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It describes partner collaboration among public health agencies, hospitals, and community stakeholders, and explains how the Missouri Perinatal Quality Collaborative leverages AIM patient safety bundles to support evidence-based practice and quality improvement. The document also presents key evidence on rising cesarean rates and documented disparities in pregnancy-related mortality and surgical interventions, emphasizing the need to evaluate care systems, review disparity-focused data, and implement targeted interventions.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/safe-reduction-of-primary-cesarean-birth-resource-workbook-improving-maternal-and-infant-health-outcomes/359247/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/safe-reduction-of-primary-cesarean-birth-resource-workbook-improving-maternal-and-infant-health-outcomes/359247.png","ImageObject",442,249,{"name":88,"@type":89},"Chumphorn","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-23",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of the Safe Reduction of Primary Cesarean Birth resource workbook?","Question",{"text":109,"@type":110},"It supports efforts to improve maternal and infant outcomes in Missouri by reducing variations in care and promoting optimized use of evidence-based practice and quality improvement strategies.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the Missouri Perinatal Quality Collaborative use patient safety bundles?",{"text":114,"@type":110},"It leverages AIM patient safety bundles as an option to implement evidence-based practice and redesign care delivery for birthing units, providers, and communities across the state.",{"name":116,"@type":107,"acceptedAnswer":117},"Why does the document emphasize disparities in cesarean birth and pregnancy outcomes?",{"text":118,"@type":110},"It highlights that Black birthing people and American Indian/Alaska Native birthing people face higher risks of pregnancy-related death and that cesarean rates and surgical interventions can contribute to increased mortality, requiring evaluation of care systems and targeted interventions.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},359247,1791706733,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","SAFE REDUCTION OF PRIMARY CESAREAN BIRTH RESOURCE WORKBOOK  \nAcknowledgements  \nImproving the health outcomes of maternal and infant populations is a critical priority in Missouri. The Missouri Perinatal Quality Collaborative serves as a statewide convener, resource, and change agent to support decreased variations in care and outcomes, support optimized use of evidence-based practice, and support clinical-community integration—all noted gaps in achieving equitable and improved health.  \nThese efforts would not be possible without the collective vision and collaboration of the Missouri Department of Health and Senior Services, Missouri Hospital Association, and members of the Missouri Maternal-Child Learning and Action Network. MC LAN members represent a diverse group of stakeholders from clinical backgrounds, professional associations, government agencies, community-based organizations and community representatives who have committed support to reducing maternal morbidity and mortality in Missouri, including the March of Dimes, Missouri Section of the American College of Obstetricians and Gynecologists, Missouri Chapter of the American Academy of Pediatrics, Missouri Primary Care Association, Missouri DHSS, Missouri Department of Social Services MO HealthNet Division, Missouri Foundation for Health, Missouri Chapter of the Association of Women’s Health, Obstetric and Neonatal Nurses, Nurse Practitioners in Women’s Health Association, Missouri Chapter of the Amniotic Fluid Embolism Foundation, Generate Health, St. Louis Integrated Health Network, Bootheel Perinatal Network, Healthy Blue MO, Home State Health, United Healthcare, Nurture KC, Promise 1000, M-Brace Birthing, SafiMoms365, the Doula Foundation and Simply Strategy. These partners successfully aligned efforts to bring Alliance for Innovation on Maternal Health initiatives to Missouri in 2019 and connect directly to the Missouri Pregnancy-Associated Mortality Review Board which identifies leading causes of morbidity and mortality.  \nThe MO PQC also acknowledges the contributions of AIM, the national, cross-sector commitment designed to lead in developing and implementing patient safety bundles to promote safe care for every U.S. birth. Founded in 2014 through a cooperative agreement funded by the Health Resources and Services Administration, and executed by ACOG, the AIM program provides expert technical support and capacity building to multidisciplinary state-based teams, most often perinatal quality collaboratives, leading targeted rapid-cycle quality improvement via implementation of patient safety bundles. An AIM patient safety bundle is a structured way of improving the process of care and patient outcomes: a small, straightforward set of evidence-based practices that, when performed collectively and reliably, have been proven to improve patient outcomes. Patient safety bundles are developed by expert multidisciplinary working groups, supported by the AIM staff at ACOG. Working groups include representatives appointed by professional member organizations, known experts and researchers specializing in the clinical topic, and patients with lived experience. The bundle development process includes design of measure and metrics for implementation and multiple levels of review from engaged stakeholders.1  \nThe MO PQC leverages AIM patient safety bundles as one option to support implementation of evidence-based practice and care delivery redesign for birthing units, providers, and communities throughout the state.  \nThis publication was produced with grant funding provided by the Missouri Department of Health and Senior Services and the Perinatal Quality Collaborative under contract number CS230931001 .  \nThe Evidence  \nCesarean birth is a critical obstetric procedure that saves lives when vaginal delivery is not safe for the pregnant person or baby. However, there has been a significant and varying increase in cesarean birth rates, raising concerns about the quality an","cbCainEa69eKTS5r","https://ap.wps.com/l/cbCainEa69eKTS5r","pdf",6671713,20,"English","# Acknowledgements\n# The Evidence\n## Rising cesarean birth rates and concerns\n## Maternal disparities and pregnancy-related mortality\n## Risks of cesarean in low-risk populations","[{\"question\":\"What is the purpose of the Safe Reduction of Primary Cesarean Birth resource workbook?\",\"answer\":\"It supports efforts to improve maternal and infant outcomes in Missouri by reducing variations in care and promoting optimized use of evidence-based practice and quality improvement strategies.\"},{\"question\":\"How does the Missouri Perinatal Quality Collaborative use patient safety bundles?\",\"answer\":\"It leverages AIM patient safety bundles as an option to implement evidence-based practice and redesign care delivery for birthing units, providers, and communities across the state.\"},{\"question\":\"Why does the document emphasize disparities in cesarean birth and pregnancy outcomes?\",\"answer\":\"It highlights that Black birthing people and American Indian/Alaska Native birthing people face higher risks of pregnancy-related death and that cesarean rates and surgical interventions can contribute to increased mortality, requiring evaluation of care systems and targeted interventions.\"}]","SAFE REDUCTION OF PRIMARY CESAREAN BIRTH RESOURCE WORKBOOK - Improving Maternal and Infant Health Outcomes | PDF",1790136512,7]