Obstetric (Maternity) Care

Read Our Report:

The Bree Collaborative Obstetric Care Report and Recommendations (Adopted August 2012)

We chose to address maternity care and childbirth as our first topic in September 2011 due to the high variation in the use of procedures like cesarean sections (C-sections). Nationally, and in Washington State, less variation is associated with better results for mothers and infants and lower costs to patients and the health care system.

The final report has three primary goals:

  • Elective Deliveries. Eliminate all elective deliveries before the 39th week of pregnancy (for which there is no appropriate documentation of medical necessity).
  • Elective Inductions of Labor. Decrease elective inductions of labor between 39 and up to 41 weeks. 
  • Primary C-sections. Decrease unsupported variation among Washington hospitals in the C-section rate for women who have never had a C-section.

To reach these goals, the report recommends:

  • Greater collection, reporting, use of, and transparency of data
  • Greater patient and provider education
  • New models of paying for health care to support the three goals.

This workgroup met from December 2011 to July 2012.

Supporting Materials:

Letter from Health Care Authority Accepting OB Report

Workgroup Members

Member Title Organization
Theresa Helle Manager, Health Care Quality & Efficiency Initiatives The Boeing Company
Ellen Kauffman MD OB-COAP Medical Director Foundation for Health Care Quality
Robert Mecklenburg MD Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Carl Olden MD Family Physician Pacific Crest Family Medicine, Yakima
Mary Kay O’Neill MD, MBA Executive Medical Director Regence Blue Shield
Dale Reisner MD Obstetrician/Gynecologist Swedish Hospital Perinatologist
Terry Rogers MD Chief Executive Officer Foundation for Health Care Quality
Roger Rowles MD Obstetrician/Gynecologist Yakima Memorial OB-GYN