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ACNM Recruiting 12 Hospitals for Proven Project to Reduce Primary Cesareans

This year
has been busy for ACNM in the area of quality improvement (QI) initiatives. This
year, we have had more members than ever before submitting data to the
Benchmarking Project, we have fully participated in the Alliance for Innovation on Maternal
Health (AIM) project in the Council on Patient Safety in Women's Health Care
, and have successfully engaged 17
hospitals (5 new, 12 continuing)  from
across the country in the second year of the Reducing Primary Cesareans (RPC)
learning collaborative.  Hospitals
participating last year reduced their NTSV rates by as much as 18%.  We are
excited to recruit hospitals for a third RPC learning collaborative for 2018.

The RPC is part
of the ACNM Healthy Birth InitiativeTM (HBI). 
The Healthy Birth InitiativeTM (HBI) is a long-term Initiative led by ACNM with representatives from leading
maternity care organizations. HBI focuses on preserving normalcy by promoting
evidence-based practices that promote healthy physiologic birth. The Healthy Birth InitiativeTM
works to encourage a consistent approach to birth practices and is focused on
reducing practices that are not evidence based.

As you may know, the most common reasons for
cesareans in low-risk women are related to dysfunctional labor and
"non-reassuring" fetal heart rate tracings. These issues account for about 60%
of first cesareans in this population.  The
Healthy Birth Initiative created 3 evidence-based "change bundles" that are
consistent with national evidence and practice. These are:

Intermittent Auscultation

  • Promoting Spontaneous Labor Progress
  • Promoting Comfort in Labor
The participating hospital
teams are supported to: choose one of these 3 bundles, gather data to measure
their progress and benchmark against other hospitals, receive individualized
coaching, and participate in webinars focused on implementing change, quality
improvement tools, and physiologic birth.

The 2017 RPC project is partially funded by Transforming Birth Fund, which is part of the New Hampshire Charitable
Foundation.  The A.C.N.M. Foundation,
Inc. is administering the funds and additional resources have been provided by

Join Us

We are
interested in recruiting 12 hospitals for this 2018 learning collaborative.

and an applications checklist can be found at

Thank you
for your time and support as ACNM strives to enhance the role of midwives as
leaders in improving the care to mothers and babies in the U.S. 

Lisa Kane


Timeline for Applications to Reducing Primary Cesareans Collaborative -


Date Due

Application period opens

May 15, 2017

Application period closes

July 21, 2017

Notification to accepted hospital teams from ACNM

First week of September 2017

SAVE THE DATE for Kickoff meeting in Portland, OR at Midwifery Works

October 25, 2017


An informational webinar will be held on:

5, 2017, 9-10 a.m. Pacific/12-1 Eastern Please register at:


American College of Nurse-Midwives
8403 Colesville Rd. Ste. 1230 Silver Spring, MD 20910
Phone: 240.485.1800 Fax: 240.485.1818
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