Birth Plans Beyond Documentation: Improving Maternal Satisfaction

Presenter Information

Advisor(s)

Sarah Bassitt

Confirmation

1

Document Type

Poster

Location

ONU McIntosh Center; Activities Room

Start Date

24-4-2026 11:00 AM

End Date

24-4-2026 11:50 AM

Abstract

Problem: Birth plans are commonly used by laboring women to make their preferences clear throughout labor, delivery, and newborn care. Often, they are documented in the medical record without a structured discussion between the patient and their care team. This lack of clear communication limits shared decision-making and negatively affects maternal satisfaction following the birth experience. Inconsistent participation in a birth plan discussion during labor admission represents a gap in patient-centered maternity care.

Purpose: The purpose of this project is to examine whether a structured admission birth plan huddle between the patient and care team improves laboring women’s perceptions of shared decision-making and overall satisfaction compared with routine birth plan documentation alone.

Methods: This study will utilize a randomized controlled trial design. The population will consist of primiparous and multiparous laboring women admitted to a labor and delivery unit who have a pre-written birth plan. Using several different hospitals within the same hospital system, three intervention hospitals and three control hospitals will be utilized. The intervention involves a "birth plan huddle," a face-to-face structured discussion between the patient, nurse, and provider at the time of admission. Perceptions of shared decision-making (SDM) and satisfaction will be measured using the Childbirth Experience Questionnaire (CEQ) and a validated SDM scale following delivery and prior to discharge.

Conclusion: Implementing a structured birth plan huddle will enhance communication, promote shared decision-making, and improve maternal satisfaction throughout the childbirth experience. This project will demonstrate the value of a nursing-led intervention that supports patient-centered care in labor and delivery settings. Findings from this study could improve patient satisfaction and guide institutional policies that would improve communication in maternity care.

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Apr 24th, 11:00 AM Apr 24th, 11:50 AM

Birth Plans Beyond Documentation: Improving Maternal Satisfaction

ONU McIntosh Center; Activities Room

Problem: Birth plans are commonly used by laboring women to make their preferences clear throughout labor, delivery, and newborn care. Often, they are documented in the medical record without a structured discussion between the patient and their care team. This lack of clear communication limits shared decision-making and negatively affects maternal satisfaction following the birth experience. Inconsistent participation in a birth plan discussion during labor admission represents a gap in patient-centered maternity care.

Purpose: The purpose of this project is to examine whether a structured admission birth plan huddle between the patient and care team improves laboring women’s perceptions of shared decision-making and overall satisfaction compared with routine birth plan documentation alone.

Methods: This study will utilize a randomized controlled trial design. The population will consist of primiparous and multiparous laboring women admitted to a labor and delivery unit who have a pre-written birth plan. Using several different hospitals within the same hospital system, three intervention hospitals and three control hospitals will be utilized. The intervention involves a "birth plan huddle," a face-to-face structured discussion between the patient, nurse, and provider at the time of admission. Perceptions of shared decision-making (SDM) and satisfaction will be measured using the Childbirth Experience Questionnaire (CEQ) and a validated SDM scale following delivery and prior to discharge.

Conclusion: Implementing a structured birth plan huddle will enhance communication, promote shared decision-making, and improve maternal satisfaction throughout the childbirth experience. This project will demonstrate the value of a nursing-led intervention that supports patient-centered care in labor and delivery settings. Findings from this study could improve patient satisfaction and guide institutional policies that would improve communication in maternity care.