| All-team Webinar #2 is Tuesday March 22, 7:30-9:00 am |
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 To access the webinar, click here. You may test this link at any time. You will need to dial in separately by phone for the audio portion: 712-432-6100, passcode 96875#. You may use this link http://www.pqcnc.org/?q=node/11452 to access the webinar and for a demonstration of how to use the Elluminate webinar program. You may need to "allow" a pop-up and will need to click "run" to start the program (it will not download onto your computer).
Please make sure your team members have the webinar information. When possible, teams should plan to participate in the webinar as a group. We will be focusing on hospital practices related to induction of labor and what strategies may be most effective in increasing the rate of vaginal birth in the NTSV population.
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February Data
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 Thank you to all of the teams who submitted your February data and worked with Jessica to ensure its completeness. Four teams have not submitted any data for February; if you are one of these teams (we won't mention any names here!), please send us a status report this week. The purpose of the data is to give you real-time feedback about whether any changes you are making are resulting in improvements, so it is important to enter the data so your team will have this feedback as you work on your action plan. Reports will be emailed to each team's key contact by the end of this week.
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| Induction protocols, policies, order sets |
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 During the February webinar, different hospitals shared some of their practices related to induction of labor. We will explore this in more depth this month. So far, 6 hospitals have shared induction policies and/or order sets; we will post these on the Extranet in preparation for next week's webinar. Please consider sharing the tools your hospital uses with the other 25 hospitals in the group, particularly as many teams have included revisions to induction policies as part of their action plan for this initiative. Send those materials to: s4binitiative@gmail.com
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| Baseline data: spontaneous labor, induction and vaginal birth rate in a "low-risk" population |
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The data shown below focuses on a subset of the NTSV population: women admitted <41 weeks with none of the following conditions documented: diabetes, hypertension, obesity, advanced maternal age, macrosomia, IUGR. There was considerable variation among hospitals in terms of what percentage of this population was admitted for induction vs. spontaneous labor. The vaginal birth rate among patients admitted in spontaneous labor was, of course higher than among induction patients, but with variation from 75% to 100% among a group that should be at relatively low risk of c-section. There was wider variation in the vaginal birth rate among patients in this subgroup admitted for induction, which may partly be explained by use of cervical ripening among other factors. If your baseline data sample was small, it is important to remember that these rates may not be representative of actual practice at your 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 |
