Teams participating in the IHI Improving Perinatal Care Collaborative are testing the Elective Induction and Augmentation Bundles.

A "bundle" is a group of evidence-based interventions related to a disease process that, when executed together, result in better outcomes than when implemented individually. Successful implementation of the bundles is based on the “all or nothing” strategy, that is, teams must comply with all components of the bundle, unless medically contraindicated.

January 2009 Update:

The Elective Induction and Augmentation Bundles were updated to reflect a new statement released in September 2008: the National Institute for Child Health and Human Development (NICHD) Workshop Report on Electronic Fetal Monitoring, jointly released by the American College of Obstetricians and Gynecologists (ACOG) and the Association of Women’s Health, Obstetrical and Neonatal Nurses (AWHONN). The purpose of this new statement was to update current fetal monitoring definitions in the ongoing attempt to standardize interpretation and decrease clinical variability in practice.

Related Information:

Also see the Data Collection Tools for each bundle to measure compliance:

• Elective Induction Bundle Data Collection Tool
• Augmentation Bundle Data Collection Tool

Read more about bundles:  What Is a Bundle?