Strategies to safely reduce the rate of nulliparous, term, singleton, vertex (NTSV) cesarean deliveries have thus far largely ignored the contribution that labor and delivery nurses make to the delivery mode. We used a recently developed method to calculate nurse-specific cesarean delivery rates and provide these to labor and delivery nursing leadership, who shared the rates with labor and delivery nurses beginning in September 2020. We performed a 3-year interrupted time series analysis comparing our NTSV cesarean delivery rates before and after nurse-specific rates were released. On release of nurse-specific rates, our labor and delivery unit’s NTSV cesarean delivery rate declined from 25.7% to 22.0%. Further work to find strategies to sustain nurse engagement is warranted.

迄今为止，安全降低未经产、足月、单胎、顶点 (NTSV) 剖宫产率的策略在很大程度上忽略了分娩和分娩护士对分娩方式的贡献。我们使用最近开发的方法来计算特定护士的剖宫产率，并将这些提供给分娩护理领导，他们从 2020 年 9 月开始与分娩护士分享这些比率。我们进行了 3 年的间断时间序列分析，比较我们的护士特定比率发布前后的 NTSV 剖宫产率。在发布特定护士比率时，我们分娩单位的 NTSV 剖宫产率从 25.7% 下降到 22.0%。有必要进一步努力寻找维持护士参与的策略。