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NCT06828406NARecruitingAccepts Healthy Volunteers

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

Endeavor Health

Start Date

4/29/2025

Completion Date

7/1/2029

Summary

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.

Eligibility Criteria

Age Range: 18 years to No maximum

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

Interventions

BEHAVIORAL

TeamBirth

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Conditions

Perinatal Decision Making

Locations

Endeavor Health Northwest Community Hospital

Arlington Heights, Illinois 60005

United States

Rush Copley Medical Center

Aurora, Illinois 60504

United States

Loyola MacNeal Hospital

Berwyn, Illinois 60402

United States

Memorial Hospital of Carbondale

Carbondale, Illinois 62901

United States

Mount Sinai Hospital

Chicago, Illinois 60608

United States

Northwestern Memorial Hospital

Chicago, Illinois 60611

United States

John H Stroger Memorial Hospital

Chicago, Illinois 60612

United States

Rush University Medical Center

Chicago, Illinois 60612

United States

UI Health

Chicago, Illinois 60612

United States

Saint Mary of Nazareth Hospital

Chicago, Illinois 60622

United States

Endeavor Health Swedish Hospital

Chicago, Illinois 60625

United States

University of Chicago Hospital

Chicago, Illinois 60637

United States

Endeavor Health Elmhurst Hospital

Elmhurst, Illinois 60126

United States

Endeavor Health Evanston Hospital

Evanston, Illinois 60201

United States

Endeavor Health Highland Park Hospital

Highland Park, Illinois 60035

United States

UChicago Medicine AdventHealth Hinsdale

Hinsdale, Illinois 60521

United States

Ascension Saint Alexius Medical Center

Hoffman Estates, Illinois 60169

United States

Riverside Medical Center

Kankakee, Illinois 60901

United States

Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital

Lake Forest, Illinois 60045

United States

Loyola University Medical Center

Maywood, Illinois 60153

United States

Endeavor Health Edward Hospital

Naperville, Illinois 60540

United States

OSF St. Francis Medical Center

Peoria, Illinois 61637

United States