RecruitingNCT06926504

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

TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth


Sponsor

Karolinska Institutet

Enrollment

800,000 participants

Start Date

Feb 5, 2024

Study Type

OBSERVATIONAL

Conditions

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

Sex: FEMALEMin Age: 15 Years

Inclusion Criteria3

  • Spontaneous onset of labor
  • Induction of labort
  • Gestational week >22+0

Exclusion Criteria3

  • Planned cesarean section
  • Intrauterine Fetal Demise
  • Gestational week <22+0, .

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Interventions

BEHAVIORALThe 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

BEHAVIORALS-TeamBirth

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


Locations(7)

Region Halland, labour ward Halmstad, Halmstad Hospital

Halmstad, Halland County, Sweden

Region Halland, labour ward Varberg County Hospital

Varberg, Halland County, Sweden

Department of Women's Health, Labour ward Östersund County Hospital

Östersund, Region Jämtland Härjedalen, Sweden

Region Skåne, labour wards Lund & Malmö

Lund, Skåne County, Sweden

Department of Women's Health, labour ward Uppsala University Hospital

Uppsala, Uppsala County, Sweden

Department of Women's Health, Labour ward Karlstad County Hospital

Karlstad, Värmland County, Sweden

Department of Women's Health, Labour ward Solna & Huddinge, Karolinska University Hospital

Stockholm, Sweden

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