Related Experiment Video
Updated: Jun 3, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Use of TeamBirth to Promote Shared Decision-Making during Childbirth
Objective:
To describe the implementation and evaluation of an evidence-based intervention-TeamBirth-to improve shared decision-making (SDM) during childbirth.
Design:
An evidence-based practice project using a pre-/post-implementation, quasi-experimental design.
Setting/Local Problem:
An urban, tertiary care, teaching hospital in Colorado. The labor and delivery unit where the project was implemented averaged 350 births per month, and there was a desire to improve communication practices with patients during childbirth.
Participants:
Individuals, 18 years or older, who gave birth during the project period, spoke English or Spanish, and voluntarily completed the data collection questionnaire before discharge from the hospital (N = 286).
Methods:
TeamBirth is an evidence-based intervention using huddles and a shared planning board during childbirth to encourage effective communication and teamwork. It provides a standardized process to allow for the consistent implementation of SDM for all birthing people. The project collected demographic information and pre-/post-intervention data using the validated and reliable Mother's Autonomy in Decision Making scale over an 18-week time frame.
Results:
Overall, mean Mother's Autonomy in Decision Making scale scores improved by 15.19% (p < .001) with the use of TeamBirth. The improvement was greatest for participants who identified as Black (34.03%, p < .001) and for Hispanic participants who spoke Spanish (24.48%, p < .001), with all racial/ethnic groups experiencing an improvement in scores.
Conclusion:
The implementation of TeamBirth provides a structure to engage birthing people in the decision-making process regarding their childbirth. Its systematic approach mitigates implicit bias when promoting SDM to benefit birthing people across all racial and ethnic groups.
Related Concept Videos
01:18Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.
01:14Fetal Circulation
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
01:14Decision Making: Traditional Method
First, a specific claim about the population parameter is decided based on the research question and is stated in a simple form. Further, an opposing statement to this claim is also stated. These statements can act as null and alternative hypotheses, out of which a null hypothesis would be a...
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:30Ethical Dilemmas II