title: The high impact actions for nursing and midwifery. 7: Promoting normal birth.
abstract: There is significant variation in rates of Caesarean section between maternity units. Higher rates appear to be associated with older mothers and women from certain ethnic groups. However, taking these and other demographic factors into account does not explain the differences between trusts. This eighth article in this series on the high impact actions for nursing and midwifery looks at how midwives and nurses can help to avoid unnecessary Caesarean sections.
authors.affiliation: NHS Institute for Innovation and Improvement.
authors.forename: Liz
authors.initials: L
authors.lastname: Ward
authors.forename: Katherine
authors.initials: K
authors.lastname: Fenton
authors.forename: Lynne
authors.initials: L
authors.lastname: Maher
mesh_terms: D002585:Cesarean Section / Q000451:nursing; D005260:Female; D006801:Humans; D016389:Maternal-Child Nursing / Q000379:methods* / Q000592:standards*; D008880:Midwifery / Q000379:methods* / Q000592:standards*; D036801:Parturition; D010344:Patient Advocacy; D017410:Practice Guidelines as Topic; D011247:Pregnancy; D006113:United Kingdom; D019564:Unnecessary Procedures / Q000451:nursing