Iranian women’s perception on the determinants of birth experience : A qualitative study

Journal article


Mirghafourvand, Mojgan, Meedya, Shahla, Mohammadi, Eesa, Mohammad-Alizadeh-Charandabi, Sakineh, Jafarabadi, Mohammad Asghari and Ghanbari-Homaie, Solmaz. (2022). Iranian women’s perception on the determinants of birth experience : A qualitative study. BMC Pregnancy and Childbirth. 22(1), p. Article 751. https://doi.org/10.1186/s12884-022-05078-z
AuthorsMirghafourvand, Mojgan, Meedya, Shahla, Mohammadi, Eesa, Mohammad-Alizadeh-Charandabi, Sakineh, Jafarabadi, Mohammad Asghari and Ghanbari-Homaie, Solmaz
Abstract

Background
The prevalence of cesarean birth in Iran is very high. Having a negative childbirth experience is one of the reasons that primiparous women provide to prefer caesarean birth over a vaginal birth. This study is aimed to understand women’s perspective on what determines a positive or negative birth experience for them.

Methods
This qualitative study is a part a mixed method study that was conducted among primiparous women with a previous vaginal birth experience. The purpose of the main study was to develop a guideline based on Iranian primiparous women’s birth experiences. The quantitative phase of the study was a cross-sectional study where women’s childbirth experiences was measured in a survey via the Childbirth Experience Questionnaire-2. In the qualitative part of the study, women were invited for an in-depth interview via a random stratified sampling method based on their childbirth mean score (women with 10% of the upper bound score which indicated a positive birth experience and 10% of the lower bound indicating negative birth experience, n = 17). Conventional content analysis was used for data analysis.

Results
We extracted three main themes: (a) “Internal control”, (b) “External control”, and (c) “Support”. Possessing internal control, having a balanced external control to feel cared and feeling supported were the main reasons for women to feel positive about their birth experiences. Whereas, loss of internal control, imbalanced external control and unsupportive environment were related to their negative childbirth experiences.

Conclusion
Considering that women’s sense of control, the care and support that they receive can influence their childbirth experiences, there is a need for changing maternity policies and practices to highlight the importance of a woman-centred care to create a pleasant, respectful and positive memory for primirparous women who experience normal vaginal births.

Keywordsprimiparous women; sense of control; sense of safety; support; woman centred-care
Year2022
JournalBMC Pregnancy and Childbirth
Journal citation22 (1), p. Article 751
PublisherSpringer Nature
ISSN1471-2393
Digital Object Identifier (DOI)https://doi.org/10.1186/s12884-022-05078-z
PubMed ID36199065
Scopus EID2-s2.0-85139355481
PubMed Central IDPMC9535943
Open accessPublished as ‘gold’ (paid) open access
Page range1-10
FunderTabriz University of Medical Sciences
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online05 Oct 2022
Publication process dates
Accepted26 Sep 2022
Deposited11 Jan 2023
Grant ID58791
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