Otogara Marzieh, Karimi-Shahanjarini Akram, Hazavehei Seyed Mohammad Mehdi, Poorolajal Jalal, Radnia Nahid, Akrami Forouzan, Bagheri Fahimeh
Ph.D. Student of Health Education and Promotion, Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Ph.D. of Health Education, Associate Professor, Social Determinates of Health Research Center and Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Electron Physician. 2017 Apr 25;9(4):4215-4224. doi: 10.19082/4215. eCollection 2017 Apr.
Childbirth preparation training courses on maternal and neonatal health increase awareness, and capability of pregnant women in overcoming fear and anxiety and managing labor pains.
To identify the affecting factors and barriers of these courses from the perspective of their instructors.
This qualitative study of the content analysis type, has been conducted on 16 certified teachers of the training courses of the Hamadan city in 2015. Data were collected by semi-structured in-depth interviews and were then analyzed by using MAXQDA10 application.
Participants' experiences are indicated on three main themes including the objectives of the course, facilitators and barriers. The main objectives of the course were reported as to improve maternal and newborn health, promote natural childbirth and preparedness for parenting and breastfeeding. The main facilitators of the successful implementation include observing educational standards, strengthening the communication and relationship between mothers and staff, mobilization, and the role of instructor. The major barriers are reported as inadequate support from management system, insufficient intra-sector collaboration, poor attitude of obstetricians and physicians, inadequate access, theory-practice gap and not intended to labor naturally.
The results of our study show that multiple factors are involved in the participation of pregnant women in antenatal classes. Promoting natural childbirth requires intra-sector and inter-sectoral collaboration, as well as the community participation.
关于孕产妇和新生儿健康的分娩准备培训课程可提高孕妇的意识，增强其克服恐惧和焦虑以及应对分娩疼痛的能力。
从培训课程教师的角度确定这些课程的影响因素和障碍。
本研究为内容分析类型的定性研究，于2015年对哈马丹市培训课程的16名认证教师进行。通过半结构化深度访谈收集数据，然后使用MAXQDA10应用程序进行分析。
参与者的经验体现在三个主要主题上，包括课程目标、促进因素和障碍。课程的主要目标据报告是改善孕产妇和新生儿健康、促进自然分娩以及为育儿和母乳喂养做好准备。成功实施的主要促进因素包括遵守教育标准、加强母亲与工作人员之间的沟通和关系、动员以及教师的作用。主要障碍据报告是管理系统支持不足、部门内协作不够、产科医生和医生态度不佳、获取途径不足、理论与实践脱节以及不打算自然分娩。
我们的研究结果表明，孕妇参加产前课程涉及多个因素。促进自然分娩需要部门内和部门间的协作以及社区参与。
