Student Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Health Management and Economic Research Center (HMERC), Medical Management and Information Sciences Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
Reprod Health. 2019 Mar 14;16(1):32. doi: 10.1186/s12978-019-0695-8.
One of the most common complications of pregnancy and the third cause of maternal death is preeclampsia. Thus this group of mothers should be supported, trained and received efficient health care services. Home-care is one strategy to improvement complications of Pregnancy. In Iran, high-risk pregnancies care provide in health care centers, hospitals and clinics by midwives and obstetricians. In this mixed method study, at first, a qualitative approach will be used to identify preeclampsia mothers' health needs and home-care strategies for them. Then, the qualitative results will be emerged with literature review and expert ideas to develop a comprehensive home-care program which fits with the needs of these mothers in Iran.
This study is a qualitative- quantitative mixed exploratory research that consists of three sequential phases. In the first step, in qualitative study, all the women with preeclampsia, obstetricians, midwives, and maternal health policy makers will select purposefully. Health care needs and home-care strategies for mothers with preeclampsia will be determined. Sampling continues until data saturation. In the second step, an expert panel will be formed to prioritization of home-care needs and strategies extracted from result of qualitative study and review of literature. Afterwards, Primary home care program will be designed. In the third step, Delphi method will be used of minimum 10-15 experts including: obstetricians, midwives, and reproductive health professionals about validation of this home-care program by questionnaires in three rounds, then the final program is being developed.
It is expected conducting a mixed method study to develop a home care program mothers with preeclamsia to improve their health status and wellbeing while reducing additional health care costs through preventing excessive admissions and interventions. Moreover it wants to follow up properly and timely high risk pregnant women. This study might be helpful in improvement quality of health services and promote health equity.
Developing a home care program for maternal health care especially for high risk pregnancy by considering Iran socio-cultural context.
妊娠的最常见并发症之一，也是导致产妇死亡的第三大原因是子痫前期。因此，这组母亲应该得到支持、培训，并接受有效的医疗保健服务。家庭护理是改善妊娠并发症的策略之一。在伊朗，高危妊娠由助产士和产科医生在医疗中心、医院和诊所提供护理。在这项混合方法研究中，首先将采用定性方法来确定子痫前期母亲的健康需求和家庭护理策略。然后，将通过文献回顾和专家意见将定性结果与文献综述和专家意见相结合，以制定出适合伊朗这些母亲需求的综合家庭护理方案。
这是一项定性-定量混合探索性研究，由三个连续阶段组成。在第一步的定性研究中，将有目的地选择所有患有子痫前期的妇女、产科医生、助产士和产妇健康政策制定者。将确定患有子痫前期的母亲的健康需求和家庭护理策略。继续抽样，直到数据饱和。在第二步中，将组成一个专家小组，对从定性研究结果和文献综述中提取的家庭护理需求和策略进行优先级排序。之后，将设计初级家庭护理方案。在第三步中，将使用德尔菲法对至少 10-15 名专家进行问卷调查，这些专家包括：产科医生、助产士和生殖健康专业人员，共进行三轮，然后制定最终方案。
预计通过开展混合方法研究，开发出针对子痫前期母亲的家庭护理方案，以改善她们的健康状况和幸福感，同时通过预防过度住院和干预来降低额外的医疗保健费用。此外，还希望对高危孕妇进行适当和及时的随访。本研究可能有助于提高卫生服务质量，促进健康公平。
考虑到伊朗的社会文化背景，为产妇医疗保健制定家庭护理方案，特别是针对高危妊娠。
