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

Copyright: © International Journal of Community Based Nursing and Midwifery.

Bibliographische Detailangaben
Veröffentlicht in:International journal of community based nursing and midwifery. - 2014. - 11(2023), 2 vom: 15. Apr., Seite 135-148
1. Verfasser: Armanmehr, Vajihe (VerfasserIn)
Weitere Verfasser: Banafshe, Elahe, Hashemizadeh, Haydeh, Alami, Ali, Khajavi, Abdoljavad
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:International journal of community based nursing and midwifery
Schlagworte:Journal Article Health plan implementation Iran Midwifery Natural childbirth Qualitative research
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520 |a Copyright: © International Journal of Community Based Nursing and Midwifery. 
520 |a 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 
520 |a 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 
520 |a 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 
520 |a 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 
650 4 |a Journal Article 
650 4 |a Health plan implementation 
650 4 |a Iran 
650 4 |a Midwifery 
650 4 |a Natural childbirth 
650 4 |a Qualitative research 
700 1 |a Banafshe, Elahe  |e verfasserin  |4 aut 
700 1 |a Hashemizadeh, Haydeh  |e verfasserin  |4 aut 
700 1 |a Alami, Ali  |e verfasserin  |4 aut 
700 1 |a Khajavi, Abdoljavad  |e verfasserin  |4 aut 
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