Intervention program lowered C-section rate at California hospitals, study finds

California’s cesarean delivery rate for low-risk births fell below the CDC’s national 23.9 percent target in 2019 after the implementation of statewide quality initiatives and hospital collaborative interventions, an observational study published April 27 in JAMA Network found.

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Researchers evaluated 914,283 births, comparing C-section rates in the state from 2014-19. California hospitals with a C-section delivery rate greater than 23.9 percent were invited to participate in an 18-month improvement initiative between July 2016 and June 2019.

A total of 149 hospitals had C-section rates higher than the national target at baseline and were exposed to the statewide improvement initiatives. Of those, 91 hospitals also participated in the hospital-level quality improvement collaborative intervention. 

The improvement programs involved mentorship, shared learning, rapid-cycle data feedback, and partnerships among nonprofit organizations, among others. 

From 2014 to 2019, the low-risk C-section delivery rate fell from 26 percent to 22.8 percent, respectively, researchers found. 

 

To view the full research, click here

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