The next frontier in improving care for women and babies is the prevention of first cesarean section deliveries. We know that if a woman’s first pregnancy is delivered via cesarean, she has a 90% chance of having repeat cesareans for each successive pregnancy, placing mother and child at greater risk for harm and/or complications. Conversely, if a woman delivers her first pregnancy vaginally, she has a 90% chance of delivering that way for each successive pregnancy, which carries lower risk to mother and baby. This session will focus on the key drivers to reduce cesarean deliveries in nulliparous, term, singleton, vertex pregnancies in an effort to make care for mothers and babies safer.