TeamBirth-SWE - a Care Process to Improve Safe and Person-centered Intrapartum Care

Condition(s) studied

Investigational drug(s) / intervention(s)

The care process S-TeamBirth: The intervention consists of the entire care team conducting huddles together with the birthing woman and her partner to plan the care, using the S-TeamBirth whiteboard to communicate and visualize decisions

S-TeamBirth: Involving the entire care team including the woman and her partner in planning the care using team huddles and the S-TeamBirth whiteboard

Study summary

The primary objective of this project is to enhance understanding of intrapartum patient safety and person-centered care through the evaluation of an intervention designed to improve team communication and patient involvement during childbirth, thereby positively impacting maternal and infant health.

Despite various efforts to improve safety in intrapartum care, women and their infants are still harmed. Most adverse events within intrapartum care stem from communication and teamwork failures. Despite national and international recommendations, few interventions target patient safety by incorporating person-centered care.

This project will investigate the effectiveness and implementation of the TeamBirth care process developed by Ariadne Labs Boston, U.S. to improve communication and teamwork among caregivers and women during childbirth. The Swedish version of this care process (TeamBirth-SWE) was adapted, tested, and piloted at Karolinska University Hospital during 2021.

Hypothesis: We hypothesize that the TeamBirth-SWE intervention will have a positive impact on interprofessional teamwork, communication, information sharing, patient involvement, and shared decision-making during labor and birth. These improvements are expected to result in improved maternal and infant outcomes, process measures i.e., patient safety climate, interprofessional collaboration, and improved patient reported measures such as patient involvement, shared-decision-making, and satisfaction with care.

Eligibility

Primary outcome measure(s)

• Birth without major interventions or complications — From labor ward admission to discharge home, to 4 hours postpartum.
  The primary outcome is a composite measure including provided by the Swedish Pregnancy register and includes the following variables: no operative birth, no postpartum haemorrhage (\>1000 ml), no severe perineal trauma, and a 5-minute Apgar score \>=7.
• Shared intrapartum decision-making — PREM data collected 8 weeks after birth
  Were you involved in planning and decision-making to your desired extent? Likert type question in the Swedish National Pregnancy Survey

Trial sites (7)

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