TeamBirth for Perinatal Decision Making

(I'M SPEAKING Trial)

Overseen By Constandina Kapogiannis

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Endeavor Health

Disqualifiers: Non-English/Spanish, Under 18, Stillbirth, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

2200 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a program called TeamBirth, which aims to enhance decision-making and experiences during labor and delivery. The goal is to reduce unnecessary cesarean births, particularly for first-time Black mothers, and to ensure patients feel respected and involved in their care decisions. Participants will either receive TeamBirth training or continue with usual care. Those who have recently delivered a baby after labor and speak English or Spanish might be suitable for this trial. As an unphased trial, this study provides a unique opportunity to contribute to the improvement of maternal care practices.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the TeamBirth protocol is safe for perinatal decision making?

Research shows that TeamBirth, a method to improve childbirth experiences, emphasizes collaboration and effective communication. Studies have found that using TeamBirth during labor links to higher levels of patient trust and independence, meaning patients felt more involved and respected in their care.

Regarding safety, TeamBirth is not a drug or medical procedure but a communication improvement method. No reports indicate harmful effects from using this approach. Instead, it aims to reduce unnecessary medical interventions and enhance the childbirth experience. It appears well-received, with positive outcomes for patients. ^{1 2 3 4 5}

Why are researchers excited about this trial?

TeamBirth is unique because it focuses on shared decision-making in labor through team huddles, which is a more collaborative approach compared to the usual care methods that often don't involve structured team communication. Researchers are excited about this trial because it could lead to better communication between healthcare providers and expectant mothers, potentially improving outcomes during labor and delivery. This method emphasizes team dynamics and patient involvement, which could enhance the decision-making process and create a more supportive birthing environment.

What evidence suggests that TeamBirth is effective for improving perinatal decision-making?

Research has shown that TeamBirth, which participants in this trial may receive, improves communication and teamwork during labor. Studies have found that it boosts patient trust and independence, making patients feel more involved in their care. One study discovered that using TeamBirth improved decision-making scores by 14%, with the most significant benefits seen in Black patients. These improvements suggest that TeamBirth can lead to better experiences and outcomes for patients during childbirth. ^{1 2 3 4 6}

Who Is on the Research Team?

Beth Plunkett

Principal Investigator

Endeavor Health

Ann Borders

Principal Investigator

Endeavor Health

Are You a Good Fit for This Trial?

This trial is for individuals who have given birth to a live-born infant after laboring, are aged 18 or older, and speak English or Spanish. It focuses on improving decision-making during labor.

Inclusion Criteria

I have given birth after going through labor.

I am 18 years old or older.

I speak English or Spanish.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Implementation of the TeamBirth program using a train-the-trainer model to enhance shared decision-making in labor and delivery units

6 months

Ongoing training sessions and team huddles

Follow-up

Participants are monitored for changes in NTSV cesarean birth rates and shared decision-making effectiveness post-implementation

3 months

What Are the Treatments Tested in This Trial?

Interventions

• TeamBirth

Trial Overview The study tests TeamBirth, a quality improvement program aiming to reduce unnecessary cesarean births (especially in Black birthing people), enhance shared decision-making, and improve patient care experiences during labor.

How Is the Trial Designed?

Group I: Intervention TeamBirth Experimental Treatment 1 Intervention

shared decision making in labor using team huddles

Group II: Usual Care Active Control 1 Intervention

Usual Care

Who Is Running the Clinical Trial?

Endeavor Health

Lead Sponsor

Trials

135

Recruited

742,000+

NorthShore University HealthSystem

Lead Sponsor

Trials

134

Recruited

740,000+

University of Illinois at Chicago

Collaborator

Trials

653

Recruited

1,574,000+

University of Chicago

Collaborator

Trials

1,086

Recruited

844,000+

University of Michigan

Collaborator

Trials

1,891

Recruited

6,458,000+

Ariadne Labs

Collaborator

Trials

3

Recruited

4,300+

Northwestern University

Collaborator

Trials

1,674

Recruited

989,000+

Citations

1. ariadnelabs.org ariadnelabs.org/delivery-decisions-initiative/teambirth/

TEAMBIRTH - Ariadne Labs TeamBirth is an industry-standard process to improve communication, teamwork, and shared decision-making throughout the birthing process.

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9790687/

Improving communication and teamwork during labor TeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth.

3. sciencedirect.com sciencedirect.com/science/article/pii/S0884217525001832

Effect of TeamBirth on Patient Trust and Autonomy During ... Experiencing a TeamBirth huddle during labor was associated with increased patient trust and autonomy scores in our study.

4. clinicaltrials.gov clinicaltrials.gov/study/NCT06828406

Improving Safety, Patient Experience and Equity Through ... TeamBirth uses a train-the-trainer model to implement patient-participatory shared decision-making on Labor and Delivery (L&D) units, with the goal of ...

5. jognn.org jognn.org/article/S0884-2175(25)00131-5/fulltext

Promoting Shared Decision-Making During Childbirth Overall, the Mothers Autonomy in Decision-Making scores improved by 14% with the use of TeamBirth. The improvement was greatest for Black patients (an increase ...

6. opqic.org opqic.org/teambirth-is-published-in-birth-issues-in-perinatal-care-improving-communication-and-teamwork-during-labor-a-feasibility-acceptability-and-safety-study/

TeamBirth is published in Birth: Issues in Perinatal Care TeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth.