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

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.

NCT Number	NCT06828406
Lead Sponsor	Endeavor Health Collaborators: University of Illinois at Chicago, University of Chicago, Ariadne Labs, University of Michigan, Northwestern University, Patient-Centered Outcomes Research Institute
Conditions	Perinatal Decision Making
Enrollment	2,200 participants
Start Date	2025-04-29
Primary Completion	2027-10-31 (estimated)
Study Completion	2029-07 (estimated)
Updated on ClinicalTrials.gov	2026-07-15