Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis.
<h4>Introduction</h4>The rate of cesarean section is on the rise in both developed and developing countries, and Iran is no exception. According to the WHO, physiologic labor is one of the main strategies for reducing cesarean section and improving the health of mothers and newborns. The...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0283022 |
| _version_ | 1797787221694087168 |
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| author | Azam Moridi Parvin Abedi Mina Iravani Shala Khosravi Narges Alianmoghaddam Elham Maraghi Najmieh Saadati |
| author_facet | Azam Moridi Parvin Abedi Mina Iravani Shala Khosravi Narges Alianmoghaddam Elham Maraghi Najmieh Saadati |
| author_sort | Azam Moridi |
| collection | DOAJ |
| description | <h4>Introduction</h4>The rate of cesarean section is on the rise in both developed and developing countries, and Iran is no exception. According to the WHO, physiologic labor is one of the main strategies for reducing cesarean section and improving the health of mothers and newborns. The aim of this qualitative study was to explain the experiences of health providers regarding implementation of the physiologic birth program in Iran.<h4>Methods</h4>This study is a part of a mixed-methods study, in which 22 health providers were interviewed from January 2022 to June 2022. Data analysis was performed using Graneheim and Lundman's conventional content analysis approach and using MAXQDA10 software.<h4>Results</h4>Two main categories and nine subcategories emerged from the results of this study. The main categories included "the obstacles to the implementation of the physiologic birth program" and "strategies for improving implementation of the program". The subcategories of the first category included: lack of continuous midwifery care in the healthcare system, lack of free accompanying midwives, lack of integrated healthcare and hospitals in service provision, low quality of childbirth preparation and implementation of physiologic birth classes, and lack of requirements for the implementation of physiologic birth in the maternity ward. The second category included the following subcategories: Supervising the implementation of childbirth preparation classes and physiologic childbirth, support of midwives by insurance companies, holding training courses on physiologic birth, and evaluation of program implementation.<h4>Conclusions</h4>The experiences of the health providers with the physiologic birth program revealed that policymakers should provide the ground for the implementation of this type of labor by removing the obstacles and providing the particular operational strategies needed in Iran. Important measures that can contribute to the implementation of the physiologic labor program in Iran include the following: Setting the stage for physiologic birth in the healthcare system, creating low- and high-risk wards in maternity hospitals, providing professional autonomy for midwifery, training childbirth providers on physiologic birth, monitoring the quality of program implementation, and providing insurance support for midwifery services. |
| first_indexed | 2024-03-13T01:18:54Z |
| format | Article |
| id | doaj.art-dda73fc745604fb1978cc38d21fb3447 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-13T01:18:54Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-dda73fc745604fb1978cc38d21fb34472023-07-05T05:31:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01186e028302210.1371/journal.pone.0283022Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis.Azam MoridiParvin AbediMina IravaniShala KhosraviNarges AlianmoghaddamElham MaraghiNajmieh Saadati<h4>Introduction</h4>The rate of cesarean section is on the rise in both developed and developing countries, and Iran is no exception. According to the WHO, physiologic labor is one of the main strategies for reducing cesarean section and improving the health of mothers and newborns. The aim of this qualitative study was to explain the experiences of health providers regarding implementation of the physiologic birth program in Iran.<h4>Methods</h4>This study is a part of a mixed-methods study, in which 22 health providers were interviewed from January 2022 to June 2022. Data analysis was performed using Graneheim and Lundman's conventional content analysis approach and using MAXQDA10 software.<h4>Results</h4>Two main categories and nine subcategories emerged from the results of this study. The main categories included "the obstacles to the implementation of the physiologic birth program" and "strategies for improving implementation of the program". The subcategories of the first category included: lack of continuous midwifery care in the healthcare system, lack of free accompanying midwives, lack of integrated healthcare and hospitals in service provision, low quality of childbirth preparation and implementation of physiologic birth classes, and lack of requirements for the implementation of physiologic birth in the maternity ward. The second category included the following subcategories: Supervising the implementation of childbirth preparation classes and physiologic childbirth, support of midwives by insurance companies, holding training courses on physiologic birth, and evaluation of program implementation.<h4>Conclusions</h4>The experiences of the health providers with the physiologic birth program revealed that policymakers should provide the ground for the implementation of this type of labor by removing the obstacles and providing the particular operational strategies needed in Iran. Important measures that can contribute to the implementation of the physiologic labor program in Iran include the following: Setting the stage for physiologic birth in the healthcare system, creating low- and high-risk wards in maternity hospitals, providing professional autonomy for midwifery, training childbirth providers on physiologic birth, monitoring the quality of program implementation, and providing insurance support for midwifery services.https://doi.org/10.1371/journal.pone.0283022 |
| spellingShingle | Azam Moridi Parvin Abedi Mina Iravani Shala Khosravi Narges Alianmoghaddam Elham Maraghi Najmieh Saadati Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis. PLoS ONE |
| title | Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis. |
| title_full | Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis. |
| title_fullStr | Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis. |
| title_full_unstemmed | Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis. |
| title_short | Experiences of health providers regarding implementation of the physiologic birth program in Iran: A qualitative content analysis. |
| title_sort | experiences of health providers regarding implementation of the physiologic birth program in iran a qualitative content analysis |
| url | https://doi.org/10.1371/journal.pone.0283022 |
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