Developing evidence-based maternity care in Iran: a quality improvement study (original) (raw)
Related papers
Eastern Mediterranean Health Journal, 2011
The objective of this study was to compare the quality of maternity care in 2 types of government-run hospital in the town of Khorram Abad, Islamic Republic of Iran in 2009: a university-linked teaching and a social security organization non-teaching hospital. A sample of 264 women hospitalized in the delivery and postpartum wards was selected. Data collection was done using interviews with mothers and observation checklists based on Iranian government criteria. The quality of maternity care in the non-teaching hospital was higher than the teaching hospital in terms of facilities, processes of maternal and newborn care and outcomes (mother's satisfaction). In the teaching hospital, the quality of the physical space, the educational level and training of health care personnel and monitoring and evaluation of care quality needed improvement. In both hospitals, meeting women's expectations about the degree of privacy could lead to an increase in the quality of maternity services.
Client satisfaction of maternity care in Lorestan province Iran
Iranian journal of nursing and midwifery research
Client satisfaction is an important indicator for assessment of the quality of care provided. Detecting patients dissatisfaction and trying to find the most effective and costly services is the basic way for improvement of service quality. The purpose of this study was to determine the satisfaction level of women in the maternity care centers (hospitals) of Lorestan University of Medical Sciences, Iran. In this descriptive cross-sectional study, the satisfaction level of 200 patients who received care during childbirth in province hospitals was assessed using a researcher-made questionnaire. Women in maternity care units completed the questionnaires. The mean maternity care satisfaction score was 66.6 ± 3.5. The lowest satisfaction level was related to getting to know the delivery room (64%) and vaginal examination (66%). The highest satisfaction score was related to confidentiality of the information (86%) and trusting the midwife (84%). Regarding the environmental factors, the low...
Development of Strategies to Reduce Cesarean Delivery Rates in Iran 2012–2014: A Mixed Methods Study
International Journal of Preventive Medicine, 2014
Background: With the change in population policy from birth control toward encouraging birth and population growth in Iran, repeated cesarean deliveries as a main reason of cesarean section are associated with more potential adverse consequences. The aim of this research was to explore effective strategies to reduce cesarean delivery rates in Iran. Methods: A mixed methodological study was designed and implemented. First, using a qualitative approach, concepts and influencing factors of increased cesarean delivery were explored. Based on the findings of this phase of the study, a questionnaire including the proposed strategies to reduce cesarean delivery was developed. Then in a quantitative phase, the questionnaire was assessed by key informants from across the country and evaluated to obtain more effective strategies to reduce cesarean delivery. Ten participants in the qualitative study included policy makers from the Ministry of Health, obstetricians, midwives and anthropologists...
Modern Care Journal, 2016
Background: There is a little consistency among prenatal care guidelines. An evidence-based guideline can be used to improve the quality of the mother and child health care. This study was designed to compare the consistency of the Iranian integrated maternal health care guideline with evidence-based prenatal care manuals and American guidelines. Methods: In this comparative study, the Iranian guideline recommendations were compared with the content of American prenatal care according to obstetrics and gynecology recommendations of the U.S. preventive services task force and evidence-based prenatal care. The strength of the recommendations was assessed based on evidence-based medicine. Results: In this study, 71 recommendations were compared in four parts. About 18.3 percent of the recommendations were consistent with all guidelines. Screening for group B streptococcus, performing chorionic villous sampling and amniocentesis for at risk women, and anomaly screening were not mentioned in the Iranian guideline. The Iranian guideline was consistent with the content of U.S. preventive services task force in 38% of the recommendations, American Obstetricians and Gynecologists expert panel guidelines in 75.6% of the recommendations, and with evidence-based care in 66.2% of the recommendations. Conclusions: Although there was a little consistency among guidelines, the Iranian guideline had a good consistency with the American guidelines and evidence-based care recommendations. Updating clinical tests and the prenatal screening part of the Iranian guideline based on the results of this study may increase the effectiveness of the prenatal care and ultimately improve the mother and child's health.
2012
Background: Antenatal care dramatically reduces infant and maternal morbidity and mortality. Early detection of potential problems leads to prompt assessment and treatment which greatly improves the pregnancy outcome. However, the quality of antenatal care and the availability of essential obstetric care are important for antenatal care to be effective. It is also being increasingly recognized that client's satisfaction should be taken into account as part of the assessment of quality of care. Aim: The aim of this study was to assess women's satisfaction with the quality of antenatal care at the primary health care centers in Al-Madinah Al-Menawarh, KSA. Methodology: Research design used for the study was a descriptive design. A simple random selection of six primary health centers which affiliated to the Ministry of health was done. The study subjects were 150 pregnant women attending the previously mentioned primary health care centers. An interviewing assessment sheet was...
2012
Maternal morbidity and mortality continue to exert a severe toll on mothers worldwide and bring into sharp focus the quality of maternal health care especially in developing countries. This cohort study compared the outcome of maternal health care from two programs, one with preconception care, lower number of prenatal care visits, a formalized referral process and postpartum care named integrated maternal health care (IMHC) and the other without these characteristics (Standard program). The main objective of study was aimed at evaluating the impact of these programs on gestational complications and birth outcomes in two cities of Qazvin Province, Iran.
Reproductive Health
Background According to World Health Organization (WHO), the postnatal care provision aims to provide care and treatment with the highest quality and the least intervention to obtain the best health and well-being for the family. The present study aims to adapt international guidelines for the clinical recommendations for the postpartum period and implement and determine its effectiveness. Methods/design This study will be done in two phases. In the first phase, international clinical guidelines for mother and newborn postnatal care will be adapted. The second phase is a randomized controlled trial in which the adapted guideline recommendations will be implemented, and maternal and neonatal outcomes will be measured. The ADAPTE method for adaptation of clinical guidelines, is usedg in the first phase. A systematic review was conducted in the databases and clinical guidelines related to postpartum care were extracted according to the inclusion criteria. The quality of clinical guidel...
Women's satisfaction with hospital-based intrapartum care: A Jordanian study
International Journal of Nursing, 2014
Exploring patient satisfaction can contribute to quality maternity care but is not routinely conducted in many Middle Eastern countries. This study investigated the prevalence and factors associated with satisfaction during labor and birth among Jordanian women using a descriptive cross-sectional design. Women (n=298) were recruited from four maternal and child health centers in Al-Mafraq city, Jordan. Participants completed an intrapartum care scale which measured satisfaction with three areas of care: interpersonal, information and involvement in decision making, and physical environment. Overall, only 17.8% of women were satisfied with intrapartum care. Around 13% of women were satisfied with interpersonal care, 20.5% with information and involvement in decision making, and 18.8% with physical birth environment. Regression analyses revealed that low satisfaction was associated with experiencing an episiotomy, poor pain relief during labour, and vaginal birth. Health care professionals, policy-makers as well as hospital administrators need to consider the factors that contribute to low satisfaction with childbirth in any effort to improve care.