| All-team conference call/webinar next Tuesday, Feb. 22 from 7:30-9:00am |
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 While some hospitals will be asked to share in more detail the areas of success and challenge they have experiences in increasing the rate of vaginal birth, all hospital teams will be expected to discuss their progress to date with the group. What steps have you taken since the January learning session? What work have you done toward the first objective on your action plan? What changes have you implemented that may be improving the rate of vaginal birth? How will you know?
To access the webinar, click here. You may test this link at any time to ensure you will be able to access the webinar next week. You will also need to dial in by phone for the audio portion: 712-432-6100, passcode 96875#. We recommend that teams participate as a group. All teams are expected to participate; this is your opportunity to learn from each other!
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| Quick data entry reminder |
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If the patient is not NTSV, please do not enter anything into the online database. The first question in the data entry program asks "is this an NTSV patient" as a check to make sure other patients are not showing up in this data. It is not necessary to enter anything (in fact it makes our data more confusing!) if the patient is not NTSV; those records will be deleted from the database. Please contact Kate (kberrien@unch.unc.edu) or Jessica (jphipps@email.unc.edu) with any questions about data entry or data collection.
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| Labor Support Methods in the baseline data |
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 This week we looked at the frequency of the various methods of labor support as reported in the aggregate baseline data. The following chart shows the frequency of each labor support method; the total is more that 100% because many women had more than one labor support method. We hope to look at the vaginal birth rate associated with various forms of labor support. However, many forms of labor support are not routinely captured in the chart. We hope that hospitals in this project will be vigilant at documenting the forms of labor support patients receive so we can begin to explore any relationships with the rate of vaginal birth. For example, so far patients listed as having no documented labor support methods have a lower vaginal birth rate than the total aggregate: 61.22% vs 75.23%. Consider speaking with your staff about the importance of charting all labor support methods.
We also looked at the frequency of epidural use at individual hospitals in the Support for Birth initiative. The aggregate rate was 81.6% and there was a range from 56% at one hospital to four hospitals with an epidural rate of 90% or greater. The chart below shows the rate for each participating hospital.
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Contact Kate
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Kate Berrien, RN, BSN, MS
UNC Center for Maternal & Infant Health
CB# 7181
Chapel Hill, NC 27599
kberrien@unch.unc.edu
Phone: 919-843-9336 Fax: 919-843-7866 |
