Environmental Context
This quality improvement project used early tact the operating(OR) and during recovery to in room increase the rate of early STS among healthy infants born by cesarean. It took place at a large, urban, acute care reaching hospital in California. The hospital's birth consists of combined labor, birthing, and center a postpartum unit, with separate level III nursery. The a birth has 1,300 births per year and a 20% cesar center ean birth rate, resulting in about 22 cesarean births per month. The birth center serves culrurally diverse wom en and infants: 58% Hispanic, 13% African American, 12% Asian or Pacific Islander, and 6% ire.Half of the women are single ineithet married nor partnered and the majority(88%) live at or below 150% of the federal poverty level. Breastfeeding support at the birth center is a high prioriry, as evidenced by its Baby Friendly hospital accreditation. As a Baby-Friendly hospital it follows the Ten Steps for successful Breast feeding, developed by the World Health Organization(WHO) and the United Nation's Children Fund(UNI CEF. However, infants born by cesarean had notably lower exclusive b rates compared to infants who were born vaginally.