• • llinois Department of Public Health PVB Initiative Letter of Support for Hospital Leadership
  • Promoting Vaginal Birth Clinical Leadership

• 10 Steps to Getting Started with the ILPQC Promoting Vaginal Birth Initiative (Updated 11/12)
• Promoting Vaginal Birth June/July Example Meeting Agenda 
• PVB 3 Key Opportunities for Improvement 
• Promoting Vaginal Birth Aims and Measures (Updated) 
• Promoting Vaginal Birth Individual Data Form 
• Promoting Vaginal Birth Hospital-Level Measures Data Form 
• PVB Data Collection Commonly Asked Questions 
• PVB Data Collection Tool: Process Flows
• Promoting Vaginal Birth Drivers Diagram 
• Promoting Vaginal Birth Readiness Survey
• CMQCC Audit Worksheet

• Flyer with QR Code 
• Administration Buy-in Email
• Launch Email
• Follow-up Email
• Follow-up Email #2

Safe Reduction of Primary Cesarean Birth Bundle and Resource Listing- from the Alliance for Innovation on Maternal Health (AIM) and Council on Patient Safety in Women’s Healthcare

ACOG Committee Opinions/Practice Advisory 

• ACOG/SMFM Obstetric Care Consensus #1: Safe Prevention of the Primary Cesarean Delivery
• ACOG Committee Opinion #490: Partnering with Patients to Improve Safety
• ACOG Committee Opinion #766: Approaches to Limit Intervention during Labor and Birth 
• AWHONN: National Partnership for Maternity Safety Consensus Bundle 

AWOHNN Statements 

• AWOHNN Position Statement on Labor Support 

QI Team Strategies 

• Create Highly Reliable Teams and Improve Interdisciplinary Communication- Section 1
• P. Lee King, D. Young, A. Borders, “A Framework to Harness the Power of Quality Collaboratives to Improve Perinatal Outcomes

Provider and Nurse Education Materials 

• ILPQC PVB NTSV Fallout Review
• Current Landscape of Cesarean Sections in Illinois 
• Guidance for Understanding and Unblinding Provider Level NTV Cesarean Rates at Start of Project- from CMQCC 
• ACOG Key Labor Definitions- from CMQCC
• Six is the New Four- ACOG OB Care Consensus
• CMQCC Labor Duration Guidelines 
• CMQCC Webinar: Induction of Labor- Risk, Benefits, and Techniques for Increasing Success
• Video of Safe Deliveries Roadmap with AIM
• Denver Health Intermittent Monitoring Slide Set 
• Response to Arrive Trial- from CMQCC
• Lamaze aligns with ACOG 
• Shared Decision Making 
  • Shared Decision Making Safety Action Series Slides from Council on Patient Safety in Women’s Health
  • AHRQ’s SHARE Approach (curriculum, tools, and webinars) 
    • AHRQ Shared Decision Making Poster for Providers
    • AHRQ Shared Decision Making Poster for Patients 

Patient Education 

• Sparrow Hospital Labor Partnership Agreement Booklet 
• Sparrow Hospital Labor Partnership Patient Form
• Patient Education Pages- from CMQCC
• My Birth Matters: C-Section Consumer Eduction Campaign- from California Health Care Foundation with CMQCC
• Printable patient education materials 
  • Lamaze Keep Calm and Labor On 
  • FPQC Positions of Labor 
  • Lamaze Positions of Labor 
  • ACNM Am I in Labor? 
  • Penny Simkin- Comfort in Labor: How you can Help Yourself to a Normal, Satisfying Childbirth
  • Link to printable materials from ACNM about labor and birth 

Clinical Debriefs 

• ILPQC ACOG/SMFM Guidelines
  Checklist for Labor Dystocia & Arrest
• CMQCC Providence St. Joseph Fallout review form
• Hackensack Meridian Health Sample Pre-Cesarean Checklist and Team Huddle Form- from FPQC
• Tampa General Pre-cesarean Huddle form- from FPQC
• Pre-Cesarean Checklist for Labor Dystocia or Failed Induction- from CMQCC
• E. White VanGompel, E. Main, D. Tancredi, J. Melnikow, “BMC Pregnancy and Childbirth: Do provider birth attitudes influence cesarean delivery rate: a cross sectional study” 

Labor Support and Pain Management 

• ILPQC Labor Management Support E-Modules
• Implement Intermittent Fetal Monitoring Policies for Low-Risk Women- from CWQCC
• Choosing Positions for Labor and Birth 
• Optimal Labor Positions Guide- from CMQCC
• Childbirth Connection Labor Pain 
• Best Practices for Epidurals- from CMQCC 

First Stage

• Admission in Latent (Early Labor) without Medical Indication- from CMQCC
• Coping with Labor Algorithm
• Labor Duration Guidelines- from CMQCC

Second Stage

• Algorithm for Management of Second Stage of Labor- from CMQCC
• Second Stage Management of Malposition- from CMQCC
• Active Labor Partogram- from CMQCC
• Lamaze Healthy Birth Practice #5: Avoid Giving Birth on Your Back and Follow Your Body’s Urge to Push
• Utilize Operative Vaginal Delivery for Eligible Cases- from CMQCC

Resources for Doulas/About Doulas 

• Encourage the Use of Doulas for Labor Support- from CMQCC
• Labor Support Guide Discussion Tool- from Ariadne Labs

Labor and Delivery Admission and Early Labor 

• Birth Preference Worksheet- from CMQCC
• Admission in Latent (Early Labor) without Medical Indication 
• Admission Discussion Guide- from Ariadne Labs

Induction 

• Implement Policies for Safe Use of Oxytocin- from CMQCC
• Induction of Labor Algorithm- from FPQC
• SAMPLE Induction Consent
• SAMPLE Induction of Labor Checklist- from FPQC 
• AWHONN Position Statement: Non-Medically Indicated Induction and Augmentation of Labor
• ACOG Patient Safety Checklist #5: Scheduling Induction of Labor 
• ACOG Practice Bulletin #107: Induction of Labor 
• AJOG Implementation of a Conservative Checklist- Based Protocol for Oxytocin Administration Maternal and Newborn Outcomes 
• IHI Improvement Map: Perinatal Augmentation Safety 
• ILPQC Process Flow ACOG/SMFM Criteria: Induction
• Lee Health Induction Scheduling Policy
• CGH Induction Consent with built-in checklist

Labor Challenges 

• Labor Dystocia Checklist 
• Spontaneous Labor Algorithm Arrests/Dystocia- from FPQC
• ACOG Committee Opinion #766: Approaches to Limit Intervention during Labor and Birth
• Assisted Delivery Discussion Aid- from Ariadne Labs 
• ILPQC Process Flow ACOG/SMFM Criteria: Labor Dystocia

Fetal Intolerance 

• ACOG Practice Bulletin #116: Management of Intrapartum Fetal Heart Rate Tracings 
• Algorithm for Management of Category II Fetal Heart Rate Tracings- from CMQCC
• Algorithm for the Management of Intrapartum Fetal Heart Rate Tracings- from CMQCC
• Management of Fetal Heart Rate Tracings- from FPQC
• ACOG Practice Bulletin #106: Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General Management Principles
• AJOG Clinical Opinion: Intrapartum Management Principles of Category II Fetal Heart Rate Tracings: Towards Standardization of Care
• AWHONN Position Statement: Fetal Heart Monitoring 
• ILPQC Process Flow ACOG/SMFM Criteria: Fetal Heart Rate Concerns