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

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age15+
SponsorKarolinska Institutet

About this trial

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 criteria

This trial does not accept healthy volunteers

Qualifiers

Spontaneous onset of labor

Induction of labort

Gestational week >22+0

Disqualifiers

Planned cesarean section

Intrauterine Fetal Demise

Gestational week <22+0, .

Trial population

The study population consist of all women who fulfill the inclusion criteria at the participating labor wards.

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

  • The care process S-TeamBirth

    Behavioral

    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

    Behavioral

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

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Birth without major interventions or complications

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.

Time frame
From labor ward admission to discharge home, to 4 hours postpartum.
2

Shared intrapartum decision-making

Were you involved in planning and decision-making to your desired extent? Likert type question in the Swedish National Pregnancy Survey

Time frame
PREM data collected 8 weeks after birth

Secondary outcomes

1

Unplanned cesarean section

Mode of birth; caesarean section

Time frame
At delivery/birth
2

Spontaneous vaginal birth

Mode of birth, spontaneous

Time frame
From labour onset to birth of the baby
3

Instrumental birth

Mode of birth, vacuum extraction/forceps

Time frame
From labour onset to instrumental birth performed
4

Postpartum bleeding

Postpartum bleeding in ml, \>500 ml, \>1000 ml

Time frame
From brith of the baby to 4 hours after birth

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Karolinska Institutet

Lead sponsor

Uppsala University Hospital

Collaborator

Region Skane

Collaborator

Region Halland

Collaborator

Region Jämtland Härjedalen

Collaborator

Ariadne Labs

Collaborator

Värmland County Council, Sweden

Collaborator

Region Stockholm

Collaborator