Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study
IntroductionIncreased rate of caesarean section (CS) without medical indication is a global concern. According to the guidelines of the World Health Organization (WHO), the physiologic birth program is one of the strategies for reducing the rate of unnecessary caesarean sections. The aim of this stu...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1115365/full |
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| author | Azam Moridi Parvin Abedi Mina Iravani Shahla Khosravi Narges Alianmoghaddam Elham Maraghi Najmieh Saadati |
| author_facet | Azam Moridi Parvin Abedi Mina Iravani Shahla Khosravi Narges Alianmoghaddam Elham Maraghi Najmieh Saadati |
| author_sort | Azam Moridi |
| collection | DOAJ |
| description | IntroductionIncreased rate of caesarean section (CS) without medical indication is a global concern. According to the guidelines of the World Health Organization (WHO), the physiologic birth program is one of the strategies for reducing the rate of unnecessary caesarean sections. The aim of this study is to explain women's experiences with the implementation of the physiologic birth program in Iran.Materials and methodsThis study is a part of a mixed-method study involving 15 targeted semi-structured interviews individually conducted with women attending physiologic birth classes between January 2022 and June 2022. Interviews continued until data saturation was achieved. Data were analyzed using conventional content analysis approach based on the criteria proposed by Graneheim and Lundman, using MAXQDA10 software.ResultsAnalysis of the findings of the study led to the emergence of 2 themes, 4 categories, and 10 subcategories. The first theme was the positive experiences of the women (“satisfaction with pregnancy” and “making the childbirth process pleasant”), and the second theme was their negative experiences with physiologic birth (“challenges and limitation of physiologic birth program” and “lack of high-quality obstetric services in the public health system”).ConclusionThe results of this study showed that childbirth preparation classes reduced women's fear and stress and enhanced their positive attitude toward vaginal delivery by preparing them for childbirth. Also, effective communication with midwives and their support along with efficient implementation of physiologic birth techniques led to successful pain management and satisfaction with the birth process. Policymakers should implement strategies to remove limitations and make this program accessible to all women. |
| first_indexed | 2024-04-09T12:30:57Z |
| format | Article |
| id | doaj.art-ebd666ab23044e47a0f6324ac71f6d1e |
| institution | Directory Open Access Journal |
| issn | 2673-5059 |
| language | English |
| last_indexed | 2024-04-09T12:30:57Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Global Women's Health |
| spelling | doaj.art-ebd666ab23044e47a0f6324ac71f6d1e2023-05-16T05:20:23ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592023-05-01410.3389/fgwh.2023.11153651115365Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis studyAzam Moridi0Parvin Abedi1Mina Iravani2Shahla Khosravi3Narges Alianmoghaddam4Elham Maraghi5Najmieh Saadati6Department of Midwifery, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Midwifery, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Community Medicine, Faculty Member of Medicine School, Tehran University of Medical Sciences, Tehran, IranSchool of Public Health, Massey University, Palmerston North, New ZealandDepartment of Biostatistics and Epidemiology, Faculty of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranObstetrics and Gynecology, Fertility, Infertility and Perinatology Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranIntroductionIncreased rate of caesarean section (CS) without medical indication is a global concern. According to the guidelines of the World Health Organization (WHO), the physiologic birth program is one of the strategies for reducing the rate of unnecessary caesarean sections. The aim of this study is to explain women's experiences with the implementation of the physiologic birth program in Iran.Materials and methodsThis study is a part of a mixed-method study involving 15 targeted semi-structured interviews individually conducted with women attending physiologic birth classes between January 2022 and June 2022. Interviews continued until data saturation was achieved. Data were analyzed using conventional content analysis approach based on the criteria proposed by Graneheim and Lundman, using MAXQDA10 software.ResultsAnalysis of the findings of the study led to the emergence of 2 themes, 4 categories, and 10 subcategories. The first theme was the positive experiences of the women (“satisfaction with pregnancy” and “making the childbirth process pleasant”), and the second theme was their negative experiences with physiologic birth (“challenges and limitation of physiologic birth program” and “lack of high-quality obstetric services in the public health system”).ConclusionThe results of this study showed that childbirth preparation classes reduced women's fear and stress and enhanced their positive attitude toward vaginal delivery by preparing them for childbirth. Also, effective communication with midwives and their support along with efficient implementation of physiologic birth techniques led to successful pain management and satisfaction with the birth process. Policymakers should implement strategies to remove limitations and make this program accessible to all women.https://www.frontiersin.org/articles/10.3389/fgwh.2023.1115365/fullphysiologic birthwomen experiencesprogramIranqualitative study |
| spellingShingle | Azam Moridi Parvin Abedi Mina Iravani Shahla Khosravi Narges Alianmoghaddam Elham Maraghi Najmieh Saadati Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study Frontiers in Global Women's Health physiologic birth women experiences program Iran qualitative study |
| title | Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study |
| title_full | Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study |
| title_fullStr | Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study |
| title_full_unstemmed | Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study |
| title_short | Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis study |
| title_sort | women s experiences with implementation of the physiologic birth program in iran a qualitative content analysis study |
| topic | physiologic birth women experiences program Iran qualitative study |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2023.1115365/full |
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