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Childbirth experience among different Iranian ethnic groups: a cross-sectional study.
Somayeh Abdolalipour1, Nikta Tavananezhad2, Mina Iravani3
1Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran (the Islamic Republic of).
BMJ Open
|April 15, 2026
Summary
Iranian women
Area of Science:
- Maternal Health
- Sociology
- Cultural Studies
Background:
- Childbirth experiences vary significantly across ethnic groups.
- Understanding cultural nuances is crucial for effective maternal healthcare policy.
- Previous research has not extensively compared childbirth experiences across diverse Iranian ethnicities.
Purpose of the Study:
- To conduct a cross-ethnic comparative analysis of childbirth experiences among Iranian women.
- To identify ethnic variations in satisfaction and perceptions of childbirth.
- To inform culturally sensitive maternal healthcare strategies.
Main Methods:
- Cross-sectional study conducted in 2023 across six Iranian cities representing distinct ethnic groups.
- Cluster random sampling of 1331 women 4-6 weeks postpartum.
- Data collected via sociodemographic, obstetric characteristics, and Childbirth Experience Questionnaire 2.0 (CEQ 2.0).
- Bivariate analysis using one-way ANOVA and multivariate analysis with General Linear Model (GLM).
Main Results:
- Significant differences in childbirth experience scores were observed among ethnic groups (scoring range: 1-4).
- Azeri (2.31), Kurdish (2.14), Fars (2.26), and Lur (2.14) women reported higher mean scores than Arab (2.06) and Mazani (1.93) women.
- GLM analysis indicated Azeri, Kurdish, and Fars women had significantly better childbirth experiences compared to Arabs; Mazani women reported significantly lower scores.
Conclusions:
- Childbirth experiences in Iran are ethnically diverse, with notable differences in satisfaction levels.
- Azeri and Fars ethnic groups reported the highest satisfaction, while Mazani women reported the lowest.
- Healthcare providers require a deep understanding of cultural diversity to deliver compassionate and effective maternal care.
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