Reducing the Primary Cesarean Section Rate in Nulliparous Women:
A Quality Improvement Project
Julie A. Javernick, CNM, MSN
Submitted to
Drs. Joan Nelson and Kathy Shaw of the University of Colorado College of Nursing
in partial fulfillment of the requirements for NUDO 7018
Introduction
Background
Healthy childbirth is defined as a safe, natural process that rarely requires medical intervention (Goer & Romano, 2012). The medical model of care, however, often includes interventions that