FPQC’s Promoting Primary Vaginal Delivery Initiative Orientations Draw RN and MD Leadership


The Florida Perinatal Quality Collaborative welcomed Florida hospital system leadership and clinical teams to two days of regional orientations to the Promoting Primary Vaginal Deliveries (PROVIDE) Initiative.

PROVIDE 2.0—an expanded and enhanced Initiative that builds on the successes of the initial PROVIDE—is shaping up to be the organization’s largest initiative yet.  The events were helf on August 14 (Margate, FL) and August 15, 2019 (Leesburg, FL) and the turnout was excellent.

Margate, FL

In attendance at the Margate training were dedicated clinical nurses, as well as numerous Chief Medical Officers and executive-level nursing and quality improvement leaders. FPQC Nurse Consultant Betsy Wood welcomed the audience. Clinical leads Julie DeCesare, MD, FACOG, and Carol Lawrence, PhD, RN, provided background on NTSV cesareans, then reviewed California’s Supporting Vaginal Delivery toolkit and the Alliance for Innovation in Maternal Health (AIM) recommendations.

After a quick lunch, Drs. DeCesare and Lawrence delved into two of the focus areas of the initiative: labor dystocia and induction of labor. Ms. Wood rounded out the day by reviewing participant expectations and the quick start checklist.

At the Leesburg orientation, FPQC Clinical Lead Karen Bruder, MD, FACOG, joined Dr. Lawrence to provide background on NTSV cesareans, the California Toolkit, AIM recommendations, labor dystocia, and inductions. FPQC received positive feedback from both days, including how excited and energized participants are for our PROVIDE 2.0 Kick Off in October 2019.

Hospital teams who were unable to attend the Margate or Leesburg orientations may be eligible to attend the October 16, 2019 orientation in Orlando.

Applications for PROVIDE 2.0 will be accepted until September 15, 2019. Learn more about PROVIDE 2.0 and apply at fpqc.org/PROVIDE

Leesburg, FL

In alignment with FPQC’s efforts to reduce NTSV cesareans, Labor Support Trainings have been offered since 2018 at delivery hospitals throughout Florida. These workshops review the benefits of primary vaginal deliveries, evidence-based recommendations related to the stages of labor, the physiology of hormones that promote labor progress, comfort techniques and coping strategies (including promotion of optimal fetal rotation and descent), shared decision making, patient and family tips, the case for intermittent auscultation, and more. Visit fpqc.org/events for registration information.

FPQC is also launching the Maternal Opioid Recovery Effort (MORE Initiative) in Florida Delivery hospitals in November 2019. The MORE Initiative, along with the NAS Initiative (launched in Fall 2018), are attempts to improve treatment and care for the maternal-infant dyad affected by the opioid epidemic. Hospital teams interested in helping to improve and standardize care for pregnant women with opioid use disorder can learn more and apply at fpqc.org/more.  Applications are open until September 30, 2019.

Written by Nicole Pelligrino, MPH and FPQC staff