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Armanmehr, Vajihe, Banafshe, Elahe, Hashemizadeh, Haydeh, Alami, Ali, Khajavi, Abdoljavad. (1401). Midwives’ Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study. سامانه مدیریت نشریات علمی, (), -. doi: 10.30476/ijcbnm.2023.97165.2169
Vajihe Armanmehr; Elahe Banafshe; Haydeh Hashemizadeh; Ali Alami; Abdoljavad Khajavi. "Midwives’ Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study". سامانه مدیریت نشریات علمی, , , 1401, -. doi: 10.30476/ijcbnm.2023.97165.2169
Armanmehr, Vajihe, Banafshe, Elahe, Hashemizadeh, Haydeh, Alami, Ali, Khajavi, Abdoljavad. (1401). 'Midwives’ Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study', سامانه مدیریت نشریات علمی, (), pp. -. doi: 10.30476/ijcbnm.2023.97165.2169
Armanmehr, Vajihe, Banafshe, Elahe, Hashemizadeh, Haydeh, Alami, Ali, Khajavi, Abdoljavad. Midwives’ Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study. سامانه مدیریت نشریات علمی, 1401; (): -. doi: 10.30476/ijcbnm.2023.97165.2169

Midwives’ Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study

International Journal of Community Based Nursing & Midwifery
مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 22 اسفند 1401  XML اصل مقاله (452.97 K)
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2023.97165.2169
نویسندگان
Vajihe Armanmehrorcid 1؛ Elahe Banafsheorcid 2؛ Haydeh Hashemizadehorcid 3؛ Ali Alamiorcid 4؛ Abdoljavad Khajavi email orcid 4
1Social Determinants of Health Research Center, Gonabad University of Medical Science, Gonabad, Iran;
2Department of Midwifery, School of Nursing & Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran;
3Department of Nursing, Quchan Branch, Islamic Azad University, Quchan, Iran;
4Department of Community Medicine, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
چکیده
Background: In Iran, the Natural Childbirth Promotion Program (NCPP) has been implemented as a
component of the Health Transformation Plan (HTP) since 2014 and as an attempt to encourage natural
childbirth practices and reduce cesarean section rates. The purpose of this qualitative study was to
explore the perceptions of midwives about conditions influencing the implementation of NCPP.
Methods: In this qualitative study, data were collected through 21 in-depth semi-structured individual
interviews with expert midwives who were selected using purposive sampling mainly from one medical
university in Eastern Iran from October 2019 to February 2020. Based on the framework method as
a thematic analysis approach, the data were analyzed manually. To enhance the rigor of the study, we
followed Lincoln and Guba’s criteria.
Results: Data analysis yielded 546 open codes. After the codes were reviewed and similar codes
were removed, there remained 195 codes. Further analysis led to extraction of 81 sub-sub themes,
19 sub-themes, and eight main themes. These themes included: Responsive staff; Characteristics
of the parturient; Recognition of midwifery role; Teamwork; The birthing environment; Effective
management; Institutional and social context; and Social education.
Conclusion: Based on the perceptions of the studied midwives, the success of the NCPP is guaranteed
by a set of conditions identified in this study. In practice, these conditions are complementary and
interrelated, and they cover a wide range of staff and parturient characteristics to the social context. It
seems that effective implementation of the NCPP also calls for the accountability of all stakeholders,
from policymakers to maternity care providers.
کلیدواژه‌ها
Health plan implementation؛ Iran؛ Midwifery؛ Natural childbirth؛ Qualitative research
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