title: A statewide initiative to reduce inappropriate scheduled births at 36(0/7)-38(6/7) weeks' gestation.
abstract: OBJECTIVE
  We sought to reduce scheduled births between 36(0/7)-38(6/7) weeks that lack appropriate medical indication.
  
  
  METHODS
  Twenty Ohio maternity hospitals collected baseline data for 60 days and then selected locally appropriate Institute for Healthcare Improvement Breakthrough Series interventions to reduce the incidence of scheduled births. Deidentified birth data were analyzed centrally. Rates of scheduled births without a documented indication, birth certificate data, and implementation issues were shared regularly among sites.
  
  
  RESULTS
  The rate of scheduled births between 36(0/7)-38(6/7) weeks without a documented medical indication declined from 25% to <5% (P < .05) in participating hospitals. Birth certificate data showed inductions without an indication declined from a mean of 13% to 8% (P < .0027). Dating criteria were documented in 99% of charts.
  
  
  CONCLUSIONS
  A statewide quality collaborative was associated with fewer scheduled births lacking a documented medical indication.
authors.forename: Edward F
authors.initials: EF
authors.lastname: Donovan
authors.forename: Carole
authors.initials: C
authors.lastname: Lannon
authors.forename: Jennifer
authors.initials: J
authors.lastname: Bailit
authors.forename: Barbara
authors.initials: B
authors.lastname: Rose
authors.forename: Jay D
authors.initials: JD
authors.lastname: Iams
authors.forename: Terri
authors.initials: T
authors.lastname: Byczkowski
mesh_terms: D001719:Birth Certificates; D002585:Cesarean Section / Q000706:statistics & numerical data* / Q000639:trends; D004282:Documentation; D005260:Female; D005865:Gestational Age; D006771:Hospitals, Maternity; D006801:Humans; D007363:Intensive Care Units, Neonatal; D007751:Labor, Induced / Q000706:statistics & numerical data* / Q000639:trends; D009820:Ohio; D010343:Patient Admission / Q000706:statistics & numerical data; D011247:Pregnancy; D015397:Program Evaluation; D011785:Quality Assurance, Health Care