Improving Safety, Patient Experience and Equity Through Shared Decision-making Huddles in Labor

Improving Safety, Patient Experience, and Equity Through Shared Decision-making Huddles in Labor (I'M SPEAKING)

To evaluate the effectiveness of an existing quality improvement (QI) training program known as TeamBirth, using a randomized stepped-wedge hybrid type II study design, to (a) decrease nulliparous term singleton vertex (NTSV) cesarean birth (CB) across all birthing people, and specifically for Black birthing people, and (b) increase shared decision-making (SDM), (c) improve patient experience of respectful care. 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 decreasing unwanted and unnecessary interventions and improving patient experiences and outcomes for labor and birth.

Inclusion Criteria:

• Age 18 or older
• English or Spanish speaking
• Gave birth to a live-born infant after laboring

Exclusion Criteria:

• Speaks a language other than English or Spanish
• Under the age of 18
• Gave birth to a nonliving infant
• Cesarean delivery without labor
• Individuals who have already completed the ILPQC PREM or ILPQC PREM+ survey during the current hospital admission will be excluded