An Evaluation of the Team Birth Project

President and Fellows of Harvard College

Status: Completed

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

Treatments: Behavioral: Exposed study site

Study type: Interventional

Funder types: Other

Identifiers

NCT03529214

IRB18-0550

Details and patient eligibility

About

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

Full 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.

Enrollment: 5,217 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Clinician Participant Inclusion Criteria:

• All clinicians who have practice privileges at a study site

Clinician Participant Exclusion Criteria:

• None

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:

• None

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:

• Under 18 years old
• Scheduled cesarean delivery
• Experienced intrapartum, stillbirth, or neonatal death

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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5,217 participants in 1 patient group

Implemented Health Facility

Other group

Description:

Health facility that has piloted the "Team Birth Project"

Treatment:

Behavioral: Exposed study site