Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2021

Open Access 01-12-2021 | Care | Research article

Women’s perception of continuity of team midwifery care in Iran: a qualitative content analysis

Authors: Sholeh Shahinfar, Parvin Abedi, Mahin Najafian, Zahra Abbaspoor, Eesa Mohammadi, Narges Alianmoghaddam

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

Login to get access

Abstract

Background

Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran.

Methods

This research is a qualitative study conducted in Iran to explore women’s perception of continuity of team midwifery care during pregnancy, birth and postpartum from October 2019 to August 2020. Fifteen semi-structured interviews were conducted with women individually in private midwifery clinic through a purposive sampling method. Interviews were digitally recorded and transcribed verbatim in Persian and analyzed using conventional content analysis.

Results

From the data analysis, two themes, four main categories, and nine subcategories emerged. The themes were “Maternal empowerment” and “Mother’s satisfaction during the transition from pregnancy to motherhood”. The first theme included two categories of improving self-efficacy during antenatal education classes and the effective midwife-mother interaction. The second theme composed of two categories of satisfaction with the process of pregnancy, childbirth and postpartum as well as satisfaction with motherhood.

Conclusion

Findings of this qualitative study highlight the effectiveness of continuity of team midwifery model of care for promoting empowerment and satisfaction in women during pregnancy, birth and postpartum. The results of this study could pave the way for developing, introducing and implementing the midwife-led continuity models of care in Iran.
Appendix
Available only for authorised users
Literature
1.
go back to reference Redshaw M, Martin CR, Savage-McGlynn E, Harrison S. Women’s experiences of maternity care in England: preliminary development of a standard measure. BMC Pregnancy Childbirth. 2019;19(1):167.CrossRef Redshaw M, Martin CR, Savage-McGlynn E, Harrison S. Women’s experiences of maternity care in England: preliminary development of a standard measure. BMC Pregnancy Childbirth. 2019;19(1):167.CrossRef
2.
go back to reference Carquillat P, Vendittelli F, Perneger T, Guittier M-J. Development of a questionnaire for assessing the childbirth experience (QACE). BMC Pregnancy Childbirth. 2017;17(1):1–11.CrossRef Carquillat P, Vendittelli F, Perneger T, Guittier M-J. Development of a questionnaire for assessing the childbirth experience (QACE). BMC Pregnancy Childbirth. 2017;17(1):1–11.CrossRef
3.
go back to reference Renfrew MJ, McFadden A, Bastos MH, Campbell J, Channon AA, Cheung NF, et al. Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. Lancet. 2014;384(9948):1129–45.CrossRef Renfrew MJ, McFadden A, Bastos MH, Campbell J, Channon AA, Cheung NF, et al. Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care. Lancet. 2014;384(9948):1129–45.CrossRef
4.
go back to reference Dahlberg U, Persen J, Skogås A-K, Selboe S-T, Torvik HM, Aune I. How can midwives promote a normal birth and a positive birth experience? The experience of first-time Norwegian mothers. Sex Reprod Healthcare. 2016;7:2–7.CrossRef Dahlberg U, Persen J, Skogås A-K, Selboe S-T, Torvik HM, Aune I. How can midwives promote a normal birth and a positive birth experience? The experience of first-time Norwegian mothers. Sex Reprod Healthcare. 2016;7:2–7.CrossRef
5.
go back to reference Dahlberg U, Aune I. The woman's birth experience—the effect of interpersonal relationships and continuity of care. Midwifery. 2013;29(4):407–15.CrossRef Dahlberg U, Aune I. The woman's birth experience—the effect of interpersonal relationships and continuity of care. Midwifery. 2013;29(4):407–15.CrossRef
7.
go back to reference Faghani Aghoozi M, Amerian M, Mohammadi S, Yazdanpanah A, Azarabadi S. A review of the quality of midwifery care in Iran. Educ Ethic Nurs. 2020;9(1):0. Faghani Aghoozi M, Amerian M, Mohammadi S, Yazdanpanah A, Azarabadi S. A review of the quality of midwifery care in Iran. Educ Ethic Nurs. 2020;9(1):0.
8.
go back to reference Firooznia R, Dargahi H, Jafari-Koshki T, Khaledian Z. Strategic analysis of maternal health program evaluation system for providing improvement strategies using internal-external environment assessment technique in Iran. Manage Strateg Health Syst. 2018;3(3):168–83. Firooznia R, Dargahi H, Jafari-Koshki T, Khaledian Z. Strategic analysis of maternal health program evaluation system for providing improvement strategies using internal-external environment assessment technique in Iran. Manage Strateg Health Syst. 2018;3(3):168–83.
9.
go back to reference Aune I, Dahlberg U, Ingebrigtsen O. Relational continuity as a model of care in practical midwifery studies. Br J Midwifery. 2011;19(8):515–23.CrossRef Aune I, Dahlberg U, Ingebrigtsen O. Relational continuity as a model of care in practical midwifery studies. Br J Midwifery. 2011;19(8):515–23.CrossRef
10.
go back to reference Roudsari RL, Zakerihamidi M, Khoei EM. Socio-cultural beliefs, values and traditions regarding women’s preferred mode of birth in the north of Iran. Int J Community Based Nurs Midwifery. 2015;3(3):165. Roudsari RL, Zakerihamidi M, Khoei EM. Socio-cultural beliefs, values and traditions regarding women’s preferred mode of birth in the north of Iran. Int J Community Based Nurs Midwifery. 2015;3(3):165.
14.
go back to reference Homer CS. Models of maternity care: evidence for midwifery continuity of care. Med J Aust. 2016;205(8):370–4.CrossRef Homer CS. Models of maternity care: evidence for midwifery continuity of care. Med J Aust. 2016;205(8):370–4.CrossRef
15.
go back to reference Yanti Y, Claramita M, Emilia O, Hakimi M. Students’ understanding of “women-Centred care philosophy” in midwifery care through continuity of care (CoC) learning model: a quasi-experimental study. BMC Nurs. 2015;14(1):1–7.CrossRef Yanti Y, Claramita M, Emilia O, Hakimi M. Students’ understanding of “women-Centred care philosophy” in midwifery care through continuity of care (CoC) learning model: a quasi-experimental study. BMC Nurs. 2015;14(1):1–7.CrossRef
16.
go back to reference Gidaszewski B, Khajehei M, Gibbs E, Chua SC. Comparison of the effect of caseload midwifery program and standard midwifery-led care on primiparous birth outcomes: a retrospective cohort matching study. Midwifery. 2019;69:10–6.CrossRef Gidaszewski B, Khajehei M, Gibbs E, Chua SC. Comparison of the effect of caseload midwifery program and standard midwifery-led care on primiparous birth outcomes: a retrospective cohort matching study. Midwifery. 2019;69:10–6.CrossRef
17.
go back to reference Tracy SK, Welsh A, Hall B, Hartz D, Lainchbury A, Bisits A, et al. Caseload midwifery compared to standard or private obstetric care for first time mothers in a public teaching hospital in Australia: a cross sectional study of cost and birth outcomes. BMC Pregnancy Childbirth. 2014;14(1):46.CrossRef Tracy SK, Welsh A, Hall B, Hartz D, Lainchbury A, Bisits A, et al. Caseload midwifery compared to standard or private obstetric care for first time mothers in a public teaching hospital in Australia: a cross sectional study of cost and birth outcomes. BMC Pregnancy Childbirth. 2014;14(1):46.CrossRef
18.
go back to reference Forster DA, McLachlan HL, Davey M-A, Biro MA, Farrell T, Gold L, et al. Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. BMC Pregnancy Childbirth. 2016;16(1):28.CrossRef Forster DA, McLachlan HL, Davey M-A, Biro MA, Farrell T, Gold L, et al. Continuity of care by a primary midwife (caseload midwifery) increases women’s satisfaction with antenatal, intrapartum and postpartum care: results from the COSMOS randomised controlled trial. BMC Pregnancy Childbirth. 2016;16(1):28.CrossRef
19.
go back to reference Floris L, Irion O, Bonnet J, Mercier M-PP, De Labrusse C. Comprehensive maternity support and shared care in Switzerland: comparison of levels of satisfaction. Women Birth. 2018;31(2):124–33.CrossRef Floris L, Irion O, Bonnet J, Mercier M-PP, De Labrusse C. Comprehensive maternity support and shared care in Switzerland: comparison of levels of satisfaction. Women Birth. 2018;31(2):124–33.CrossRef
20.
go back to reference Fawsitt CG, Bourke J, Lutomski JE, Meaney S, McElroy B, Murphy R, et al. What women want: exploring pregnant women’s preferences for alternative models of maternity care. Health Policy. 2017;121(1):66–74.CrossRef Fawsitt CG, Bourke J, Lutomski JE, Meaney S, McElroy B, Murphy R, et al. What women want: exploring pregnant women’s preferences for alternative models of maternity care. Health Policy. 2017;121(1):66–74.CrossRef
21.
go back to reference Moghasemi S, Vedadhir A, Simbar M. Models for providing midwifery care and its challenges in the context of Iran. J Holistic Nurs Midwifery. 2018;28(1):64–74. Moghasemi S, Vedadhir A, Simbar M. Models for providing midwifery care and its challenges in the context of Iran. J Holistic Nurs Midwifery. 2018;28(1):64–74.
22.
go back to reference Kaushik V, Walsh CA. Pragmatism as a research paradigm and its implications for social work research. Soc Sci. 2019;8(9):255.CrossRef Kaushik V, Walsh CA. Pragmatism as a research paradigm and its implications for social work research. Soc Sci. 2019;8(9):255.CrossRef
23.
go back to reference Larkin P, Begley CM, Devane D. ‘Not enough people to look after you’: an exploration of women's experiences of childbirth in the Republic of Ireland. Midwifery. 2012;28(1):98–105.CrossRef Larkin P, Begley CM, Devane D. ‘Not enough people to look after you’: an exploration of women's experiences of childbirth in the Republic of Ireland. Midwifery. 2012;28(1):98–105.CrossRef
24.
go back to reference Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.CrossRef Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.CrossRef
25.
go back to reference Iran ministry of health and medical education. Integrated maternal health care. Department of population and family health. 7th ed; 2017. Iran ministry of health and medical education. Integrated maternal health care. Department of population and family health. 7th ed; 2017.
26.
go back to reference Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRef Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.CrossRef
27.
go back to reference Perriman N, Davis DL, Ferguson S. What women value in the midwifery continuity of care model: a systematic review with meta-synthesis. Midwifery. 2018;62:220–9.CrossRef Perriman N, Davis DL, Ferguson S. What women value in the midwifery continuity of care model: a systematic review with meta-synthesis. Midwifery. 2018;62:220–9.CrossRef
28.
go back to reference Rawlett KE. Journey from self-efficacy to empowerment. Health Care. 2014;2(1):1–9.CrossRef Rawlett KE. Journey from self-efficacy to empowerment. Health Care. 2014;2(1):1–9.CrossRef
29.
go back to reference Byrne J, Hauck Y, Fisher C, Bayes S, Schutze R. Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Women’s Health. 2014;59(2):192–7.CrossRef Byrne J, Hauck Y, Fisher C, Bayes S, Schutze R. Effectiveness of a mindfulness-based childbirth education pilot study on maternal self-efficacy and fear of childbirth. J Midwifery Women’s Health. 2014;59(2):192–7.CrossRef
30.
go back to reference Sigurðardóttir VL, Gamble J, Guðmundsdóttir B, Sveinsdóttir H, Gottfreðsdóttir H. Processing birth experiences: a content analysis of women’s preferences. Midwifery. 2019;69:29–38.CrossRef Sigurðardóttir VL, Gamble J, Guðmundsdóttir B, Sveinsdóttir H, Gottfreðsdóttir H. Processing birth experiences: a content analysis of women’s preferences. Midwifery. 2019;69:29–38.CrossRef
32.
go back to reference Peters M, Kolip P, Schäfers R. A theory of the aims and objectives of midwifery practice: a theory synthesis. Midwifery. 2020;84:102653.CrossRef Peters M, Kolip P, Schäfers R. A theory of the aims and objectives of midwifery practice: a theory synthesis. Midwifery. 2020;84:102653.CrossRef
33.
go back to reference Moridi M, Pazandeh F, Hajian S, Potrata B. Midwives’ perspectives of respectful maternity care during childbirth: a qualitative study. PLoS One. 2020;15(3):e0229941.CrossRef Moridi M, Pazandeh F, Hajian S, Potrata B. Midwives’ perspectives of respectful maternity care during childbirth: a qualitative study. PLoS One. 2020;15(3):e0229941.CrossRef
34.
go back to reference Iida M, Horiuchi S, Porter SE. The relationship between women-centred care and women's birth experiences: a comparison between birth centres, clinics, and hospitals in Japan. Midwifery. 2012;28(4):458–65.CrossRef Iida M, Horiuchi S, Porter SE. The relationship between women-centred care and women's birth experiences: a comparison between birth centres, clinics, and hospitals in Japan. Midwifery. 2012;28(4):458–65.CrossRef
35.
go back to reference Hunter A, Devane D, Houghton C, Grealish A, Tully A, Smith V. Woman-centred care during pregnancy and birth in Ireland: thematic analysis of women’s and clinicians’ experiences. BMC Pregnancy Childbirth. 2017;17(1):1–11.CrossRef Hunter A, Devane D, Houghton C, Grealish A, Tully A, Smith V. Woman-centred care during pregnancy and birth in Ireland: thematic analysis of women’s and clinicians’ experiences. BMC Pregnancy Childbirth. 2017;17(1):1–11.CrossRef
36.
go back to reference Miller S, Abalos E, Chamillard M, Ciapponi A, Colaci D, Comandé D, et al. Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet. 2016;388(10056):2176–92.CrossRef Miller S, Abalos E, Chamillard M, Ciapponi A, Colaci D, Comandé D, et al. Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet. 2016;388(10056):2176–92.CrossRef
37.
go back to reference Hassan SJ, Sundby J, Husseini A, Bjertness E. The paradox of vaginal examination practice during normal childbirth: Palestinian women’s feelings, opinions, knowledge and experiences. Reprod Health. 2012;9(1):1–9.CrossRef Hassan SJ, Sundby J, Husseini A, Bjertness E. The paradox of vaginal examination practice during normal childbirth: Palestinian women’s feelings, opinions, knowledge and experiences. Reprod Health. 2012;9(1):1–9.CrossRef
38.
go back to reference Lyberg A, Severinsson E. Fear of childbirth: mothers’ experiences of team-midwifery care–a follow-up study. J Nurs Manag. 2010;18(4):383–90.CrossRef Lyberg A, Severinsson E. Fear of childbirth: mothers’ experiences of team-midwifery care–a follow-up study. J Nurs Manag. 2010;18(4):383–90.CrossRef
41.
go back to reference Karlström A, Nystedt A, Hildingsson I. The meaning of a very positive birth experience: focus groups discussions with women. BMC Pregnancy Childbirth. 2015;15(1):1–8.CrossRef Karlström A, Nystedt A, Hildingsson I. The meaning of a very positive birth experience: focus groups discussions with women. BMC Pregnancy Childbirth. 2015;15(1):1–8.CrossRef
42.
go back to reference Olza I, Leahy-Warren P, Benyamini Y, Kazmierczak M, Karlsdottir SI, Spyridou A, et al. Women’s psychological experiences of physiological childbirth: a meta-synthesis. BMJ Open. 2018;8(10):e020347.CrossRef Olza I, Leahy-Warren P, Benyamini Y, Kazmierczak M, Karlsdottir SI, Spyridou A, et al. Women’s psychological experiences of physiological childbirth: a meta-synthesis. BMJ Open. 2018;8(10):e020347.CrossRef
Metadata
Title
Women’s perception of continuity of team midwifery care in Iran: a qualitative content analysis
Authors
Sholeh Shahinfar
Parvin Abedi
Mahin Najafian
Zahra Abbaspoor
Eesa Mohammadi
Narges Alianmoghaddam
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Care
Published in
BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-021-03666-z

Other articles of this Issue 1/2021

BMC Pregnancy and Childbirth 1/2021 Go to the issue