Evaluation of the birth plan implementation: a parallel convergent mixed study

Area of Science:

• Obstetrics and Gynecology
• Maternal Health
• Evidence-Based Practice

Background:

• Maternal involvement in decision-making is crucial for physical and psychosocial preparation during childbirth.
• The healthcare system can improve patient care by integrating self-care processes.
• This study evaluates the first implementation of birth plans in Iran.

Purpose of the Study:

• To assess the implementation and impact of birth plans on childbirth experience in Iran.
• To investigate the effect of birth plans on maternal and neonatal outcomes.
• To provide evidence-based insights for improving labor care.

Main Methods:

• Mixed-method approach with parallel convergence (quantitative and qualitative phases).
• Randomized controlled trial (106 pregnant women) with intervention (birth plan training) and control groups.
• Data collection included questionnaires (DFS, CEQ2.0, Edinburgh, PSS-I), partograms, and semi-structured interviews; analyzed using general linear models, logistic regression, and content analysis.

Main Results:

• The study aims to provide evidence-based insights into the effects of birth plans.
• Quantitative and qualitative data will be analyzed separately and then combined.
• The findings will be presented using a culturally sensitive approach.

Conclusions:

• Investigating birth plan implementation offers evidence-based insights into childbirth experience.
• The study's mixed-method approach may enhance the quality of maternal care.
• Findings can inform culturally sensitive improvements in labor and delivery services.