Preparations are underway for the June 7 all-day learning session in Raleigh. We hope all SIVB teams will be able to join us.
The May webinar included a presentation from a member of the SIVB expert team, Leigh Ann Joel, a certified nurse midwife with experience in private practice, hospital-based and birth center settings, who discussed how the midwifery model of care can help increase the rate of vaginal birth. Celeste Milton, RN, BSN, MPH, Associate Project Director at The Joint Commission, who works on the Perinatal Care measure set, gave an update about the first year of Joint Commission data collection using the new perinatal care measures. A review during the webinar of data collected to date suggests that patients who are admitted in labor have less than half the cesarean rate compared to patients who are not in labor at admission (15.42% vs. 33.06%). Furthermore, the more dilated the non-laboring (induction) patient is at admission, the less likely she is to deliver via cesarean, but the cesarean rate is always higher in non-laboring patients at admission than laboring patients at admission. This finding is consistent with several studies in the literature, including those published in 2010 by the Consortium on Safe Labor.
