ArticleBMC pregnancy and childbirth2020
Perceived strategies to reduce traumatic childbirth amongst Iranian childbearing women: a qualitative study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- A systematic review of birth trauma in the Middle East.BMC women's health · 2025Pooled it
- Labor Companion Support, Women-Centered Care, and Childbirth Preparation in Relation to Psychological Birth Trauma: A Cross-Sectional SEM Analysis.Health science reports · 2026Article
- The current status of psychological birth trauma in women who had a vaginal delivery and associated factors: a questionnaire-based, cross-sectional study.Frontiers in public health · 2025Article
- Psychometric properties of the experiences of maternity care scale among Iranian women.BMC health services research · 2024Article
- Perception of traumatic childbirth of women, influencing factors and its relationship with post-traumatic stress disorder.Frontiers in public health · 2024Article
- Mothers' Perceptions About Childbirth Preparation Classes: A Qualitative Study.International journal of community based nursing and midwifery · 2023Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
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Abstract
backgroundPsychological birth trauma (PBT), mainly due to overlooking maternal mental health, is a common and high prevalence public health problem in low-resource settings. Preventing PBT is a good indicator of the realization of human rights in healthcare. This work reports the results of a qualitative study that aimed to identify perceived strategies of PBT prevention among childbearing women in Iran.
methodsWe conducted semi-structured in-depth interviews with 22 mothers with history of traumatic childbirth, two mothers with positive childbirth experience, two spouses, and eight health professionals between April and June 2017. We used purposive sampling method to recruit traumatized mothers, while health experts were selected based on their relevant expertise and experience. Our initial literature review identified eight categories, using which we developed our interview guide and conducted the content analysis approach.
resultsWith the maximum possible purification, we reached 50 thematic codes. The strategies to prevent PBT are generally summarized in four major themes and 13 categories: 1) skill-builder knowledge [Birth preparedness, Mothers' empowerment in maintaining mental health, Understanding the importance of mental care in maternity services], 2) responsible caregiving [Support loop, Good behavior of the caregivers, Deepening trust, Struggle with medicalization of childbirth, Labour pain relief, Special services for maternal mental health], 3) the alliance of prenatal and antenatal care [Continuity of care, Coordination of prenatal and antenatal caregivers], and 4) reconstruction of the structures [Efficient management, Rebuilding physical structures].
conclusionsThis is a comprehensive approach towards PBT prevention, which can guide future efforts to reduce PBT at the clinical level and open further avenues for future studies. We recommend policy makers to consider the integration of multilevel and multidimensional PBT prevention interventions, simultaneously within maternity care services packages for promotion of mental health.
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