Toolkit to Support Vaginal Birth and Reduce Primary Cesareans - A Quality Improvement Toolkit Addended Part V (2022)

Sep 22, 2026

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Toolkit to Support Vaginal Birth and Reduce Primary Cesareans presents a quality improvement resource developed collaboratively by CMQCC with support from California Health Care Foundation and Yellow Chair Foundation. The addended Part V (2022) includes suggested citation details, copyright and permitted non-commercial reuse guidance, and a note that it serves as a resource rather than defining standards of care. It also provides correspondence information and recognizes organizations, task force members, and pilot hospitals contributing expertise and insights to shape the toolkit.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages191

Reading Time1 h 7 min

AccessFree to download

A Quality Improvement Toolkit Addended Part V (2022)

Acknowledgements

Funding and contributors

Supporting organizations

Pilot hospitals and interview sites

CMQCC Task Force writing group

This collaborative project was developed by CMQCC with funding from California Health Care Foundation. Toolkit to Support Vaginal Birth and Reduce Primary Cesareans A Quality Improvement Toolkit Addended Part V (2022) Toolkit to Support Vaginal Birth and Reduce Primary Cesareans Holly Smith, MPH, MSN, CNM; Nancy Peterson, MSN, PNNP, RNC-OB; David Lagrew, MD; Elliott Main, MD, Editors Suggested citation: Smith H, Peterson N, Lagrew D, Main E. 2016. Toolkit to Support Vaginal Birth and Reduce Primary Cesareans: A Quality Improvement Toolkit. Stanford, CA: California Maternal Quality Care Collaborative. Funding for the development of this toolkit was provided by: California Health Care Foundation (CHCF) and Yellow Chair Foundation. Copyright information: © 2016 California Maternal Quality Care Collaborative. The material in this toolkit may be freely reproduced and disseminated for informational, educational and non-commercial purposes only. This toolkit is considered a resource but does not define the standard of care in California. Readers are advised to adapt the guidelines and resources based on their local facility’s level of care and patient populations served and are also advised to not rely solely on the guidelines presented here. For correspondence: Christa Sakowski, MSN, RN, C-ONQS, C-EFM, CLE Clinical Lead, CMQCC Center for Academic Medicine, MC 5660 453 Quarry Road, Palo Alto, CA 94303 Email: [csakowski@cmqcc.org](csakowski@cmqcc.org) Website: [http://www.cmqcc.org](http://www.cmqcc.org) 2 CMQCC Toolkit to Support Vaginal Birth and Reduce Primary Cesareans Acknowledgements California Health Care Foundation and Yellow Chair Foundation provided funding for the development of this toolkit. We thank the following organizations for offering their expertise and enthusiastic support for the creation of this toolkit: • Alliance for Innovation on Maternal Health • Childbirth Connection, a program of the National Partnership for Women and Families • Hospital Quality Institute • Pacific Business Group on Health • The Maternal, Child, and Adolescent Health Division of the California Department of Public Health (CDPH-MCAH) Many professional organizations are in support of this toolkit, including: • American Congress of Obstetricians and Gynecologists (District IX) • Association of Women’s Health, Obstetric, and Neonatal Nurses (California Section) • California Nurse-Midwives Association • California Birth Center Association We thank task force members who graciously facilitated the use of model tools and policies from the following organizations and hospitals: • Community Memorial Health System, Ventura CA • Miller Children’s and Women’s Hospital, Long Beach CA • Hoag Hospital, Newport Beach CA • Marin General Hospital, Green brae CA • Kaiser Permanente Roseville Medical Center, Roseville CA • Swedish Medical Center, Seattle WA • Washington State Hospital Association • Zuckerberg San Francisco General Hospital, San Francisco CA We thank the three pilot hospitals for sharing the details of their quality improvement projects that informed the development of this toolkit: • Hoag Hospital, Newport Beach CA • Saddleback Memorial Medical Center, Laguna Hills CA • Miller Children’s and Women’s Hospital, Long Beach CA While there are numerous California hospitals with sustained low cesarean rates, we thank the following for in-depth interviews describing their journeys: • John Muir Medical Center, Walnut Creek CA • Kaiser Permanente Roseville Medical Center, Roseville CA CMQCC Toolkit to Support Vaginal Birth and Reduce Primary Cesareans 3 Acknowledgments Continued CMQCC Task Force to Support Vaginal Birth and Reduce Primary Cesareans: Writing Group Cynthia Banks, MSN, CNM Midwife & Director, Community Birth Works (Oakland, CA) Priya Batra, MD, MS, FACOG Medical Director, Health Promotion Bureau, Los Angeles County Departm

FAQs

Who developed and funded the Toolkit to Support Vaginal Birth and Reduce Primary Cesareans?

The toolkit was developed collaboratively by CMQCC. Development funding was provided by California Health Care Foundation (CHCF) and Yellow Chair Foundation.

Can the toolkit content be reused and disseminated?

Yes for informational, educational, and non-commercial purposes, as stated in the copyright information. It also notes the material may be freely reproduced and disseminated under those conditions.

Does the toolkit define the standard of care in California?

No. The toolkit is considered a resource and explicitly does not define the standard of care in California; readers are advised to adapt guidance to their local facility and patient populations.

Sep 22, 2026

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