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Use of TeamBirth to Promote Shared Decision-Making during Childbirth
Nursing for Women'S Health
|June 1, 2026
Summary
The TeamBirth intervention significantly improved shared decision-making (SDM) during childbirth for all participants. This evidence-based approach enhanced patient autonomy, particularly for Black and Hispanic women, demonstrating its effectiveness in diverse populations.
Area of Science:
- Obstetrics and Gynecology
- Healthcare Quality Improvement
- Patient-Centered Care
Background:
- Effective communication and teamwork are crucial during childbirth.
- Improving shared decision-making (SDM) enhances the birthing experience.
- Existing communication practices in labor and delivery units require optimization.
Purpose of the Study:
- To implement and evaluate the TeamBirth intervention.
- To enhance SDM for birthing individuals.
- To assess the impact of TeamBirth on patient autonomy.
Main Methods:
- Quasi-experimental, pre/post implementation design.
- Utilized the TeamBirth intervention (huddles, shared planning board).
- Collected data using the Mother's Autonomy in Decision Making scale (N=286).
Main Results:
- Mean Mother's Autonomy in Decision Making scores increased by 15.19% (p < .001).
- Significant improvements observed across all racial/ethnic groups.
- Greatest improvements noted for Black participants (34.03%) and Hispanic Spanish-speakers (24.48%).
Conclusions:
- TeamBirth provides a structured approach to increase patient engagement in childbirth decisions.
- The intervention systematically promotes SDM, mitigating implicit bias.
- TeamBirth benefits birthing individuals across diverse racial and ethnic backgrounds.
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