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National Partnership for Maternal Safety

Consensus Bundle on Safe Reduction of Primary Cesarean Births—Supporting Intended Vaginal Births

Lagrew, David C. MD; Low, Lisa Kane PhD, CNM; Brennan, Rita DNP, RNC-NIC; Corry, Maureen P. MPH; Edmonds, Joyce K. PhD, RN; Gilpin, Brian G. MD; Frost, Jennifer MD; Pinger, Whitney CNM, MSN; Reisner, Dale P. MD; Jaffer, Sara MPH

doi: 10.1097/AOG.0000000000002471
Contents: Cesarean Birth: Consensus Statement

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.

Implementation of a safety bundle developed by the National Partnership for Maternal Safety can decrease maternal morbidity and mortality.

Providence St. Joseph Health System, Irvine, California; University of Michigan, Ann Arbor, Michigan; Northwestern Central DuPage Hospital, Winfield, Illinois; Kaplan University, Chicago, Illinois; National Partnership for Women & Families, Washington, DC; Boston College, Boston, Massachusetts; Mednax National Medical Group, Ft. Lauderdale, Florida; American Academy of Family Physicians, Leawood, Kansas; The George Washington University Medical Faculty Associates, Washington, DC; Swedish Health Services, Seattle, Washington; and the Baim Institute for Clinical Research, Boston, Massachusetts.

Corresponding author: David C. Lagrew, MD, Executive Medical Director, Women's Services, Professor of Clinical Medicine, 3345 Michaelson Drive, Suite 100, Irvine, CA 92612; email:

Financial Disclosure The authors did not report any potential conflicts of interest.

This article is being published in the March/April 2018 issue (Vol. 63, No. 2) of Journal of Midwifery & Women's Health, and the March 2018 issue (Vol. 47, No. 2) of Journal of Obstetric, Gynecologic, & Neonatal Nursing.

Each author has indicated that he or she has met the journal's requirements for authorship.

© 2018 by American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.