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 pur-posive 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.
Highlights
When health professionals have communication skills, countless positive results for the patients, such as reduced symptoms, pain, anxiety, sense of guilt, increased peace of mind, acceptance and adjustment to their disease, cooperation with the medical team, improved blood pressure and glucose [1], increased effectiveness of training and the prevention of medical errors can be seen [2]
Maternity care is an area of health care in which optimal communication is highly emphasized
Participants consisted of 16 mothers hospitalized in post-partum ward and 16 midwifes employed in delivery room
Summary
When health professionals have communication skills, countless positive results for the patients, such as reduced symptoms, pain, anxiety, sense of guilt, increased peace of mind, acceptance and adjustment to their disease, cooperation with the medical team, improved blood pressure and glucose [1], increased effectiveness of training and the prevention of medical errors can be seen [2]. Interventions that encourage doctors to acquire the skill of conveying knowledge and involving patients in consultations and decision-making were improved patients’ physical and mental health indicators [3] [4]. The UK Ministry of Health has announced intentions to teach new communication skills to all NHS professionals [7] These plans are partly in response to the growing evidence from researcher suggesting that the quality of the interaction between patients and their careers has dramatic effects on various aspects of clients’ health [3]. Low-risk women who give birth with assist of a midwife, experience countless positive outcomes, such as an improved sense of self-confidence [11] reduced hospital stay, LBW and labor interventions [10]
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