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

Qualifiers

Spontaneous onset of labor

Induction of labort

Gestational week >22+0

Disqualifiers

Planned cesarean section

Intrauterine Fetal Demise

Gestational week <22+0, .

Trial design

Treatments tested in this trial

  • The care process S-TeamBirth
  • S-TeamBirth

Treatment groups

No treatment groups listed

Locations

7
Region Halland, labour ward Halmstad, Halmstad Hospital HalmstadHalland County, Sweden
Region Halland, labour ward Varberg County Hospital VarbergHalland County, Sweden
Department of Women's Health, Labour ward Östersund County Hospital ÖstersundRegion Jämtland Härjedalen, Sweden
Region Skåne, labour wards Lund & Malmö LundSkåne County, Sweden

Sponsors and collaborators

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