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Return to Consumers > News Releases > ACNM's Reducing Primary Cesareans Project Welcomes New Hospitals

For Immediate Release:
October 12, 2017                          
Ashley West
(240) 486-1856

The American College of Nurse-Midwives Reducing Primary Cesareans Project Welcomes Three New Hospitals

Silver Spring, MD - ACNM congratulates Einstein Medical Center Philadelphia, Philadelphia, PA, Jacobi Medical Center, Bronx, NY, and Vanderbilt University Medical Center, Nashville, TN on being accepted into the American College of Nurse-Midwives (ACNM) Reducing Primary Cesareans Project. These hospitals join as one of the 21 hospitals from across the United States working with ACNM to improve healthy outcomes for mothers and families by focusing on reducing the incidence of first cesarean section in low risk women who have never given birth.
The Reducing Primary Cesareans (RPC) Project is part of the ACNM Healthy Birth Initiative (HBI), a long-term effort with representatives from leading maternity care organizations. HBI focuses on preserving normalcy by promoting evidence-based practices that support healthy birth based on a pregnant woman's own physiology. The HBI works to encourage a consistent approach to birth practices and is focused on reducing those that are not evidence-based.
Funded by the Transforming Birth Fund, the RPC Project builds on the HBI by offering unique opportunities for maternity care professionals and health systems to initiate action steps known as bundles. When implemented, these bundles prompt hospital system change that is aimed at reducing the incidence of primary cesarean births in the United States, which have reached alarming rates without associated improvements in health outcomes for mothers and babies.
The hospitals will work with the multi-disciplinary Reducing Primary Cesareans Quality Improvement (QI) expert panel and ACNM staff to identify areas of improvement and track process and outcome measures to demonstrate improvement in readiness, assessment, reliable and appropriate care, recognition and response, and systems learning. Each hospital will implement at least 1 of 3 bundles, based on a data-driven analysis of the major cause of first cesarean in low risk women at our institution:
  • Improving Care and Comfort in Labor
  • Promoting Spontaneous Progress in Labor
  • Implementing use of Intermittent Auscultation as the Standard for Fetal Assessment
ACNM welcomes the new hospitals as champions working to improve the health outcomes for mothers and families in the U.S.

About the American College of Nurse-Midwives
The American College of Nurse-Midwives (ACNM) is the professional association that represents certified nurse-midwives (CNMs) and certified midwives (CMs) in the United States. With roots dating to 1929, ACNM sets the standard for excellence in midwifery education and practice in the United States and strengthens the capacity of midwives in developing countries. Our members are primary care providers for women throughout the lifespan, with a special emphasis on pregnancy, childbirth, and gynecologic and reproductive health. ACNM reviews research, administers and promotes continuing education programs, and works with organizations, state and federal agencies, and members of Congress to advance the well-being of women and infants through the practice of midwifery. For more information about ACNM, please visit our website at


American College of Nurse-Midwives
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