NCT03529214

An Evaluation of the Team Birth Project

A Program Evaluation to Measure the Feasibility of the Team Birth Project

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 5,217 (actual)
• Sponsor: Harvard School of Public Health (HSPH) · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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.

Conditions

• Pregnancy Complications
• Cesarean Section Complications
• Maternal Complication of Pregnancy
• Communication, Multidisciplinary

Interventions

Type	Name	Description
BEHAVIORAL	Exposed study site	The study sites will pilot the Team Birth Project designed to improve team communication (between providers, as well as providers and patients). The project includes three key implementation steps that involve: preparing local sites for the implementation of the project; training and coaching on the use of the tools; and sustainment through peer coaching and data feedback. A mixed methods approach will be used to assess acceptability and feasibility, including: (1) clinician surveys and interviews, (2) implementation team focus groups, and (3) patient surveys.

Timeline

• Start date: 2018-05-29
• Primary completion: 2019-09-30
• Completion: 2019-12-31
• First posted: 2018-05-18
• Last updated: 2025-05-14
• Results posted: 2025-05-14

Locations

4 sites across 1 country: United States