Background: Cesarean section is the most frequent major obstetrical procedure, which carries a higher risk of maternal morbidity and mortality. Implementation of the Safe Reduction of Primary Cesarean Births Safety Bundle should be thoroughly researched in order to reach a remarkable decrease in cesarean section prevalence and promote vaginal delivery.

Aim: To assess the usefulness of patient safety bundle in decreasing prevalence of cesarean section and promoting vaginal delivery.

Subjects and methods: This prospective cohort study was conducted in Department of Obstetrics & Gynecology at Zagazig University Hospitals in Sharkia, Egypt on 180 cases attended to Zagazig University Hospitals. Subjects with primigravida, single fetus and vertex presentation were included in the study. Subjects with multi gravida, multiple feti, fetus with congenital fetal malformation, mal presentation were excluded from the study. Patient safety bundle implemented on all cases who met inclusion criteria.

Results: There was significant multivariate correlations between decreasing CS rate and Response, Systems Learning, Recognition and Prevention, and Readiness.

Conclusion: Patient safety bundle has a good effect in decreasing rate of primary caesarian section leading to decrease maternal morbidity and mortality and improving fetal outcome.