Armadale Health Service has reduced the primary caesarean section rate by nearly 50%

Armadale Health Service has reduced the primary caesarean section rate by nearly 50% over 4 years with multidisciplinary team work. 

They have improved the service to women using a variety of methods including improving continuity of care; improving induction of labour with strict criteria to reduce all non-medically indicated inductions and consultant input for all women with a failed induction; running a successful TOLAC clinic for women with a previous caesarean section; improving care to women with a breech pregnancy with a high success rate for ECV;  attempting a vaginal birth for most twin pregnancies where the first twin is cephalic; and using partograms for active management of labour dystocia and failure to progress.

Armadale’s innovation presentation is available to HRT members by clicking here.

Other hospital’s innovations from the 2015 Maternity Improvement Group meeting are available by clicking here.