About OHA's 39+ Weeks Hospital Initiative The American College of Obstetricians and Gynecologists, or ACOG, promotes a standard of waiting at least 39 completed weeks gestation prior to scheduling a delivery for vaginal or C-section, unless otherwise medically indicated. Compared to spontaneous labor (labor that is not induced), scheduled inductions result in more C-sections and longer hospital stays for moms. Repeat scheduled C-sections before 39 weeks gestation also result in higher rates of adverse respiratory outcomes, mechanical ventilation, sepsis and hypoglycemia (low blood sugar) for the newborn. OHA is an active participant with the Ohio Perinatal Quality Collaborative and has been working to reduce EED in Ohio since 2007. Starting with Ohio's largest maternity and pediatric hospitals, this public and private collaboration has made dramatic improvements in this measure and has expanded this effort to all maternity hospitals in 2014. While significant progress has been made, opportunity for continued improvement exists. Continuing to reduce the rate of EEDs is one of OHA's priority areas of focus in an effort to reduce Ohio's infant mortality rate. This hospital-led initiative focuses on adopting scheduling practices that align with eliminating EEDs; promoting physician accountability, transparency and discussion; and providing patient and community education.