Evidence map›Paper›PMID 35233810›Full record

ArticleBirth (Berkeley, Calif.)2022

Improving communication and teamwork during labor: A feasibility, acceptability, and safety study.

Amber Weiseth, Avery Plough, Reena Aggarwal, Grace Galvin, Amber Rucker, Natalie Henrich, Kate Miller, Laura Subramanian, Rebecca Hawrusik, William Berry and 7 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06926504 (TeamBirth - an Intervention to Improve Patient Safety and Person-centered Care During Childbirth), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06926504 recruitingnot on this mapstarted 2024, after this paper: background citation

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

Typeobservational_patient_registrySponsorKarolinska InstitutetRan2024 to 2029Enrolled800,000ConditionsPerson Centered Care, Patient Safety, Patient SatisfactionArmsThe care process S-TeamBirth, S-TeamBirth
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 2 countries.

Amber WeisethAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0001-9424-8354
Avery PloughAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-0049-8190
Reena AggarwalObstetrics and Gynaecology, University College London Hospital, London, UK.ORCID 0000-0003-4818-1907
Grace GalvinAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Amber RuckerAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Natalie HenrichAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Kate MillerAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Laura SubramanianAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Rebecca HawrusikAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
William BerryAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Susan GulloAriadne Labs, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Lauren SpigelAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0001-7846-4890
Kimberly DeverDepartment of Obstetrics and Gynecology, South Shore Hospital, Weymouth, Massachusetts, USA.
Donald LovelessSaint Francis Hospital, Hartford, Connecticut, USA.
Kristin GrahamObstetrics and Gynecology, Overlake Medical Center & Clinics, Bellevue, Washington, USA.
Bettina PaekDepartment of Women's & Children's, EvergreenHealth, Kirkland, Washington, USA.
Neel T ShahAriadne Labs, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-8971-7627
Harvard University · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USEvergreenHealth · USOverlake Hospital Medical Center · USSaint Francis University · USSouth Shore Hospital · USUniversity College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth. Although leading health organizations recommend SDM to address gaps in quality of care, these recommendations are not consistently implemented in labor and delivery.

methodsWe conducted a mixed-methods trial of TeamBirth among eligible laboring patients and all clinicians (nurses, midwives, and obstetricians) at four high-volume hospitals during April 2018 to September 2019. We used patient and clinician surveys, abstracted clinical data, and administrative claims to evaluate the feasibility, acceptability, and safety of TeamBirth.

resultsA total of 2,669 patients (approximately 28% of eligible delivery volume) and 375 clinicians (78% response rate) responded to surveys on their experiences with TeamBirth. Among patients surveyed, 89% reported experiencing at least one structured full care team conversation ("huddle") during labor and 77% reported experiencing multiple huddles. There was a significant relationship between the number of reported huddles and patient acceptability (P < 0.001), suggestive of a dose response. Among clinicians surveyed, 90% would recommend TeamBirth for use in other labor and delivery units. There were no significant changes in maternal and newborn safety measures.

conclusionsImplementing a care process that aims to improve communication and teamwork during labor with high fidelity is feasible. The process is acceptable to patients and clinicians and shows no negative effects on patient safety. Future work should evaluate the effectiveness of TeamBirth in improving care experience and health outcomes.

Indexed as

CommunicationLabor, ObstetricFamilyFeasibility StudiesFemaleHumansInfant, NewbornPatient SafetyPregnancycommunicationlabor and deliveryshared decision making

Identifiers

PMID35233810
PMCPMC9790687
OpenAlexW4214814399

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.