This is the tool box of materials for hospital teams working on the PROVIDE Initiative. New items are added regularly; We suggest bookmarking this page!
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The PROVIDE Advisory Group has developed a set of materials specific to Florida and adopted the California Maternal Quality Care Collaborative’s (CMQCC) Toolkit to Support Vaginal Birth and Reduce Primary Cesareans for use in the PROVIDE QI Initiative.
The FPQC tools and recommendations are dynamic and will be revised as evidence-based information becomes available.
Additional Implementation Tools:
Note: Because of concerns with interpretation of the terminology related to fetal heart rate monitoring and actions that could result, the PROVIDE advisory group has developed the following statement to facilitate standardized communication.
One difference between the California and the Florida toolkit surrounds the use of the term “fetal distress”. ACOG and other maternal health professional groups have discouraged the use of this term (ACOG Committee Opinion Number 326, December 2005) because the term is imprecise, non-specific, and has low predictive value related to the infant’s birth condition. The recommendation for PROVIDE is to use the term “fetal heart rate concerns or indications” with additional descriptors such as repeated variable decelerations, fetal tachycardia or bradycardia, late decelerations, or low biophysical profile.
The FPQC tools developed for this project will incorporate this change throughout in order to provide clarity and consistency.
Supporting Documentation Resources:
Pre-Cesarean Checklists, also known as Labor Dystocia Checklists, have been shown to have an enormous impact on successfully reducing cesarean rates in hospitals working on the issue across the country.
Patient Education Resources on Induction are in the "Patient Education" dropdown below.
See Labor Dystocia Resources below for more information on promoting labor progress.
Second Stage Arrest:
Vaginal and Cesarean Birth Pro/Con Rack Cards (FPQC)
My Birth Matters: C-Section Consumer Education Campaign from CMQCC, California Health Care Foundation, and Consumer Reports. *This page contains videos, social media messages, and printables for professional use (English and Spanish).*
On Induction and Cesarean:
Supporting Labor and Progress:
Other Topics and General Handouts:
Great Websites to Explore and Share:
An additional list of tools are included in the CMQCC Toolkit to Support Vaginal Birth (See Appendix C and Appendix D)
PROVIDE 2.0 Mid-Project Meeting (September 2021):
PROVIDE 2.0 Mid-Project Meeting (2020):
PROVIDE 2.0 Webinars are archived here.
PROVIDE 2.0 Orientations (2019):
PROVIDE 2.0 Kick Off Meeting (October 17 2019):
PROVIDE 1.0 Webinars are archived here.
PROVIDE 1.0 (2018) Mid-Project Meeting:
Labor Support Skills to Promote Vaginal Birth Workshop:
Labor Support Skills Workshop Slides (handouts v. 2018)
Recordings of the Labor Support Skills Workshop lecture modules are available upon request. These include: