Elliott Main MD

Medical Director of the California Maternal Quality Care Collaborative; Professor of OB/GYN at Stanford. see @CMQCC @StanfordMed

[Elliott Main MD @ElliottMain]

True and effective!
@AmyKaleka @cmqcc @AnnFamMed

[Elliott Main MD @ElliottMain]

@AnnFamMed @EmilyVangompel Obstetricians now perform cesarean sections on Black women at 5-6% points higher rates than White women on average, BUT in some hospitals the rates are the same! Again suggesting it is how the labor is supported makes a big difference.

[Elliott Main MD @ElliottMain]

@AnnFamMed @EmilyVangompel i am not in favor of the VBAC calculator in general as it essentially leads to exclusion of many people who would otherwise have a successful VBAC. the bottom line is it is all about how you together manage the labor that leads to higher rates of CS.

[Elliott Main MD @ElliottMain]

@AnnFamMed @cmqcc @DrSusPhD @EmilyVangompel A key step is develop a common belief that vaginal birth should be supported and to empower the nursing staff to take over labor support.

[Elliott Main MD @ElliottMain]

@AnnFamMed @EmilyVangompel @DrSusPhD That in turn tells us that CS rates are indeed changeable!!

[Elliott Main MD @ElliottMain]

@AnnFamMed @EmilyVangompel @DrSusPhD on a more global level, this study and prior ones tell us that the culture and attitudes of staff on L&D are responsible for much of the variation among units