The Outcome of Midwife-Mother Relationship in Delivery Room: A Qualitative Content Analysis

Abstract

Effective communication and emotional support of parturient women improve the outcome of childbirth. Reduction in Duration of labor, cesarean rate, use of anesthesia, and 5 minute Apgar Score less than 7 can achieve. This study was a part of a large mixed method study during 2013-2014. In this qualitative study, in-depth interviews were conducted with 32 participants (16 mother and 16 midwife), using semi-structured interviews. Participants were recruited by purposive sampling with maximum diversity in terms of age, occupation, education and etc. Educational hospital of Arak University of Medical Sciences was considered as the setting. Each interview was conducted at a private and convenient location and took about 30 to 45 minutes. Interviews were audio taped and transcribed verbatim. Conventional content analysis was done for data analysis. Interviews continued until data saturation was obtained. Data were coded in MAXQDA software (version 11). The main category emerged as "outcome" of midwife-mother relationship. Facilitating childbirth, positive experience, mental health promotion and improvement in quality of life were derived as subcategories. Good midwife-mother relationship could promote positive outcome in labour. Results could assist midwives in providing holistic quality care to mothers during labour, thus providing positive consequence in child birth. Also, results could provide a framework and guidance for policymakers to create appropriate context for the midwife-mother relationship in maternity care.

Role of verbal and non-verbal communication of health care providers in general satisfaction with birth care: a cross-sectional study in government health settings of Erbil City, Iraq

“…The results of the present study are similar to results of other studies done in different countries which also show the importance of women's satisfaction with communication as an important factor in the general satisfaction of women's birth care [20][21][22]. In a descriptive study from Iran, 50 midwives were evaluated by parturient women.…”

“…In a qualitative study on 16 mothers in Iran, results show that outcomes of a positive midwifemotherrelationship in the delivery room can lead to facilitation of childbirth, a positive birth experience, mental health promotion and improvement in the mother's quality of life. An effective midwife-mother relationship can lead to positive childbirth outcomes and promotion of maternal and neonatal health [21].…”

Effect of an Accompanying Midwife on Maternal Resilience and Preferred Route of Delivery in Pregnant Women

“…An accompanying midwife acts as an important and reliable source of support in stressful situations, which can increase the resilience of pregnant women. A midwife's contemplation and attention to duties can also reflect on pregnant women who are impatient and not resilient, which further clarifies the benefits of an accompanying midwife (32)(33)(34). Our results also showed that having an accompanying midwife could influence delivery preference in pregnant women.…”

Setting-up of natural delivery centers; an affordable policy to improve the quality of maternity care

“…Nevertheless, the mothers who have experienced delivery in both centers have suggested a more intimate relationship between them and midwives in comparison to the gynecologists, which increased the trust of mothers in the care team, and also the comfort of mothers before, during and after delivery. Process factors can significantly reduce the anxiety of mothers before, during, and after delivery, [34][35][36] strengthen maternal and infant health indicators, and increase maternal satisfaction with the health care provider. [37][38][39] Outcome factors…”