767: Immediate skin-to-skin contact after caesarean delivery to improve neonatal pain tolerance

populations, and delivery volumes in Ohio. Local data abstractors in the initial 39 Week Project were replaced by birth certificate personnel at each site who were educated by Ohio Vital Statistics staff and supported by quality improvement experts. Ohio Birth Certificate data were collected and reported promptly. Rates of scheduled inductions of labor that lacked a documented medical indication were reported in monthly QI webinars. Local teams used IHI techniques to promote compliance with ACOG practice guidelines. RESULTS: Rates of scheduled inductions of labor 39 weeks without a medical indication in the 15 pilot sites decreased while the original OPQC project was ongoing, and declined further when Ohio began reporting hospital rates on a public website. Rates have continued to decline in pilot project sites since project inception (see graph), and accuracy of birth certificate information has improved. CONCLUSION: Collaboration by clinical, administrative, and Ohio Vital Statistics staff to improve the accuracy of birth certificate data has been accompanied by a decline in scheduled births 39 weeks gestation in medium sized maternity units.