Highlights:

• The U.S. cesarean birth rate was 32.4% in 2023 and continues to increase each year.
• Avoiding morbidity and mortality risk associated with cesarean birth is critical.
• RN staffing during labor and birth is linked to cesarean rates.
• RN staffing aligned with national standards enhances vaginal birth outcomes.
• CMS should establish regulatory standards for registered nurse staffing for childbirth.