Many first-time cesareans can be avoided. We champion informed choices and gentle care—so that more women can experience birth on their terms.

about us
What we do as the Safe Reduction of Primary Cesarean Section Committee
Every birth story matters—and we believe in making them as safe and empowering as possible. The Safe Reduction of Primary Cesarean Section Committee is dedicated to lowering unnecessary first-time cesarean deliveries across Kentucky through education, collaboration, and data-informed practices.
By working closely with healthcare providers and birthing communities, we help support more options for safe, healthy births while reducing risks and improving long-term outcomes for parents and babies alike.
Why Reduce Cesarean Section Birth Rates?
Cesarean sections are critical, lifesaving procedures when medically necessary—but when performed without clear clinical indication, they can increase risks for both mothers and babies. In the U.S., nearly 1 in 3 births are by cesarean, far exceeding the World Health Organization’s recommended rate of 10–15% for optimal outcomes
Reducing unnecessary primary cesarean births is essential because:
– Cesarean delivery carries higher risks of infection, hemorrhage, and longer recovery compared to vaginal birth.
– Subsequent pregnancies face increased complications, including placenta accreta, uterine rupture, and preterm birth.
– Maternal mortality is significantly higher following cesarean birth than vaginal delivery—even after adjusting for risk factors.
– Racial disparities are amplified, minority groups have been found more likely to undergo cesarean delivery and experience worse outcomes.
– Hospital variation and non-medical factors—like provider preference or institutional culture—often drive cesarean decisions, not patient need
Tools for SUCCESS
Creating a safe, respectful, and supportive birth experience starts with preparation, teamwork, and clear communication. These key principles guide healthcare teams in promoting healthy labor, reducing unnecessary interventions, and centering the needs of pregnant individuals and their families.
Readiness
Create a supportive environment for natural labor and ensure staff are trained and prepared.
Recognition & Prevention
Use clear guidelines and have the right people and tools ready to identify and manage labor issues early.
Response
Track outcomes, review cases, and involve patients and their support teams in respectful, informed decisions.
Reporting
Train staff and educate families about labor, cesarean risks, and how to support safe vaginal births.
Respect
Follow best practices, use standard monitoring methods, and offer specialized care when needed.
The PDF linked below offers a clear, evidence-based summary of labor management principles. It’s a practical tool for providers seeking quick guidance to support safe, respectful, and informed care.
Resources for Providers
Explore trusted tools and materials to support the safe reduction of primary cesarian sections. These resources are curated to help improve outcomes and standardize care across settings.
Badge Buddy Order fORM
Request Badge Buddies for your team’s simulation training. These role-specific identifiers support clear communication and coordinated care during maternal and infant health scenarios. Submit your order to ensure your team is equipped for upcoming sessions.
Committee Members

Dr. Alisha Morgan
Taylor Regional Hospital
Committee Chair, Nurse-Midwife

Dr. Andrea Tucker
University of Kentucky
Assistant Professor of Obstetrics and Gynecology

Dr. Lyndsey D. Neese
Norton Healthcare
Division Director, Maternal Child Health

Rita Crum
Appalachian Regional Healthcare
Women’s and Children’s Health Service Line Director

Kayla Migneron
Granny’s Birth Initiative
Assistant Director

Dr. Rebecca McKendrick
University of Kentucky Georgetown
Assistant Professor

Dr. Coy Flowers
University of Kentucky Georgetown
OBGYN-Division Chief & Medical Director UK Georgetown Women’s Health

Angie Chisholm
Frontier Nursing University
Nurse-Midwifery Faculty

Emily McClelland
Norton Women’s & Children’s Hospital
Director of Women’s Services

Ariel Arthur
University of Kentucky College of Medicine
Program Coordinator

Courtney Weekley
University of Kentucky Lexington
Clinical Nurse Specialist

Erin Grant
Baptist Health Louisville
Nurse Manager L&D

Alexa Hughes
Granny’s Birthing Initiative
Labor & Postpartum Doula

Dr. John O’Brien
University of Kentucky Healthcare

Laura Dozer
Owensboro Health Regional Hospital
Nursing Professional Development Practitioner

Victoria Johnson
KyPQC
Epidemiologist

Melissa Eggen
University of Louisville
Assistant Professor

Kerrie Myre
Baptist Health Richmond
Nurse L&D/NSY/Mother/Baby

Allison Webb
Harlan ARH Hospital
Labor & Delivery Nurse Manager

Kristen Hands
Baptist Healthcare Lexington

Michael Burns
Wellcare of Kentucky
Sr Manager, Case Management, Maternal Health

Regina Winner
Baptist Healthcare
Neonatal Nurse Practitioner

Landis McDannold
St. Elizabeth Healthcare
Nurse Manager

Tina Carnahan
Advent Health
Obstetrical Clinical Supervisor

Jane Ann Caldwell
King’s Daughters Health System
Senior Director of Clinical Services

Brittany Wells
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