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Quality improvement project to reduce nulliparous term singleton vertex cesarean rate: implementing a pre-cesarean checklist
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Carlucci, Victoria. Quality improvement project to reduce nulliparous term singleton vertex cesarean rate: implementing a pre-cesarean checklist. Retrieved from https://doi.org/doi:10.7282/t3-8a90-r864

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TitleQuality improvement project to reduce nulliparous term singleton vertex cesarean rate: implementing a pre-cesarean checklist
NameCarlucci, Victoria (author); Vitale, Tracy (chair); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectPrimary cesarean, Women's Health/Nurse Midwifery
Extent1 online resource (78 pages)
DescriptionPurpose of Project: To reduce the cesarean delivery rate for nulliparous term singleton vertex (NTSV) parturient women by implementing a pre-cesarean checklist into practice. Methodology: A non-randomized, convenient sample of all cesarean deliveries was obtained through the project site. From these charts, a manual chart review was completed on those meeting NTSV inclusion criteria. Prior to the implementation period, the nurses and providers received education on utilization of the pre-cesarean checklist. During implementation, nurses and providers completed a pre-cesarean checklist for NTSV patients being considered for cesarean delivery documenting date and time, nurse and provider collaboration, indication for cesarean, and whether criteria was met for the selected indication.

Results: The findings from this project showed that there was a 10.8% decrease in the NTSV cesarean birth rate. Fewer patients experienced latent phase arrest, active phase arrest, second stage arrest and cesarean delivery due to provider judgement. There was an increase in compliance with recommendations for latent, active, and second stage arrest. Despite these findings, there was no statistical significance that the pre-cesarean checklist was responsible for these changes (x2 (1) = 1.169, p > .05).

Implications for Practice: The findings of increased compliance with recommendations and a lower NTSV cesarean rate suggests that following these guidelines should be continued in clinical practice. Further studies are needed to determine if a larger sample size will show significance for a pre-cesarean checklist. Continued efforts to lower the NTSV cesarean rates will benefit patients, providers, organizations, and financial outcomes.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-8a90-r864
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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