An Evaluation of the Team Birth Project

Not Applicable

Completed

Conditions: Communication, Multidisciplinary
Pregnancy Complications
Maternal Complication of Pregnancy
Cesarean Section Complications

Brief Summary: The purpose of this study is to evaluate the feasibility of a pilot project to improve communication and teamwork and to increase vaginal delivery rates at hospital in the United States

Detailed Description: The purpose of this study is to evaluate the feasibility of a pilot project to improve communication and teamwork and to increase vaginal delivery rates at hospital in the United States. TeamBirth is a rigorously designed care process to improve care and SDM across the full care team, which includes the patient, their support person(s), nurse and physician or midwife, by ensuring reliability for best practices in communication and teamwork during labor and delivery. TeamBirth aims to operationalize best practices in communication and clinical care from the major professional organizations in obstetrics, including the American College of Obstetricians \& Gynecologists (ACOG), Society for Maternal-Fetal Medicine (SMFM), American College of Nurse-Midwives (ACNM), and Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), to ensure these practices are occurring consistently throughout labor. Key TeamBirth practices include:

1. Promoting the roles of the laboring patient, nurse, and delivering provider as members of the care team with equally valuable input for SDM,

2. Eliciting the patient's preferences, symptoms, and subjective experiences and integrating them with clinical data to inform patient care plans,

3. Distinguishing statuses and care plans for the mother, fetus, and labor progress, and

4. Setting shared expectations for the next planned evaluation.

Recruitment & Eligibility

Inclusion Criteria

Clinician Participant

Exclusion Criteria

Implementation Team Participant Inclusion Criteria:

Champions, super-users and others who have been involved in the implementation of "Team Birth Project" at a study site

Implementation Team Participant Exclusion Criteria:

Patient Participant Inclusion Criteria:

18 years or older
Live birth. Includes: spontaneous or induction of labor; Vaginally, with an instruments (forceps / vacuum), or unscheduled cesarean delivery
Patient at a study site piloting "Team Birth Project"

Patient Participant Exclusion Criteria:

Arm && Interventions

Group	Intervention	Description
Implemented Health Facility	Exposed study site	Health facility that has piloted the "Team Birth Project"

Primary Outcome Measures

Name	Time	Method
Percent of Patients With the Role They Wanted in Decision-Making	The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days). Patients were only offered the survey once within the window.	At the project midline, percent of patients who definitely or somewhat had the role they wanted in making decisions about their labor, among patients who wanted to make collaborative decisions with clinicians.
Percent of Clinicians Recommending TeamBirth Project	The window begins on the 180th day to the 270th day from the start date at each site (180 days to 270 days). If clinicians complete more than one survey in the window, we will use the first one.	At the project midline, percent of clinicians (physicians, midwives, and nurses) who would definitely or probably recommend the Team Birth project tools for use in other labor and delivery units.

Secondary Outcome Measures

Name	Time	Method

Locations (4): South Shore Hospital
🇺🇸
Weymouth, Massachusetts, United States
Saint Francis Hospital
🇺🇸
Tulsa, Oklahoma, United States
EvergreenHealth Medical Center
🇺🇸
Kirkland, Washington, United States
Overlake Medical Center
🇺🇸
Bellevue, Washington, United States