From the Field: Washington State Perinatal Collaborative Reducing Elective Delivery Before 39 Weeks Project

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Project Title

Reducing Elective Delivery Before 39 Weeks

Name of organization, agency, or institution

Washington State Perinatal Collaborative

Primary Contact Name and Title

Bat-sheva Stein RN, MSN, Nurse Consultant

Project Aim and Goals

The Washington State Perinatal Collaborative (WSPC) is a sub-committee of the statewide Perinatal Advisory Committee (PAC). The collaborative convened in 2008 by the PAC in response to the national and state rise in C-Section rates over the past ten years. The collaborative is seeking to understand the reason for rising C-Section rates and possible modifiable factors leading to this rise. The collaborative believes that the variation among hospitals in cesarean, VBAC, and induction rates are affecting maternal and infant health across the state of Washington. To address these variations the collaborative is engaging agencies, hospitals, organizations, and the community to encourage birthing hospitals to collaborate and address issues such as inductions, trial of labor, appropriate admissions, and accessibility to vaginal births after cesareans. The first initiative uses the March of Dimes Toolkit and other resources to reduce early elective deliveries in the state of Washington.

Blueprint Area(s) Addressed

Strategies Used


Currently being measured with the assistance of the Washington State Hospital Association.

Toolkits for Project Implementation or Replication

Toolkit available at

For More Information

Filed in Clinical practice guideline/policy change, Payment reform, Payment/reimbursement change, Performance measurement, Performance measurement/reporting, Stories from the Field on Fri., Mar 18, 2011

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