First Baby Initiative Report Released

First Baby Initiative ReportThe West Virginia Perinatal Partnership has issued a report on the First Baby Initiative, a collaborative project with the March of Dimes, WV Chapter, West Virginia Health Care Authority, West Virginia Health Statistics Center, and twenty-three West Virginia hospitals.  In 2011, members of the Partnership developed a quality initiative focused on reducing the number of Cesarean sections among first-time mothers because of concerns that the rate of C-sections had been growing and had reach over one-third of births.  With funding from the Health Care Authority, the collaborative was formed, and the project took place in between April 2011 and December 2012. 

Click here to review the report of the which details the project activities, findings, and recommendations for future steps.


West Virginia First Baby Initiative

Photo by Christina RuizThe West Virginia Perinatal Partnership is pleased to be collaborating with the West Virginia Health Care Authority, March of Dimes-West Virginia Chapter, and West Virginia hospitals in a project to improve health outcomes of mothers and their babies. The “West Virginia First Baby Initiative” is a quality improvement initiative that seeks to reduce cesarean sections in first-time mothers.

West Virginia, like most of the United States and Canada, has seen a rise in the rate of elective primary cesarean delivery and in elective labor induction, in part due to the widespread perception that these procedures are of little or no risk to healthy women. West Virginia has experienced some of the highest rates of labor induction and c-sections in the United States for several years. The American College of Obstetricians and Gynecologists, the Joint Commission, and other leading medical and health organizations have drawn attention to poor outcomes related to the unnecessary surgery, especially in first time mothers.

Under the leadership of maternal fetal medicine specialists Dr. Luis Bracero and Dr. William Holls, and obstetrician/gynecologist Dr. David C. Jude, hospitals are examining practices and focusing on reducing cesarean section rates among low-risk nulliparous women.

Read a full description of the First Baby Initiative.

Read West Virginia Quality Collaborative for Eliminating NonMedically Indicated Elective Deliveries Prior to 39 Weeks Gestation.

An introductory meeting was held on July 29, 2011, in Charleston (view proceedings of the July 29, 2011 meeting). The meeting featured presentations by Dr. David Lagrew of Saddleback Memorial Center, Laguna Hills, California on his research related to improving first-time mother and infant outcomes by reducing c-sections and early induction of labor.

For more information, please email Joyce Daniels.