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During labor things said can get lost in the rush – like a patient not knowing an incoming doctor’s name at the start of a new shift. Or sometimes patients worry about where their doctors are and if their personal concerns during delivery are being addressed.

It’s why a program called TeamBirth has been implemented at Dartmouth Health’s member hospitals with labor and delivery services.

TeamBirth was developed by Ariadne Labs, a health systems research center with the Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health. It addresses the health complications, mistreatment and high maternal mortality rates seen in the United States.

According to Ariadne Labs, 80 to 90% of patient harm comes from miscommunication between doctors and patients, with higher risks for Black and Indigenous people.

New Hampshire is the fifth state in the country to implement TeamBirth to all of its hospitals.

Dr. Emily Donelan is the medical director of the birthing pavilion at Dartmouth Hitchcock Medical Center, which launched their plan earlier this month. She said TeamBirth involves doctors, patients and their support teams, like doulas and midwives, writing out birth plans and important information on a whiteboard. It’s a way to make sure everyone is on the same page and patients feel empowered.

“I think the real goal is to prevent the telephone,” Donelan said. “That often happens in hospitals where the patient says something to the nurse, and then the nurse comes to the doctor, and then the doctor goes to the patient, but they’re not all in the same room simultaneously, and things can get lost.”

The whiteboard is just a tool for discussions patients and doctors will have with each other as labor begins. Donelan said that at various points during the delivery, especially when major decisions are made, doctors and patients will huddle at the patient’s bedside and discuss steps and options. The aim, she said, is to focus on the patient.

Doctors will ask the patient’s preferred name, how they want themselves and their baby to be treated, and encourage patients to use the whiteboard themselves – writing down questions, concerns and important information.

“So really eliciting their goals, their hopes, their dreams for their labor to make sure that before we jump into the plan and the decision making, we’re really centering what they want from this experience and hearing their voice first,” Donelan said.

Foundation for Healthy Families, the New Hampshire Perinatal Quality Collaborative and Unravel Healthcare are spearheading the TeamBirth initiative which is expanding to all hospitals with a labor and delivery unit in the state.

Exeter Hospital started implementing TeamBirth in 2024.

So far, the hospital has received positive feedback from patients who say they’ve felt heard and respected, says April St. Hilaire, director of The Family Center, The Center for Reproductive Care & Maternal Fetal Medicine at Exeter Hospital.

“Even in patients that don’t have the best outcomes, so to speak, like, let’s say they end up with a C-section versus a vaginal delivery, which happens, they still felt like they had a wonderful experience and were very well cared for,” St. Hilaire said.

St. Hilaire said it’s the shared decision making, as opposed to a patient being debriefed after a major decision is made, that can help healthcare providers earn trust.

Concord Hospital is rolling out TeamBirth this coming April.

Melissa Devine, director of Concord Hospital’s Women and Children’s Value Stream, said they’ve been building towards the launch of TeamBirth since October. She said TeamBirth isn’t an earth shattering shift – it’s really making sure everyone is on the same page during a significant life event.

“As we travel through the process, we know patients want transparency,” Devine said. “They want to be able to understand time frames. ‘When is my provider going to see me?’ And all of those little moments build the trust and just build the essence of making sure that everyone is on the same page when things matter most.”

Devine said Concord Hospital will also have prenatal services modeling TeamBirth at Laconia starting from six weeks gestation to after the first year of a newborn’s life.

• The poll, released March 23, found that Democrats lead the generic ballot 49% to 41%, up four points from November.
• Pappas leads both Republican challengers, former New Hampshire Sen. John Sununu and former Massachusetts Sen. Scott Brown, in hypothetical matchups for Senate.
• Gov. Kelly Ayotte still has a slight positive approval rating and beats her potential opponents in hypothetical head-to-head matchups.

Democrats are gaining ground ahead of the 2026 midterms, a new poll from Saint Anselm College Survey Center revealed.

The poll, released March 23, found Democrats lead the generic ballot 49% to 41%, up four points from November. That increase is likely due to concerns over the economy and foreign policy: 59% of voters surveyed oppose the recent military action in Iran, and a slight plurality now trust Democrats over Republicans on economic and affordability issues.

“War and economic uncertainty are creating headwinds for Republicans in New Hampshire, putting Congressman Chris Pappas in a stronger position than in our previous survey,” said Neil Levesque, the executive director of the New Hampshire Institute of Politics, in a statement.

The poll found Pappas leads both of his potential Republican challengers, former New Hampshire Sen. John Sununu and former Massachusetts Sen. Scott Brown, in hypothetical matchups for Senate. Rep. Maggie Goodlander, D-NH, also “restored her lead” against 2024 Republican nominee Lily Tang Williams.

Democrats also have more enthusiasm: 96% are “extremely likely” to vote in the midterm elections, compared to 88% of Republicans.

Despite the rise in support for Democrats, Gov. Kelly Ayotte still has a slight positive approval rating and beats her potential opponents in hypothetical head-to-head matchups. And President Donald Trump’s approval rating has remained largely unchanged.

The poll surveyed 1,491 New Hampshire registered voters online from March 16 to 18. The margin of error is +/-2.5%.

What is Kelly Ayotte’s approval rating?

The poll found Ayotte’s approval rating was 49%, with 47% disapproval. Her net approval is slightly down from November, when she was at 49% to 43%.

However, she still polls ahead of her two Democratic challengers for governor. Ayotte leads former executive councilor Cinde Warmington 46% to 39% and former Newmarket restaurant owner Jon Kiper 45% to 31%.

In the Democratic primary, Warmington leads Kiper 40% to 13%.

What is Donald Trump’s approval rating?

Forty-two percent of New Hampshire voters approve of Trump’s performance, the poll found, while 58% disapprove.

The same split is found on his favorability: 42% find Trump favorable, while 58% find him unfavorable.

This is largely unchanged from November, when he was at 57% disapproval and 57% unfavorable.

Buttigieg overtakes Newsom, Rubio gains support in 2028 primary polls

As presidential hopefuls continue to visit the early primary state, the Saint Anselm poll found some shakeups in an early look at the 2028 presidential primaries.

Former Transportation Secretary Pete Buttigeig, who finished second in the state in 2020, is an early favorite with 29% support from Democratic voters. At 15%, California Gov. Gavin Newsom has fallen back, the poll says, and he is followed by Rep. Alexandria Ocasio-Cortez (10%) and former Vice President Kamala Harris (6%).

While Vice President J.D. Vance remains the top choice on the Republican side with 46%, his support has fallen from 57% in November while Secretary of State Marco Rubio has risen in the ranks.

“Rubio has tripled his support from 9% to 27%, and must now be considered a significant potential challenger to Vance,” the poll says.