option b: Promoting Spontaneous Progress in Labor Bundle

option B bundle.JPG

Promoting Spontaneous Progress in Labor Bundle

The OBI Promoting Spontaneous Progress in Labor Bundle is adapted from the American College of Nurse-Midwives Healthy Birth Initiatives Reducing Primary Cesareans Bundle: Promoting Spontaneous Progress in Labor. The OBI Promoting Spontaneous Progress in Labor Bundle is focused on implementing approaches that support spontaneous progress of labor during the first stage of labor. The ‘mini bundle’ is tailored to labor progress and identification of labor abnormalities. This bundle is in direct alignment with the national AIM Safe Reduction of Primary Cesarean Birth bundle.

Wondering how to operationalize?

See the Implementation Guide.

Want to learn more?

Watch the webinar of OBI Co-Director, Lisa Kane Low, PhD, CNM speaking on the Option B Promoting Spontaneous Progress in Labor Bundle. View the Slides.


The Option B project planning tool was created to assist you in your work.  We hope you will find them useful.  If you prefer to see the list of survey questions, click here. Your project specific excel document can be used until the registry platform (it is currently being built) is ready to support a similar tracking and reporting tool.  It is meant to be a guide for the planning an implementation of your OBI project, please feel free to edit and re-order as needed. The green cells are suggested items to be working on currently, including goal dates for completion.  We realize the remainder of the project will be managed a bit differently at each site.  Please customize the document according to the needs of your project.


Q: Can you help us understand how to create and establish policies for Option B?

A: In that context, policy documentation can be part of the structure evaluation such as surveys. We may also ask you to share your policy as a resource.

Q: When we’re talking about policy, we aren’t talking literally about policy, right?

A: When OBI talks about policy, we are talking about making sure you have these systems in place and are going to implement them. We want to make sure that current policies are not in opposition to the suggested practice change. Make sure you are looking at what policies you already have in place and think about how you can work from there and also who else you might need to get to come to the table to make things happen.


Contact Clinical Site Engagement Coordinator, Jill Brown, RN at jillbrow@med.umich.edu or (734) 763-2740.