National Partnership for Maternal Safety: Consensus Bundle on Safe Reduction of Primary Cesarean Births-Supporting Intended Vaginal Births

J Obstet Gynecol Neonatal Nurs. 2018 Mar;47(2):214-226. doi: 10.1016/j.jogn.2018.01.008. Epub 2018 Mar 1.


Cesarean births and associated morbidity and mortality have reached near epidemic proportions. The National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women's Health Care responded by developing a patient safety bundle to reduce the number of primary cesarean births. Safety bundles outline critical practices to implement in every maternity unit. This National Partnership for Maternity Safety bundle, as with other bundles, is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. Bundle components may be adapted to individual facilities, but standardization within an institution is advised. Evidence-based resources and recommendations are provided to assist implementation.

Publication types

  • Review

MeSH terms

  • Adult
  • California
  • Cesarean Section / methods
  • Cesarean Section / statistics & numerical data*
  • Consensus
  • Delivery, Obstetric / methods
  • Female
  • Humans
  • Maternal Health*
  • Patient Safety / standards*
  • Pregnancy
  • Pregnancy Outcome*
  • Safety Management / organization & administration*
  • Vaginal Birth after Cesarean / methods
  • Vaginal Birth after Cesarean / statistics & numerical data*