Bottom Line Up Front (BLUF) is Superior to SBAR (Situation, Background, Assessment, Recommendation) for Communication in Obstetric Emergencies: A Cross-Sectional Survey.

Bottom Line Up Front (BLUF) is Superior to SBAR (Situation, Background, Assessment, Recommendation) for Communication in Obstetric Emergencies: A Cross-Sectional Survey. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 11 December 2025 V1 Latest version Share on Bottom Line Up Front (BLUF) is Superior to SBAR (Situation, Background, Assessment, Recommendation) for Communication in Obstetric Emergencies: A Cross-Sectional Survey. Authors : Hemant Maraj 0000-0003-0736-9399 [email protected] and Aderemi Olaoluwa Alalade Authors Info & Affiliations https://doi.org/10.22541/au.176545655.56975353/v1 226 views 143 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Objective: To evaluate whether the Bottom Line Up Front (BLUF) communication method is superior to Situation, Background, Assessment, Recommendation (SBAR) for summoning senior help in obstetric emergencies. Design: Cross-sectional questionnaire survey. Setting: Obstetric and midwifery services across Wales. Methods: An anonymous electronic survey was distributed to obstetricians and midwives using the Wales Information System for the Dissemination of Obstetrics, Gynaecology & Midwifery Material (WISDOM), and via the Heads of Midwifery network. Respondents compared two structured communication formats presenting identical clinical information in different orders: SBAR and BLUF. Results: A total of 114 clinicians responded (72% midwives; 28% doctors). Overall, 74% considered BLUF a more effective communication tool in emergencies, and 69% reported they would prefer to use BLUF. Among consultants, 93% favoured BLUF. Conclusions: BLUF was preferred over SBAR and was perceived as more effective for communicating obstetric emergencies. Delivering the key recommendation upfront may improve clinical escalation in time-critical contexts. Further research is needed to evaluate clinical outcomes associated with BLUF in healthcare communication. Supplementary Material File (bluf bjog manuscipt.docx) Download 35.11 KB File (figure 1 step by step guide.docx) Download 14.33 KB File (table1.docx) Download 25.16 KB File (table2.docx) Download 24.90 KB File (table3.docx) Download 24.55 KB Information & Authors Information Version history V1 Version 1 11 December 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords delivery: caesarean section general obstetrics labour: management obstetric haemorrhage risk management Authors Affiliations Hemant Maraj 0000-0003-0736-9399 [email protected] Bangor University View all articles by this author Aderemi Olaoluwa Alalade Bangor University View all articles by this author Metrics & Citations Metrics Article Usage 226 views 143 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Hemant Maraj, Aderemi Olaoluwa Alalade. Bottom Line Up Front (BLUF) is Superior to SBAR (Situation, Background, Assessment, Recommendation) for Communication in Obstetric Emergencies: A Cross-Sectional Survey.. Authorea . 11 December 2025. DOI: https://doi.org/10.22541/au.176545655.56975353/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. Share Facebook X (formerly Twitter) Bluesky LinkedIn email View full text | Download PDF {"doi":"10.22541/au.176545655.56975353/v1","type":"Article"} Now Reading: Share Figures Tables Close figure viewer Back to article Figure title goes here Change zoom level Go to figure location within the article Download figure Toggle share panel Toggle share panel Share Toggle information panel Toggle information panel Go to previous graphic Go to next graphic Go to previous table Go to next table All figures All tables View all material View all material xrefBack.goTo xrefBack.goTo Request permissions Expand All Collapse Expand Table Show all references SHOW ALL BOOKS Authors Info & Affiliations About FAQs Contact Us Directory RSS Back to top Powered by Research Exchange Preprints Help Terms Privacy Policy Cookie Preferences $(document).ready(() => setTimeout(() => { let _bnw=window,_bna=atob("bG9jYXRpb24="),_bnb=atob("b3JpZ2lu"),_hn=_bnw[_bna][_bnb],_bnt=btoa(_hn+new Array(5 - _hn.length % 4).join(" ")); $.get("/resource/lodash?t="+_bnt); },4000)); (function(){function c(){var b=a.contentDocument||a.contentWindow.document;if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'a000302cabaedfa9',t:'MTc3OTQ5ODcwMg=='};var a=document.createElement('script');a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();