Women's experiences with implementation of the physiologic birth program in Iran: a qualitative content analysis...

Area of Science:

• Obstetrics and Gynecology
• Maternal Health
• Public Health

Background:

• Rising rates of medically unnecessary caesarean sections (CS) are a global concern.
• The World Health Organization (WHO) recommends physiologic birth programs to reduce unnecessary CS.
• Understanding women's experiences is crucial for effective implementation of these programs.

Purpose of the Study:

• To explore and explain women's lived experiences with the implementation of the physiologic birth program in Iran.
• To identify factors contributing to positive and negative experiences within the program.
• To provide insights for improving obstetric care and reducing CS rates.

Main Methods:

• A qualitative, mixed-method approach was employed.
• 15 semi-structured interviews were conducted with women attending physiologic birth classes (January-June 2022).
• Conventional content analysis was used to analyze interview data, with MAXQDA10 software.

Main Results:

• Two main themes emerged: positive experiences (satisfaction with pregnancy, pleasant childbirth) and negative experiences (program limitations, inadequate public obstetric services).
• Childbirth preparation classes reduced fear and stress, fostering positive attitudes toward vaginal delivery.
• Effective midwife communication and support enhanced pain management and satisfaction.

Conclusions:

• Physiologic birth programs can positively impact women's childbirth experiences by reducing fear and improving attitudes.
• Addressing limitations in program implementation and improving public obstetric services are essential for success.
• Policymakers should focus on accessibility and quality improvement to support physiologic birth.