Abstract
Maternity care organizations, including the American Congress of Obstetricians and Gynecologists, have identified reducing the rate of primary cesarean births as an urgent health-care priority. Particular emphasis is placed on reducing the cesarean rate for nulliparous women who are at term with a singleton baby in the vertex position. The California Maternal Quality Care Collaborative recently published an evidence-based, comprehensive Toolkit to Support Vaginal Birth and Reduce Primary Cesareans for this population. This article highlights the recommended strategies from the Toolkit of particular interest to childbirth educators.