Background Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran. Methods This research is a qualitative study conducted in Iran to explore women’s perception of continuity of team midwifery care during pregnancy, birth and postpartum from October 2019 to August 2020. Fifteen semi-structured interviews were conducted with women individually in private midwifery clinic through a purposive sampling method. Interviews were digitally recorded and transcribed verbatim in Persian and analyzed using conventional content analysis. Results From the data analysis, two themes, four main categories, and nine subcategories emerged. The themes were “Maternal empowerment” and “Mother’s satisfaction during the transition from pregnancy to motherhood”. The first theme included two categories of improving self-efficacy during antenatal education classes and the effective midwife-mother interaction. The second theme composed of two categories of satisfaction with the process of pregnancy, childbirth and postpartum as well as satisfaction with motherhood. Conclusion Findings of this qualitative study highlight the effectiveness of continuity of team midwifery model of care for promoting empowerment and satisfaction in women during pregnancy, birth and postpartum. The results of this study could pave the way for developing, introducing and implementing the midwife-led continuity models of care in Iran.
Background: Vaginitis is a common medical problem in females. Bacterial vaginosis, vulvovaginal candidiasis and trichomoniasis are the main etiologies of infectious vaginitis. Objectives: This study was designed to assess the relationship between contraceptive methods and common vaginal infections. Methods: In this cross-sectional study, 250 females were evaluated from December 2012 to February 2013. The researcher-made questionnaire included questions about individual characteristics and contraceptive methods. The participants underwent a gynecological exam. Specimens were collected from posterior fornix of the subjects and polymerase chain reaction assay was done to diagnose vaginitis. Data were analyzed using SPSS statistical software (version 17) and also descriptive and analytical statistics (chi-square, t test and fisher's exact test). P values of < 0.05 were considered statistically significant. Results: On the basis of the findings, 43.6% of females suffered from vaginitis. Overall, 65.56% of participants used contraceptive methods. Condom use was the most prevalent method of contraception. A significant relationship was found between suffering from different types of common vaginal infections and using contraceptive methods (P = 0.017). The percentage of females with candidiasis amongst hormonal contraceptive users, and the percentage of individuals amongst non-hormonal contraceptive users were higher than the others. Conclusions: Contraceptives can increase the risk of vaginitis. Hence, health care providers should consider the probability of vaginitis in addition to the indications and contraindications of contraceptive methods and should guide couples in taking a step forward for improving their sexual and reproductive health.
Background: Understanding the pregnant women’s perception of continuity of team midwifery care is necessary for introducing and implementing this model of midwife-led care in the Iranian maternity services. This qualitative study aims to explore women’s perception of continuity of team midwifery care in Iran. Methods: This research is a qualitative study conducted in Iran to explore women's perception of continuity of team midwifery care during pregnancy, birth and postpartum from October 2019 to August 2020. 15 semi-structured interviews were conducted with women individually through a purposive sampling method. Interviews were digitally recorded and transcribed verbatim and analyzed using conventional content analysis. Results: From the data analysis, two themes, four main categories, and nine subcategories emerged. The themes were “Maternal empowerment” and “Mother’s satisfaction during the transition from pregnancy to motherhood”. The first theme included two categories of improving self-efficacy during antenatal education classes and the effective midwife-mother interaction. The second theme composed of two categories of satisfaction with the process of pregnancy, childbirth and postpartum as well as satisfaction with motherhood.Conclusion: Findings of this qualitative study highlight the effectiveness of continuity of team midwifery model of care for promoting empowerment and satisfaction in women during pregnancy, birth and postpartum. The results of this study could pave the way for developing, introducing and implementing the midwife-led continuity models of care in Iran.
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