Researchers will report that changes to the labor and delivery care system can reduce Cesarean delivery rates. The study, titled The Effect of Expanded Midwifery and Hospitalist Services on Primary Cesarean Delivery Rates looked at all singleton term deliveries at a community hospital between January 2005 and April 2014. Demographic, clinical and outcome data were collected at the time of delivery. In this community hospital with a diverse patient population, there were two changes made in April 2011 that were associated with lower cesarean delivery rates. Midwives became available to all laboring women and obstetrician staffing practices were changed to allow doctors to focus solely on their laboring patients instead of having to juggle their surgical and office responsibilities.
Before the change was instituted, women cared for under the traditional, private practice obstetrician model had high cesarean delivery rates that had been increasing every year, which was the same trend taking place nationally. After the changes were made, cesarean delivery rates not only dropped but they continued to decrease more each year.









