Length of hospital stay is one of many metrics on which hospital reimbursement is based. When length of stay is higher than the standard metric used by Medicare, Medicaid, and private insurance to determine hospital reimbursement, funds can be reduced or other financial penalties put in place. Orange County Community Hospital has a higher length of stay for the labor and delivery unit than other hospitals in the region. This is driven by a high volume of cesarean deliveries which cost double a vaginal delivery. Therefore, insurance companies hinted they would stop allowing pregnant women access to the hospital for deliveries. With revenue of $52 million in labor and delivery alone, the impact would be devastating. This project discusses the reasons for the high rates at the hospitals and discusses studies that may help reduce the length of stay without impacting patient safety or satisfaction.