| November Webinar |
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 With the preliminary data for October, we are at a 19% reduction in the cesarean rate for North Carolina! Our goal of 25% reduction is right around the corner and with your valuable input for Phase II over the last two months, we are sure to get there!
During the webinar we talked with a small hospital that has maintained one of the lowest cesarean rates during the collaborative: Great job Granville Medical! Granville Medical uses Foley bulbs or Cytotec for induction to ensure cervical ripening prior to starting Pitocin. They have a longer length of stay prior to delivery than other hospitals in the collaborative; however their low cesarean rate is astonishing.
We also looked at a larger hospital that has shown a statistically significant decrease in their cesarean rate in this collaborative: Carolina's Medical Center in Charlotte! CMC Charlotte had an influx of patients in labor so inductions were minimized to get them through this time and they merged two labor and delivery units. Labor Support courses have been taking place to educate staff on various options of nursing care to decrease their cesarean rate and support the laboring patient's needs.
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| December 20th-Why is this date important? Data entry deadline! |
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 Please make every effort possible to have your team's data in by the 20th of each month. When we run reports for your individual hospitals and compare to the aggregate, we are comparing with the data on the aggregate that has been entered. Therefore, the aggregate number will 'change' once all data has been entered if passed the deadline. That being said, we'd rather have the data in late than not at all. However making the deadline is important for timely reports.
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More Hospital Banning Elective Deliveries-Public Awareness on Yahoo!
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 For those of you that did not see the Yahoo headlines last week, the link to the article is here.
According to the article, 'The top hospitals in Massachusetts are now refusing to offer elective C-sections and inductions before 39 weeks gestation, and many medical centers in New York, Arizona, Oregon, New York, California, Texas, and Illinois have banned them as well.'
"We became good at delivering babies before 39 weeks. Doctors were thinking if you can deliver at 39 weeks, why not 38 weeks or 36 weeks," said Dr. Ken Welch of the Banner Estrella Medical Center in Phoenix, Arizona, which stopped scheduling elective C-sections and inductions in July. "We just had to draw that line in the sand and say, because of the data, that we've become convinced we know it's healthier for the baby and we know the mother wants what's best for the baby."
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| Want discussion time on future Webinars? |
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 Contact Amanda if you'd like to 'showcase' your hospital's success on future webinars. As we discussed in the November Learning Session, smaller hospitals have some unique challenges so we'd love to hear more from smaller hospitals on the webinars.
Some things to 'showcase': What are your obstacles? How are you overcoming the obstacles? What successes have you had? What key players are important and how did you get buy-in? What can PQCNC do to further assist in your efforts?
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| Prematurity Prevention Symposium January 19-20 in Washington DC |
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This symposium will provide networking opportunities to share lessons learned from collaborative on prematurity prevention. Click here for more information. |
| Webinar Archive: Reducing the risk of Vacuum Assisted Deliveries |
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This webinar provides an overview of current practice for vacuum assisted deliveries. For more information click here.
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Contact
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Amanda French, MSN, RNC-OB, CNS
amanda.french@pqcnc.org
Phone: (336) 675-2787
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