A recent analysis of Florida birth certificates showed roughly one-fifth of the hospitals (21 percent) meet the Healthy People 2020 national goal for Nulliparous Term Singleton Vertex (NTSV) cesarean section deliveries of 23.9 percent or less. The primary cesarean delivery rate, which drives the overall cesarean rate, among low-risk, first-birth deliveries in Florida ranges from 6.6 percent to 59.5 percent. This wide variation suggests clinical practice patterns may contribute and provides an opportunity for improvement.
The goal of the Florida Perinatal Quality Collaborative (FPQC) Promoting Primary Vaginal Deliveries (PROVIDE) Initiative is to improve maternal and newborn outcomes by applying evidence-based interventions to promote primary vaginal deliveries at Florida's delivery hospitals and ultimately reduce NTSV cesareans. For more information on this perinatal quality initiative, visit the FPQC Website.