In the U.S., nearly one in three women give birth via cesarean delivery. Rates vary widely by state, ranging from a low of 23 percent to a high of nearly 40 percent. Despite the potential life-saving benefits of a cesarean, this large variation suggests that unnecessary cesarean deliveries are frequently performed and that potentially modifiable factors, such as patient preferences and practice variation among hospitals, systems, and healthcare providers, likely contribute to the high rate.
Gunnison Valley Hospital has a long history of safe obstetric care, delivering more than 150 babies annually, yet the rates of elective early induction (prior to 39 weeks gestation), primary cesarean, and Nulliparous, Term, Singleton, Vertex (NTSV) were somewhat higher than desired. With the help of analytics, Gunnison shined a light on its labor and delivery practices and developed standard procedures aimed at producing better outcomes for patients.
87 percent relative reduction in the number of elective inductions of labor prior to 39 weeks gestation.
61.1 percent relative reduction in the number of NTSV cesarean deliveries.