Intended Audience: All neonatal nurses
NCC Codes: OB2

Objectives: Upon completion, learners will be able to:

Discuss the impact of high cesarean birth rates in low risk populations.
Discuss key strategies to reduce cesarean deliveries.
Describe how hospital culture can influence cesarean birth rates.

Purpose of this CNE activity: Cesarean births among low-risk, first-time mothers have been the largest contributor to the recent rise in cesarean rates, and account for the greatest variation in cesarean rates between hospitals. Cesarean birth can serve a critical need, but the varying rates of cesarean births across hospitals suggest that some may not be medically necessary. Compared with vaginal birth, cesarean births incur higher rates of hospital readmission and morbidity, higher costs, and often commit women to repeat cesarean delivery in future pregnancies. Cesarean birth is also associated with an increased risk of hemorrhage, hysterectomy, infection, and other complications for the birthing person and infant. Cesarean delivery rates are an important quality issue for patients and maternity clinicians alike. Several national quality improvement initiatives are focused on reducing primary cesarean births, including Michigan's Obstetrics Initiative (OBI). Ms. Brown focuses on key strategies OBI is using to reduce cesarean births and how they are harnessing the power of the Collaborative Quality Improvement (CQI) model to drive large scale change, as well as cultivate system wide support for a maternity care culture that favors vaginal birth.

Requirements for Completion: The following requirements are necessary for successful completion of this CNE activity.

Access to the internet and the ANN Online Library
Attend and watch 90% of the session
Complete and submit the evaluation for this CNE activity

Accreditation
The Academy of Neonatal Nursing is accredited with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Provider, Academy of Neonatal Nursing, approved by the California Board of Registered Nursing, Provider #CEP 6261; and Florida Board of Nursing, Provider #FBN 3218, content code 2505.

Release Date: 9/09/2021
Expiration Date: 9/30/2024

Disclosures:

This CNE activity has been reviewed by the Lead Nurse Planner. It has been determined that the material presented here shows no bias.
The content of this CNE activity has been developed by the planning committee and has been reviewed by the Lead Nurse Planner.
The speaker discloses no relevant financial interest or affiliations with any commercial interests.

Disclaimer: The Academy of Neonatal Nursing assumes no responsibility or liability for the content presented. Care of the infant should always be individualized and no one source relied upon for information regarding aspects of care. Accredited status does not imply endorsement by ANN, ANA, or the American Nurses Credentialing Center of any commercial products displayed or discussed in conjunction with an educational activity.

Jill E. Brown MSN, RN

Clinical Quality Nurse, Obstetrics Initiative

Appearances