Philly-area hospital reduces C-Section rate by implementing simple changes

Hadas Kuznits
December 07, 2018 - 1:09 pm



PHILADELPHIA (KYW Newsradio) -- A local hospital says they have managed to drastically reduce their C-Section rate this year by implementing some simple practices for laboring moms.   

Paige Rowland, a certified nurse midwife at Einstein Hospital, was among those spearheading a national midwifery collaborative there that started in January called "reducing primary cesarean sections." 

She says they focused on educating providers about movement in labor.

"Some women, it's going to be better to be in a forward leaning position because of the way the baby is,” Rowland explained. “For other women it might just be a side-lying position that'll help the baby come down quicker."

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By simply getting women out of bed, she explains they managed to drop their C-section rate from 32 percent to 26 percent. While that's considered low these days, Rowland says 20 years ago the national C-section rate was about 21 percent.

"We had such a drastic increase in our C-section rate in this country and there really was no improved outcome in the babies and the moms," she said.

Rowland says while lying on your back might give the doctor a better view of birth, that position is the most difficult for actually birthing a baby.

"A couple hundred years ago, no one gave birth in bed, she said. “People would move around, they'd squat and gravity is a huge player in that as well and moving can help the baby navigate the pelvis with the contractions."