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"Inspiring mothers' self-entrustment to midwives." midwives' and mothers' perceptions of effective communication in
Zohreh Yeganeh1, Mozhgan Javadnoori2, Zahra Abbaspoor2
1Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Background:
Effective communication between midwives and mothers is an essential part of positive birth outcomes. Mothers and midwives are both important for building a communication environment during childbirth. This study was conducted to explore midwives' and mothers' perspectives on effective communication in the maternity ward.
Methods:
This study is a part of a mixed-methods study. A qualitative inductive content analysis study using in-depth interviews with 10 midwives and 11 mothers was performed in Ahvaz, southwestern Iran, between July and October 2023. The data were analyzed via inductive content analysis techniques.
Results:
The qualitative content analysis identified a core concept: mothers' self-entrustment to midwives, reflecting their growing confidence and reliance on midwives through effective communication in maternity care. This concept is underpinned by three main categories: (1) Creating a safe space; midwives ensure physical and emotional security through empathy, privacy, and non-judgmental communication; (2) Establishing spiritual oneness; a deep emotional connection fostering unity and holistic support; and (3) Building trust; rooted in midwives' competence, honesty, and reliability. These main categories, further elaborated through eight categories, outline specific behaviors and interactions that enhance midwife-mother communication.
Conclusions:
This study demonstrated that effective midwife-mother communication, achieved by ensuring a safe environment, fostering emotional connection, and demonstrating reliability, facilitates maternal self-entrustment; a process where mothers progressively develop confidence in and reliance on their midwives. These key components form a practical framework for enhancing maternity care interactions and strengthening therapeutic relationships.
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