliparous women at term (37 weeks) with a singleton in the vertex position. This data will be used to establish the baseline rate of vaginal delivery in this population. The data not only reports whether each patient delivered vaginally or by c-section, but also provides information about the process of her labor, including whether this was an induction of labor and at what cervical dilation, what types of labor support were provided, and what the indications were for the c-section if she did not deliver vaginally. When teams come together for the January learning session, they will use their own data to help them identify processes to target for change.
Participating teams may now register for the January learning session which will officially launch the Support for Birth initiative. The learning session will be held twice, once in Winston Salem and once in Raleigh, to accommodate teams that are participating from all regions of the state. Each team must bring, at a minimum, their physician champion, nurse champion and hospital champion. Hospitals are encouraged to include staff nurses, quality/performance improvement personnel, educators, patient advocates and others on their teams. At the learning session, we will review evidence-based practices to increase the rate of vaginal delivery in the nulliparous population, and each team will develop goals and an action plan for their site to guide their work on this initiative. Registration information can be found on the SIVB LS1 (learning session 1) link.
