A Quality Improvement Initiative to Increase the Frequency of Vaginal Delivery in Brazilian Hospitals
This article describes an IHI-led Breakthrough Series Collaborative that engaged hospitals in Brazil in using a quality improvement (QI) approach to increase implementation of obstetric approaches that reduce Cesarean section deliveries.
Borem P, de Cássia Sanchez R, Torres J, et al. A quality improvement initiative to increase the frequency of vaginal delivery in Brazilian hospitals. Obstetrics & Gynecology. 2020 Feb;135(2):415-425.
This article describes an IHI-led Breakthrough Series Collaborative that engaged hospitals in Brazil in using a quality improvement (QI) approach to increase implementation of obstetric approaches that reduce Cesarean section deliveries. Four key interventions implemented with QI methods were associated with increased vaginal delivery, suggesting that this approach may help address the global C-section delivery epidemic.