Student Research Committee, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
PLoS One. 2020 Mar 9;15(3):e0229941. doi: 10.1371/journal.pone.0229941. eCollection 2020.
The adoption of respectful maternity care during labor and birth is a complex process which needs both scientific and interpersonal skills of providers. In this regard, identifying the potential barriers and applying effective strategies for implementing respectful maternity care are essential. This study aimed to explore the perceptions of Iranian midwives regarding respectful maternity care during labor and childbirth. This was a qualitative study which was conducted from September-December 2018 in two non-teaching public hospitals in Tehran, Iran. Twenty-four semi-structured interviews were conducted with midwives, who had more than one year work experience in labor and childbirth units, through a purposive sampling method. A content analysis approach was used to analyze the data and identify themes. Three themes were extracted including "showing empathy", "women-centered care" and "protecting rights". Showing empathy reflects that "establishing a friendly relationship" and "being with women". Women-centered care encompassed "keeping women safe" and "participating in decision making". Protecting rights reflected a need for "safeguarding dignity" as well as "giving equal care" and "preparing appropriate environment". Iranian midwives considered respectful maternity care a broader concept than just preventing mistreatment. Providing supportive care through friendly interaction with women was the first step for providing respectful maternity care. Respectful care is also promoted by providing safe care, implementing evidence-based care and involving women in their care as well as by providing an appropriate environment for women, families and caregivers.
在分娩期间采用尊重产妇的护理是一个复杂的过程，需要提供者具备科学和人际交往技能。在这方面，确定尊重产妇护理实施的潜在障碍并应用有效的策略是至关重要的。本研究旨在探讨伊朗助产士对分娩期间尊重产妇护理的看法。这是一项定性研究，于 2018 年 9 月至 12 月在伊朗德黑兰的两家非教学性公立医院进行。通过目的抽样法，对具有分娩单位一年以上工作经验的 24 名助产士进行了半结构式访谈。采用内容分析方法对数据进行分析并确定主题。提取了三个主题，包括“表现出同理心”、“以妇女为中心的护理”和“保护权利”。表现出同理心反映了“建立友好关系”和“陪伴妇女”。以妇女为中心的护理包括“保护妇女安全”和“参与决策”。保护权利反映了需要“维护尊严”以及“提供平等的护理”和“准备适当的环境”。伊朗助产士认为尊重产妇护理是一个比防止虐待更广泛的概念。通过与妇女友好互动提供支持性护理是提供尊重产妇护理的第一步。通过提供安全护理、实施基于证据的护理并让妇女参与其护理以及为妇女、家庭和护理人员提供适当的环境，也可以促进尊重性护理。
