Iranian midwives’ lived experiences of providing continuous midwife-led intrapartum care: a qualitative study

Leila Amiri-Farahani, Maryam Gharacheh, Narges Sadeghzadeh, Hamid Peyravi, Sally Pezaro

Research output: Contribution to journalArticlepeer-review

5 Downloads (Pure)

Abstract

Background & Objective
Continuity of midwifery-led care during labour and birth is considered optimal. To ensure its sustainability in practice where limited evidence is available, the aim of the present study was to explore midwives’ lived experiences of delivering continuous midwife-led intrapartum care.

Methods
This study took a qualitative approach in meeting its aim. Participants were midwives working in the labour wards of private and public hospitals in Iran. The data were purposefully collected in 2019 through in-depth, semi-structured, and face-to-face interviews with midwives (n = 10) aged between 26 and 55 years. A thematic analysis based on descriptive phenomenology was undertaken to make sense of the data collected.

Results
“Wanting to lead continuous woman-centered care but being unable to” was identified as an overarching theme. Three other themes “emphasis on the non-interventional care”, “midwifery-specific focus” and “barriers and challenges of midwifery care” were also identified. Ultimately, midwives described knowing how to and wanting to lead continuous ‘woman’-centered care but being unable to. Perceived barriers included lack of familiarity with and knowledge in relation to childbirth, the insignificant role of midwives in decision making, obstetrician utilitarianism, high workloads along with work-related stress argument-driven communication between midwives and obstetricians and an absence of a ‘triangle of trust’ in care.

Conclusion
Future research strategies could usefully include obstetricians and focus on the upscaling of midwifery in Iran using continuity of care models, highlight the value of midwives, identify why uptake of antenatal education in Iran is poor and develop user friendly, evidence based, midwife-led programs. Initiatives aiming to promote mutual professional respect, trust and collegiality and increased remuneration for midwifery work would be also welcomed in pursuit of reducing maternal and infant mortality in Iran.
Original languageEnglish
Article number724
Number of pages10
JournalBMC Pregnancy and Childbirth
Volume22
DOIs
Publication statusPublished - 23 Sep 2022

Bibliographical note

Funding Information:
This research was supported by the research grant no. IR.IUMS.REC 1396.0014 from Iran University of Medical Sciences. The author would like to thank the midwives who participated in this study.

Publisher Copyright:
© 2022, The Author(s).

Funder

This research was supported by the research grant no. IR.IUMS.REC 1396.0014 from Iran University of Medical Sciences. The author would like to thank the midwives who participated in this study

Keywords

  • Midwives
  • Midwifery care
  • Woman-centred care
  • Qualitative study
  • Midwife-led

Fingerprint

Dive into the research topics of 'Iranian midwives’ lived experiences of providing continuous midwife-led intrapartum care: a qualitative study'. Together they form a unique fingerprint.

Cite this