Reduction of Failed Induction of Labor Quality Improvement Project
The cesarean delivery rate in the United States rose by 50% between 1998 and 2008, making it the most common hospital surgery. Over one-third of all births (34.4%) in Texas was delivered by cesarean section in 2015, which is more than the national average (32%). The primary cesarean delivery rate was 20.0% in Texas in 2015.
With approximately 400,000 births annually, Texas accounts for 10% of all births in the United States. Texas has approximately 650 hospitals with nearly half having maternal delivery units and/or hospitals that admit newborns.
Over one-third of all births (34.4%) in Texas were delivered by cesarean section in 2015.
The goal of the Reduction of Failed Induction of Labor Quality Improvement Project is to reduce failed induction of labor (IOL) among women with indication for induction, and to improve the overall process surrounding induction of labor. The broader goal is the reduction in the rate of cesarean births in Texas, which is 35% of all births in the state (compared to 32% in the US).
The IOL QI project entails the adoption of a standardized IOL algorithm plus additional action steps as determined by the participating hospital. Currently, the IOL QI initiative has been launched in four hospitals, and is actively recruiting more.
The Obstetrics Subcommittee aims to improve the quality of maternal-fetal care through the design of quality improvement projects and partnership with obstetric (OB) care providers for implementation.
Divya Patel, PhD, University of Texas Health Science Center at Tyler, Affiliate of The University of Texas System