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Background <p>Woman-centered care (WCC) is a recognized quality marker in maternity services, but its implementation in Iran is challenging due to high intervention levels and professional conflicts. This study was conducted with the aim of exploring the experience of woman- centered care among Iranian midwives and women, in Tabriz, Iran.</p> Methods <p>This qualitative study was conducted on 15 midwives working in urban health centers, public and private hospitals, and 10 pregnant/postpartum women under their care the period from March to June 2023 in Tabriz, Iran. Midwives who were among the extreme cases (the top 10% and bottom 10% of the overall WCC score from the quantitative phase) and were willing and able to share their experiences regarding WCC were included. The inclusion criteria for pregnant and postpartum women in the study included willingness to participate, being at least 18 years old, and having utilized maternity and childbirth services during their pregnancy. Data collection was carried out through purposive sampling and semi-structured, in-depth face-to-face interviews using an interview guide. Data collection continued until no new codes/main themes in consecutive interviews were identified. Data analysis was conducted using the conventional content analysis.</p> Results <p>The results of the study led to the identification of 2 conceptual domains, “The characteristics of WCC” and “The implementation pathway of WCC”, and 8 and 3 main themes among midwives and 6 and 3 main themes among pregnant/postpartum women, respectively.</p> Conclusions <p>The findings of this study provide good practical guidance for health system decision-makers and policymakers for designing strategic programs in the country’s healthcare systems. They can also help enhance the capabilities of midwives in providing quality care to women. Furthermore, the findings of the present study appear to be essential for guiding and managing midwifery students in clinical settings, enabling them to provide high-quality care to pregnant and postpartum women.</p>

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Experiences of woman- centered care among Iranian midwives and women: a qualitative study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月17日

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  • Sepideh Mashayekh-Amiri,
  • Sakineh Mohammad-Alizadeh-Charandabi,
  • Roghaiyeh Nourizadeh,
  • Maryam Vaezi,
  • Shahla Meedya,
  • Mojgan Mirghafourvand

摘要

Background

Woman-centered care (WCC) is a recognized quality marker in maternity services, but its implementation in Iran is challenging due to high intervention levels and professional conflicts. This study was conducted with the aim of exploring the experience of woman- centered care among Iranian midwives and women, in Tabriz, Iran.

Methods

This qualitative study was conducted on 15 midwives working in urban health centers, public and private hospitals, and 10 pregnant/postpartum women under their care the period from March to June 2023 in Tabriz, Iran. Midwives who were among the extreme cases (the top 10% and bottom 10% of the overall WCC score from the quantitative phase) and were willing and able to share their experiences regarding WCC were included. The inclusion criteria for pregnant and postpartum women in the study included willingness to participate, being at least 18 years old, and having utilized maternity and childbirth services during their pregnancy. Data collection was carried out through purposive sampling and semi-structured, in-depth face-to-face interviews using an interview guide. Data collection continued until no new codes/main themes in consecutive interviews were identified. Data analysis was conducted using the conventional content analysis.

Results

The results of the study led to the identification of 2 conceptual domains, “The characteristics of WCC” and “The implementation pathway of WCC”, and 8 and 3 main themes among midwives and 6 and 3 main themes among pregnant/postpartum women, respectively.

Conclusions

The findings of this study provide good practical guidance for health system decision-makers and policymakers for designing strategic programs in the country’s healthcare systems. They can also help enhance the capabilities of midwives in providing quality care to women. Furthermore, the findings of the present study appear to be essential for guiding and managing midwifery students in clinical settings, enabling them to provide high-quality care to pregnant and postpartum women.