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
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