The effect of backup midwife on maternal experience after vaginal childbirth – a qualitative study

Khodarahmi, Shiva; Hajian, Sepideh; Zare, Elham; Nasiri, Malihe

doi:10.25122/jml-2021-0072

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…This organization of labor is the organization of placental division and removal. (Kilpatrick and Laros, 1989) 2.2 Review of previous studies According to the field of our research, we have reviewed the articles, respectively, for BPM in health care in references (Pufahl et al, 2022;Kirikkayis et al, 2022;Basri et al, 2021;Sbayou et al, 2019), BPM in clinical processes including (Bianchi et al, 2021;Pereira et al, 2020;Combi et al, 2021;Becker et al, 2020;Pasichnyk et al, 2023;Combi et al, 2017;de Lima et al, 2023), and in the field of natural childbirth process in obstetrics and gynecology hospitals including articles (Shahveisi et al, 2023;Ami et al, 2023;Khodarahmi et al, 2023;Olza et al, 2020;Moridi et al, 2020;Vogel et al, 2021).…”

Section: Childbirth Processmentioning

confidence: 99%

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BPM application in clinical process improvement: a women 'hospital case study

Rasooli,

Jolai,

Sepehri

et al. 2024

BPMJ

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PurposeThe childbirth process is a complex and vital event that requires careful analysis and improvement. This experience can shape a woman's perspective on motherhood and even affect her mental health. Healthcare providers must prioritize improving the birth experience for women. In this interdisciplinary research, a combination of business process modeling (BPM) and medicine have been used with the aim of realizing an improved delivery experience and increased maternal satisfaction.Design/methodology/approachThe data collection of this study was done by observing 518 childbirth processes and interviewing the chief of labor, chief residents, and midwives in the obstetrics and gynecology department of a hospital in Tehran from October 2022 to February 2023.FindingsThe research has been done in four main stages. The first phase is to model the primary process and sub-processes of normal vaginal delivery (NVD). The second phase is validation using expert confirmation and process mining (PM). The third phase is the analysis of the causes of maternal dissatisfaction in labor. The fourth phase of the heuristics redesigning and improving the process, in which for the first time three new categories have been presented including hospital-based, patient-based, and medical technique-based results show BPM intervention effect can be far-reaching in improving patient care and optimizing operational efficiency.Originality/valueThis study is one of only a few to adopt a process-oriented perspective to show how BPM can be used in clinical processes and has specifically examined an essential clinical process, i.e. childbirth.Highlights Developing business process management (BMP) applications in a medical special process related to childbirth as interdisciplinary research.A combination of qualitative and quantitative techniques contains engineering software and management approaches for a Case study, Implementation of BPM lifecycle in the women's hospital in Iran, Tehran, for a clinical process, which is called, normal vaginal delivery (NVD) process for fetal expulsion normally.Modeling NVD clinical process and sub-process for the first time by BPMN2.0 notations in visual paradigm (VP) software and Validation of the made model with process mining (PM), by Disco process mining software. This was done through event log collection from HIS at the hospital.Improving the childbirth process by redesigning heuristics and Introducing two new categories special for clinical process improvement for the first time.Clinical process improvement heuristics obtained in this research are not consistent with the previous seven categories presented in previous studies such as Marlon Dumas' book. Therefore, we have introduced two new heuristics to redesign clinical processes compatible with medical centers, including hospital-based, patient-based, and medical technique-based.Providing a framework for clinical process modeling and improvement containing steps and tools.

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Section: Childbirth Processmentioning

confidence: 99%

“…A sequential-explanatory mixed method was used in the study (Khodarahmi et al, 2023) to investigate the experiences of Iranian women of care during labor and physiological childbirth. SPSS 24 and MAXQDA 10 were used to analyze the quantitative and qualitative data.…”

Section: Childbirth Processmentioning

confidence: 99%

BPM application in clinical process improvement: a women 'hospital case study

Rasooli,

Jolai,

Sepehri

et al. 2024

BPMJ

View full text Add to dashboard Cite

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The relationship between Iranian women’s perception of their birth team’s compliance with medical ethics and their perception of labor pain

Yadollahi,

Bozorgian,

Janghorban

2024

BMC Pregnancy Childbirth

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Background A safe and satisfactory childbirth experience with the least amount of pain constitutes one of the main domains of reproductive healthcare. The most important aspect of labor pain management is the moral and professional commitment of the health professionals and caregivers involved in creating a pleasant delivery. The present study examines the relationship between Iranian women’s perceptions of their birth team’s compliance with medical ethics and their perception of labor pain. Methods This cross-sectional study was conducted on 200 women opting for natural childbirth. The samples were selected by convenience sampling. Three questionnaires, including a demographic information questionnaire, the perception of labor pain questionnaire, and the medical ethics attitude in vaginal delivery questionnaire, were used to collect data. The data were entered into SPSS 22 and analyzed using correlation coefficient and multiple regression tests. The significance level for data analysis was set as less than 0.05. Results The results of the regression analysis showed that among the four principles of medical ethics, only the second and third principles (beneficence and non-maleficence) predicted the perception of labor pain (B = -0.267, P < 0.037). Among the different domains of these principles, the areas of giving the necessary information to the mother (B = -0.199, P = 0.001), respecting the mother’s privacy (B = -0.194, P = 0.001), interaction with the mother (B = -0.287, P = 0.001) and assurance of fetal health (B = -0.492, P = 0.001) were predictors of labor pain perception score. Conclusions Compliance of the birth team with respecting the mother’s privacy, having friendly interactions with the mother and giving fetal health assurance to the mother can be a predictor of the mother’s decreased perception of labor pain.

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The effect of backup midwife on maternal experience after vaginal childbirth – a qualitative study

Cited by 2 publications

References 26 publications

BPM application in clinical process improvement: a women 'hospital case study

BPM application in clinical process improvement: a women 'hospital case study

The relationship between Iranian women’s perception of their birth team’s compliance with medical ethics and their perception of labor pain

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