Abstract
Introduction:Patient involvement in safe delivery planning is considered important yet not widely practiced. The present study aimed at identifythe factors that affect patient involvementin safe delivery, as recommended by parturient women.Methods:This study was part of a qualitative research conducted by content analysis method and purposive sampling in 2013. The data were collected through 63 semi-structured interviews in4 hospitalsand analyzed using thematic content analysis. The participants in this research were women before discharge and after delivery. Findings were analyzed using Colaizzi’s method.Results:Four categories of factors that could affect patient involvement in safe delivery emerged from our analysis: patient-related (true and false beliefs, literacy, privacy, respect for patient), illness-related (pain, type of delivery, patient safety incidents), health care professional-relatedand task-related factors (behavior, monitoring &training), health care setting-related (financial aspects, facilities).ConclusionMore research is needed to explore the factors affecting the participation of mothers. It is therefore, recommended to: 1) take notice of mother education, their husbands, midwives and specialists; 2) provide pregnant women with insurance coverage from the outset of pregnancy, especially during prenatal period; 3) form a labor pain committee consisting of midwives, obstetricians, and anesthesiologists in order to identify the preferred painless labor methods based on the existing facilities and conditions, 4) carry out research on observing patients’ privacy and dignity; 5) pay more attention on the factors affecting cesarean.
Highlights
Patient involvement in safe delivery planning is considered important yet not widely practiced
Four categories of factors that could affect patient involvement in safe delivery emerged from our analysis: patient-related, illness-related, health care professional-relatedand task-related factors, health care setting-related
It is recommended to: 1) take notice of mother education, their husbands, midwives and specialists; 2) provide pregnant women with insurance coverage from the outset of pregnancy, especially during prenatal period; 3) form a labor pain committee consisting of midwives, obstetricians, and anesthesiologists in order to identify the preferred painless labor methods based on the existing facilities and conditions, 4) carry out research on observing patients’ privacy and dignity; 5) pay more attention on the factors affecting cesarean
Summary
Patient involvement in safe delivery planning is considered important yet not widely practiced. Mother health is of utmost importance as it is one of the eight major goals set for the millennium development (Sachs & McArthur, 2005). Besides the indicators that show the average level of community health considering the components that indicate quality among population groups play an important role (Childbirth). In spite of so many technological achievements of the 21st century, about 44 million pregnant women in developing countries do not have access to prenatal care services. A nnually an average of 200,000 Asian women die because of the complications of pregnancy and delivery. Every year an estimated 5 million neonates die due to insufficient prenatal and delivery cares is (Organization, 2010). Corresponding to death of each mother, 30 mothers suffer from diseases, injuries and permanent disabilities caused by complications during pregnancy and childbirth
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