Safe Reduction of Primary Cesarean Section Committee

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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