Safe Delivery Posts: An intervention to provide equitable childbirth care services to vulnerable groups in Zahedan, Iran

Moudi, Zahra; Tabatabaie, Mahmoud Ghazi; Tabatabaei, Seyed Mahdi; Vedadhir, AbouAli

doi:10.1016/j.midw.2013.06.011

Cited by 14 publications

(52 citation statements)

References 29 publications

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“…According to official reports, 25 % of women, aged 14-44 years, are illiterate in the province. Additionally, in 2012, the population growth rate and total fertility rate were 2.7 % and 3.77 % for women of reproductive age in Sistan and Baluchestan province, while the national rates were 1.4 % and 2 %, respectively (Moudi et al 2014).…”

Section: Thalassemia Prevention Programme In Iranmentioning

confidence: 99%

Decisions Regarding Pregnancy Termination Due to β‐Thalassemia Major: a Mixed‐Methods Study in Sistan and Baluchestan, Iran

Moudi

Miri‐Moghaddam

2016

Journal of Genetic Counseling

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In the present study, an embedded design was applied in order to conduct a one-year cross-sectional audit of chorionic villus sampling (CVS) and foetal outcomes affected by β-thalassemia major (β-TM) in a prenatal diagnosis (PND) setting. In addition, we explored the decisions regarding pregnancy termination among women whose pregnancy (or child) was affected by β-TM. In the quantitative phase, the available data in the clients' medical records were analysed, while the qualitative phase was performed using a grounded theory method. Interviews were performed with nine pregnant women who had decided against pregnancy termination despite positive CVS results, 11 mothers who had admitted their child to the thalassemia ward for blood transfusion, and 19 mothers who had received positive CVS results and had decided against pregnancy termination in the preceding year. Over one year, 18.6 % of women decided against pregnancy termination despite positive CVS results. Two main themes related to decisions against pregnancy termination emerged from the qualitative data: 1) Cognitive factors (questioning the reliability of the tests or doubts about the accuracy of the results, understanding disease recurrence, curability, perceived severity of the disease, and lack of "real-life experiences"); and 2) Sociocultural responsiveness (family opposition, responsibility before God, and self-responsiveness). All of the mentioned factors could intensify fear of abortion in couples due to possible regret, and encourage a decision against pregnancy termination.

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Section: Thalassemia Prevention Programme In Iranmentioning

confidence: 99%

Decisions Regarding Pregnancy Termination Due to β‐Thalassemia Major: a Mixed‐Methods Study in Sistan and Baluchestan, Iran

Moudi

Miri‐Moghaddam

2016

Journal of Genetic Counseling

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“…The maternity units included 23 RDFs and also 2 safe delivery posts (SDPs) located in the outskirts of the Zahedan City. Practically, SDPs are similar to RDFs except that they have been established to offer maternity services to the under-privileged population living in an urban setting (17). A pilot study that was carried out for estimation of parameters needed for sample size calculation resulted in a δ = 10.88 and d = 2.17 for differences in the expectation and perception scores.…”

Section: Study Populationmentioning

confidence: 99%

“…Despite some improvements in the availability of and accessibility to maternity services, the poor quality of services, especially in rural areas, could be a barrier for some pregnant women to utilize the services provided by maternity units. Moreover, high-risk pregnancies are quiet common among those women and they are less likely to utilize the services provided by maternity units (17). To our best knowledge, no studies in Iran have addressed the issue of the quality of services provided by rural maternity units.…”

Section: Introductionmentioning

confidence: 99%

The Quality Gap in the Services Provided by Rural Maternity Units in Southeast of Iran

et al. 2015

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Background:Providing high-quality maternity services is crucial to increase utilization of these services and reduce maternal mortality. The quality of the maternity services provided to pregnant women in rural areas of Iran is poorly understood. Objectives: This study aimed to investigate the quality gap in the maternity care services provided by Rural Delivery Facilities and Safe Delivery Posts in Sistan and Balouchestan Province, southeast of Iran, as expressed by the difference in women's perceptions and experiences of services. Patients and Methods:In this cross-sectional study a total of 438 pregnant women who gave birth in rural maternity unit were recruited between February and May 2013. The SERVQUAL questionnaire was used for data collection. The Wilcoxon Signed-Rank test was used to compare the quality gap as expressed in the mean of differences in the expectation and perception scores. The quality gap was compared between demographic groups using Kruskal-Wallis tests. Results: There was a negative gap in all dimensions of the quality of services provided. The highest quality gap was found for the reliability dimension followed by tangibles, empathy, assurance and responsiveness. The participants' age, levels of education and the type of maternity unit were found to be associated with the clients' perceived quality of services. Conclusions:The quality gap in the services provided by maternity units showed that these units are not able to meet pregnant women's expectations completely. The negative quality gaps can be used as a guideline to improve the maternal health care quality and reduce maternal mortality, particularly in high-risk women such as those living in rural areas.

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“…Pregnant women who give birth at home usually do not trust the quality of the services provided by hospitals. In a mixed method study on the equitable childbirth care services in Zahedan, Southeast Iran, some of the reasons identified for pregnant women not choosing to give birth at a hospital included: long waiting time for examination and admission, crowding of the delivery rooms that might results in negligence from health care workers, inability of the pregnant women in taking part in the decision making processes, healthcare workers misconduct and lack of their attention to the patient and their relatives relationship [30]. It could be excepted that pregnant women with a history of home birth may come to the hospital already doubtful about the quality of the delivery services provided, which increases the chance of leaving hospital without medical approval.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, patients admitted to the teaching hospitals are more likely to comply with the orders from managing physician. However, from a pregnant woman's perspective, violation of patient's privacy and the sense of insecurity caused by repeated examinations by midwifery, nursing and other students in teaching hospitals is major problem [30]. This is likely to result in dissatisfaction of pregnant women with hospital services, which increases the risk of DAMA.…”

Section: Discussionmentioning

confidence: 99%

Hospitalized Pregnant Women Who Leave Against Medical Advice: Attributes and Reasons

Tabatabaei

Moakhar

Pour

et al. 2015

Matern Child Health J

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Safe Delivery Posts: An intervention to provide equitable childbirth care services to vulnerable groups in Zahedan, Iran

Cited by 14 publications

References 29 publications

Decisions Regarding Pregnancy Termination Due to β‐Thalassemia Major: a Mixed‐Methods Study in Sistan and Baluchestan, Iran

Decisions Regarding Pregnancy Termination Due to β‐Thalassemia Major: a Mixed‐Methods Study in Sistan and Baluchestan, Iran

The Quality Gap in the Services Provided by Rural Maternity Units in Southeast of Iran

Hospitalized Pregnant Women Who Leave Against Medical Advice: Attributes and Reasons

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