How a Perinatal Quality Collaborative Used Nurse Education to Reverse a Rising Cesarean Rate
Iowa’s statewide rate was projected to climb. One virtual training day across 43 facilities changed the direction. Perinatal quality collaboratives exist to move population-level outcomes. They bring facilities together, align around evidence-based bundles, and work to close the gap between what the research says and what happens in delivery rooms across an entire state. What […]
From 38% to 16%: How Peanut Ball Labor Training Cut a Rural Virginia Hospital’s Cesarean Rate in Half
Peanut ball labor training cut Wythe County Community Hospital’s cesarean rate from 38% to 16%. Here’s exactly what changed and how nurses made it happen.
How 1 Labor Nurse Built a Hospital-Wide Perinatal Trauma-Informed Care Program
Perinatal trauma-informed care isn’t just about individualized care room-by-room. This type of care inspires system change. Early in Jamie Howeth’s career as a labor nurse, she watched a patient crawl away from a resident during a cervical exam. She felt like she couldn’t say anything. She carried that moment for years. That experience planted something […]
How One Hospital Reduced Their NTSV Cesarean Rate by 2 Points in One Year
Reducing NTSV cesarean rates is one of the most common goals on labor and delivery units right now. But knowing the goal and knowing how to move the number are two different things. In 2024, a labor and delivery unit at Bon Secours Mercy Health in Cincinnati, Ohio had a 25% NTSV cesarean rate. Their […]
Embodied Trauma-Informed Care: A nurse-led framework for sustainable birth care
Many trauma-informed care models focus on the patient outcomes alone. Nurses are trained to understand their patients’ trauma and notice trauma responses, adjust language, and protect dignity. Read more…
The Trauma You Don’t See: Why Disclosure Doesn’t Happen in Maternity Care
Why Don’t Survivors Tell Us What They’ve Been Through? Because the world taught them not to Survivors come into our hospitals with invisible scars — from past sexual violence, medical harm, systemic racism, family trauma. And most of them don’t say a word. Not because they don’t want support, but because they’ve been burned before. […]