The Challenges and Achievements in the Implementation of the Natural Childbirth Instruction Program : A Qualitative Study

Copyright: © 2020 Iranian Journal of Nursing and Midwifery Research..

BACKGROUND: The natural childbirth instruction program, which aims to reduce the cesarean section (C-section) rates in the country and pay attention to demographic policies, has achieved significant accomplishments in the short time span since it was implemented throughout the country. In the present study, the advantages and challenges of the implementation of this program have been analyzed.

MATERIALS AND METHODS: This qualitative study carried out with the participation of 32 knowledgeable individuals who were selected using purposeful sampling and snowball sampling methods among the personnel of Kerman University of Medical Sciences, and it's affiliated educational (university) hospital. The data were collected through semi-structured interviews based on the research objectives, review of texts, and experts' experiences. Data analysis was performed using content analysis method in MaxQDA software.

RESULTS: Data analysis provided the 5 main categories of implementation instructions' strengths, implementation instructions' defects, implementation instructions' achievements, implementation instructions' challenges and threats, and suggestions.

CONCLUSIONS: Accountability in the system that provides health care services for pregnant mothers in public hospitals has been created through the implementation of the natural childbirth promotion package. If managerial barriers and executive and legal inefficiencies are followed up and suitable measures are taken for solving the intra-system conflicts, we can hope that the package, which has been one of the most serious efforts made by the Ministry of Health over the past decades to reduce cesarean delivery, will achieve significant accomplishments.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

Iranian journal of nursing and midwifery research - 25(2020), 6 vom: 19. Nov., Seite 502-513

Sprache:

Englisch

Beteiligte Personen:

Dehnavieh, Reza [VerfasserIn]
Nia, Rahil Ghorbani [VerfasserIn]
Nazeri, Zahra [VerfasserIn]

Links:

Volltext

Themen:

Cesarean section
Health plan implementation
Health planning
Journal Article
Natural childbirth
Qualitative research

Anmerkungen:

Date Revised 21.04.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.4103/ijnmr.IJNMR_295_19

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323042171