A Quality Improvement Project to Reduce the Incidence of Non-Medically Indicated Elective Deliveries before 39 Weeks

Sunday, June 14, 2015

Title: A Quality Improvement Project to Reduce the Incidence of Non-Medically Indicated Elective Deliveries before 39 Weeks

Promenade Ballroom (Long Beach Convention Center)
Nicole Chesis, MSN, RN, APN, CNS, C-EFM , Obstetrics, Advocate Healthcare, Libertyville, IL

Discipline: Newborn Care (N)

Learning Objectives:
  • Illustrate a Plan-Do-Study-Act quality methodology as utilized in this presentation.
  • Describe how Advocate Condell successfully implemented a scheduling form for inductions and cesarean sections
  • Analyze the project results

    • Submission Description:
    Non-Medically indicated elective deliveries (NMIED) at 37-38 weeks are still prevalent in the United States. Elective inductions and repeat cesarean sections before 39 weeks result in longer length of stay, and higher rates of adverse respiratory outcomes, mechanical ventilation, sepsis, and hypoglycemia for newborns. In 2011 Advocate Condell implemented a program to reduce our percentage of NMIED at 37-38 weeks. This presentation describes our outcomes following implementation of a perinatal safety program using Plan-Do-Study-Act quality methodology.

    See more of: Evidence-Based Quality Improvement Research Project Poster Presentations
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    The Association of Women's Health, Obstetric and Neonatal Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.