Environmental factors influencing women's childbirth experiences in labor-delivery-recovery-postpartum unit: a qualitative cross-sectional study
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Updated: Aug 7, 2025

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Ashraf Kazemi1, Marjan Beigi2, Hajar Enteshary Najafabadi3
1Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. Kazemi@nm.mui.ac.ir.
Background:
Women's experiences of birth environment influence their mental health and that of their families. Identifying women's childbirth experiences in the labor-delivery-recovery-postpartum unit (LDRP) unit can help design a peaceful environment. Therefore, this study aimed to evaluate environmental factors influencing women's childbirth experiences in LDRP unit.
Methods:
This qualitative cross-sectional study was conducted on 20 women with a childbirth experience in the LDRP unit. A purposive sampling was performed and continued until data saturation. The data were collected through unstructured interviews and analyzed using inductive content analysis.
Results:
Data analysis led to the extraction of three categories: physical security, a meaning-oriented environment, and physical comfort. The physical security category was obtained from three sub-categories: privacy, bed ergonomics, and the possibility of medical interventions. The meaning-oriented environment category was extracted from four sub-categories: promising symbols of becoming a mother, a peaceful environment, and a spiritual environment, and the physical comfort category was extracted from three sub-categories: minimizing noise pollution, ambient lighting, and LDRP internal design.
Conclusions:
These study results showed that women's experience of giving birth in LDRP was accompanied by perceiving physical security, a meaning-oriented environment, and physical comfort. Moreover, the results indicated that the childbirth experience in the LDRP unit might be influenced by physical and emotional environmental factors. Therefore, in order to design a peaceful environment, it is necessary to take into account these factors.
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