en Midwifery Orginal research <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="color:#2980b9;"><strong><em>Background:</em></strong></span> Insufficient evidence exists regarding the causes of adverse birth outcomes among women with previous cesarean sections (C-Section).<br> <strong><em><span style="color:#2980b9;">Objectives:</span> </em></strong>This study aimed to explore women&rsquo;s perspectives on childbirth care services leading to maternal near-miss (MNM) events.<br> <span style="color:#2980b9;"><strong><em>Methods:</em></strong></span> 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.<br> <span style="color:#2980b9;"><strong><em>Results</em>:</strong></span> Two themes related to childbirth care services leading to maternal near-miss events were extracted: (1) &lsquo;Ineffective communication&rsquo; (Ignoring the patient&#39;s words, Insensitive listener, and Non-critical thinking listener) and (2) &lsquo;Inappropriate care&rsquo; (implementation of unnecessary or inappropriate care and early discharge).<br> <span style="color:#2980b9;"><strong><em>Conclusion:</em></strong></span> 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.</span></span></span></div> Near-Miss, Healthcare, Childbirth, Health Facilities 29 36 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-820-1&slc_lang=en&sid=1 Zahra Moudi zz_moudi@yahoo.com 100319475328460014224 100319475328460014224 Yes 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 Leyla Arabnezhad arabnejad1363@gmail.com 100319475328460014225 100319475328460014225 No Dept of Midwifery, MSc. in counseling in midwifery Pregnancy Health Research Center, Zahedan University of Medical Sciences Zahedan, Iran AbouAli Vedadhir vedadha@ut.ac.ir 100319475328460014226 100319475328460014226 No Dept of Anthropology, Ph.D in anthropology and Health studies University of Tehran