Team Birth Project

Nannette Landry, CNM, fills out the Labor and Birth Planning Board with Shawn and Patricia Williams at South Shore Hospital’s McKim Family Birthing Center. Photo by Ana M. Reyes

The centerpiece of the Delivery Decisions Initiative, the Team Birth Project is a groundbreaking approach to clinical care that aims to overcome the systemic barriers that prevent clicicans from making reliable, consistent decisions that support women’s preferences. The systems-level tools, training, and implementation strategies are designed to foster teamwork, communication, and empowerment of women and families with the aim to reducing overtreatment and ensuring every woman receives appropriate care.

The childbirth team can include nurses, midwives, obstetricians, the birthing woman and her family, anesthesiologists, neonatologists, doulas and other specialists. Each member of the team has access to different information regarding what is happening during labor. Nonetheless, there is currently no well-defined process to make sure that every member of her team is considering the same information at the same time, with a shared mental model when important labor management decisions need to be made.

Following four years of research and a one-year design effort involving experts from across disciplines, we identified behaviors that we believe enable high performing teams to take the best possible care of women in labor. The Team Birth Project’s tools support these behaviors and operationalize best practices in communication and clinical care.

If you’d like to know more about this project, please contact us at deliverydecisions@ariadnelabs.org.