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National Partnership for Maternal Safety: Consensus Bundle on Safe Reduction of Primary Cesarean Births— Supporting Intended Vaginal Births
Authors:David C. Lagrew MD  Lisa Kane Low CNM  PhD  Rita Brennan DNP  RNC‐NIC  Maureen P. Corry MPH  Joyce K. Edmonds PhD  RN  Brian G. Gilpin MD  Jennifer Frost MD  Whitney Pinger CNM  MSN  Dale P. Reisner MD  Sara Jaffer MPH
Abstract:
Cesarean births and associated morbidity and mortality have reached near epidemic proportions. The National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care responded by developing a patient safety bundle to reduce the number of primary cesarean births. Safety bundles outline critical practices to implement in every maternity unit. This National Partnership for Maternity Safety bundle, as with other bundles, is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. Bundle components may be adapted to individual facilities, but standardization within an institution is advised. Evidence‐based resources and recommendations are provided to assist implementation.
Keywords:cesarean birth  vaginal birth after cesarean  intrapartum care  labor: second stage
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