Quality Improvement Initiatives Lead to Reduction in Nulliparous Term Singleton Vertex Cesarean Delivery Rate: The nulliparous term singleton vertex (NTSV) cesarean delivery rate has been recognized
as a meaningful benchmark. Variation in the NTSV cesarean delivery rate among hospitals
and providers suggests many hospitals may be able to safely improve their rates. The
NTSV cesarean delivery rate at the authors' institution was higher than state and
national averages. This study was conducted to determine the influence of a set of
quality improvement interventions on the NTSV cesarean delivery rate.