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Early Elective Delivery Key Information for Providers

The Leapfrog Group, in partnership with the nation's four largest health plans- Aetna, Cigna, UnitedHealthcare, and WellPoint- is pleased to offer this webpage for healthcare providers and stakeholders committed to reducing the rate of early elective newborn deliveries in hospitals across the country.  The Leapfrog Group has been collecting and publicly reporting on rates of early elective deliveries since 2010.  For more information on Leapfrog's early elective deliveries measure and hospital performance, please visit www.leapfroggroup.org/TooEarlyDeliveries

This webpage includes links to articles and resources that may be helpful to providers and others working to reduce the rates of early elective deliveries.

Tools for Providers

NQF Playbook for the Successful Elimination of Early Elective Deliveries

Less than 39 Week Toolkit

IHI Gestational Aging Tool

CMS Strong Start Initiative Toolkit

Audio and Slides from Leapfrog-IHI Webinar on Early Elective Deliveries for Healthcare Professionals

 

Measure Documentation

The Leapfrog Hospital Survey, Section 4 (Maternity Care), pages 23-29

The Leapfrog Hospital Survey Reference Book, page 33-44 (includes list of measure exclusions)

Maternity Care Fact Sheet

 

Peer Reviewed Articles

American Journal of Obstetrics and Gynecology: Timing of delivery and adverse outcomes in term singleton repeat cesarean deliveries (CD)

American College of Obstetricians and Gynecologists "How I Practice" Video Series on pre-39 week deliveries (transcript)

American College of Obstetricians and Gynecologists Patient Safety Checklist: Scheduling Induction of Labor

American College of Obstetricians and Gynecologists Patient Safety Checklist: Scheduling Planned Cesarean Delivery

California Maternal Quality Care Collaborative: Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age

American College of Obstetricians and Gynecologists- Rethinking the Definition of "Term Pregnancy"

American Journal of Obstetrics and Gynecology: Effectiveness of Approaches in Reducing Early Elective Deliveries

American Journal of Obstetrics and Gynecology: Neonatal and Maternal Outcomes Associated with Early Elective Deliveries

 

Useful links

International Cesarean Awareness Network

Childbirth Connection

California Maternal Quality Care Collaborative

March of Dimes 39-Week Message

CMS Strong Start Initiative

 

Please contact Erica Mobley at emobley@leapfroggroup.org if you have any questions regarding these materials or suggestions on content to be added.