Preventive Care in Nursing and Midwifery Journal
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Volume 12, Issue 1 (3-2022)
PCNM 2022, 12(1): 29-36 |
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Moudi Z, Arabnezhad L, Vedadhir A. Women’s Perspectives on Childbirth Care Services Leading to the Maternal Near-Miss event: a Qualitative Study. PCNM 2022; 12 (1) :29-36
URL: http://nmcjournal.zums.ac.ir/article-1-758-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-758-en.html
Dept of Midwifery, Ph.D. in Reproductive Health Pregnancy Health Research Center, Zahedan University of Medical Sciences Zahedan, Iran, School of Nursing &Midwifery, Mashahie Sq. Zahedan, Iran , zz_moudi@yahoo.com
Abstract: (4397 Views)
Background: Insufficient evidence exists regarding the causes of adverse birth outcomes among women with previous cesarean sections (C-Section).
Objectives: This study aimed to explore women’s perspectives on childbirth care services leading to maternal near-miss (MNM) events.
Methods: Following a narrative design, 12 women with a previous C-section who had an episode of MNM during childbirth or postpartum period referring to a tertiary referral hospital in Zahedan city, Iran, were chosen using purposive sampling. Face-to-face interviews were used to collect data. Data were analyzed using the six-phase guide to thematic narrative analysis approach.
Results: Two themes related to childbirth care services leading to maternal near-miss events were extracted: (1) ‘Ineffective communication’ (Ignoring the patient's words, Insensitive listener, and Non-critical thinking listener) and (2) ‘Inappropriate care’ (implementation of unnecessary or inappropriate care and early discharge).
Conclusion: An audit system is necessary to provide objective information on the domains related to care provision and help timely feedback to healthcare providers to improve the quality of care.
Objectives: This study aimed to explore women’s perspectives on childbirth care services leading to maternal near-miss (MNM) events.
Methods: Following a narrative design, 12 women with a previous C-section who had an episode of MNM during childbirth or postpartum period referring to a tertiary referral hospital in Zahedan city, Iran, were chosen using purposive sampling. Face-to-face interviews were used to collect data. Data were analyzed using the six-phase guide to thematic narrative analysis approach.
Results: Two themes related to childbirth care services leading to maternal near-miss events were extracted: (1) ‘Ineffective communication’ (Ignoring the patient's words, Insensitive listener, and Non-critical thinking listener) and (2) ‘Inappropriate care’ (implementation of unnecessary or inappropriate care and early discharge).
Conclusion: An audit system is necessary to provide objective information on the domains related to care provision and help timely feedback to healthcare providers to improve the quality of care.
Type of Study: Orginal research |
Subject:
Midwifery
Received: 2021/05/7 | Accepted: 2022/03/1 | Published: 2022/03/1
Received: 2021/05/7 | Accepted: 2022/03/1 | Published: 2022/03/1
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