PURPOSE:
This oral presentation seeks to demonstrate how TeamBirth is a scalable solution that can be adapted in high-income countries, as well as LMICs, to improve respectful maternity care for women giving birth.

DISCUSSION:
TeamBirth was developed by Ariadne Labs, a global leader in designing scalable, systems-level solutions that aim to reduce suffering and save lives. As our solutions advance through the three stages of the Ariadne Labs Arc—Design, Test, Spread—we collaborate with partners worldwide, iterate with new knowledge, and refine our approaches. TeamBirth is a process innovation designed to improve interdisciplinary communication and teamwork in childbirth care. This model theorizes that structured, shared decision-making and teamwork facilitated by a labor and delivery planning board will enhance safety and dignity in childbirth.

EVIDENCE WHERE RELEVANT:
Implementation in Sweden, Switzerland, and Nepal demonstrate that a human-centered design approach can be leveraged to maintain the core components of TeamBirth, while meeting the cultural/contextual needs of users in birth settings outside of the United States. In Sweden, midwife researchers at the Karolinska Institutet deployed a multi-phase approach to adapt, implement, and analyze the effectiveness of TeamBirth in two pilot hospitals, followed by seven additional sites for evaluation. In Switzerland, midwife leaders from Zurich University of Applied Sciences are leading partnerships with hospitals to make contextual adaptations and conduct pilot testing. In Nepal, Ariadne Labs is partnering with Laerdal Global health to co-design an implementation based on user-feedback from midwives and birthing families in Kathmandu to pilot TeamBirth at two midwife-led birth units.

KEY MESSAGE:
The international adaption and implementation of TeamBirth in varied settings demonstrates its potential to improve respectful maternity care, clinical teamwork, safety, and dignity through patient-centered communication. A human-centered design phase pre-implementation with healthcare professionals, including midwives and clinicians, allows for TeamBirth to be adapted, proving to be acceptable and feasible for clinicians and childbearing families globally. Poster session 2 (Group A)