scholarly journals Primiparous Women’s Experiences of Normal Vaginal Delivery in Iran: A Qualitative Study

2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran HeydariKhayat ◽  
Mahboubeh Rezaei ◽  
Mahdieh Sabery

Abstract Background: Childbirth is considered as the most challenging psychological event in a woman's life. It has a major effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience. Therefore, it is necessary to explore the primiparous women's perception about it.Methods: This qualitative study, with a descriptive content analysis approach, was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The sampling started from June to October in 2016. Interviews continued until data saturation which was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Furthermore, seven subthemes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.

2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran HeydariKhayat ◽  
Mahboubeh Rezaei ◽  
Mahdieh Sabery

Abstract Background: Childbirth is considered as the most challenging psychological event in a woman's life. It has a major effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience. Therefore, it is necessary to explore the primiparous women's perception about it.Methods: This qualitative study, with a descriptive content analysis approach, was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The sampling started from June to October in 2016. Interviews continued until data saturation which was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Furthermore, seven subthemes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.


2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran HeydariKhayat ◽  
Mahboubeh Rezaei ◽  
Mahdieh Sabery

Abstract Background: Childbirth is considered as the most challenging psychological event in a woman's life. It has a major effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience. Therefore, it is necessary to explore the primiparous women's perception about it.Methods: This qualitative study, with a descriptive content analysis approach, was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The sampling started from June to October in 2016. Interviews continued until data saturation which was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Furthermore, seven subthemes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.


2020 ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran Heydari Khayat ◽  
Mahdieh Sabery ◽  
Mahboubeh Rezaei New

Abstract Primiparous Women’s Experiences of Normal Vaginal delivery in Iran: A qualitative study Abstract Background: Childbirth is considered as the most challenging psychological event in women's life. It has a powerful effect on women’s lives with long-term positive or negative impacts. Cultural, religious, and socioeconomic differences can affect women’s perception about normal vaginal delivery (NVD) experience, it is necessary to explore the primiparous women's perception about it. Methods: This qualitative study with a descriptive content analysis approach was conducted in Kashan, a city in the center of Iran. Purposive sampling was used to recruit the participants of the current study. Data was gathered by semi-structured interviews during 24 hours after normal vaginal birth among primiparous women. The Sampling started from June to October in 2016. Interviews continued till data saturation. Data saturation was achieved in the 14th interview but for assurance, it continued until the 17th one. Results: The following three main themes were extracted "immersion in stress", "pain, the essence of NVD" and "strategies for situation management". Also, seven sub themes were obtained including 'loss threat’, ‘stressful context', temporary impairment in physiologic harmony, paradoxical emotions, self-management, emotional support, and spiritual support. Conclusions: This study showed that stress and pain were two highlighted issues in NVD process. Increasing women's awareness about NVD process and what they experience during this process, familiarizing the primiparous women with the simulated delivery room, accompanying these women for emotional support, and providing spiritual support can be effective in situation management to make the child delivery a pleasant and satisfying experience.


2013 ◽  
Vol 35 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Rosemeri Siqueira Pedroso ◽  
Félix Kessler ◽  
Flavio Pechansky

OBJECTIVE: To map treatment trajectories in a sample of male and female crack users through their narratives about the course of treatment seeking and their attempts to access health care services in Brazil. METHODS: Qualitative study of a purposive sample (five female and nine male hospitalized crack users) using semi-structured interviews. The interviews were transcribed and data explored using content analysis. RESULTS: Respondents reported difficulties getting access to hospitalization, relapse after discharge, and abandonment of treatment. There seems to be a peculiar model of behavior for women and men while dealing with craving for crack: while women got involved with prostitution and consequently became infected with HIV, every men of the sample reported criminal involvement. CONCLUSIONS: The relationship between relapse and a social environment conducive to consumption, associated with belief or disbelief in spiritual support, prostitution, and the legal complications arising from the use of crack, are relevant issues and should be taken into consideration in the development of preventive actions aimed at this specific population.


2019 ◽  
Author(s):  
Leila Vahedi ◽  
Naser Ghorbanian ◽  
Atefeh Zabihi ◽  
hakimeh hazrati

Abstract Objective: It is of great importance to identify the talent students in the Scientific Olympiad and pay attention to the upgrade of quality of these competitions. The aim of this study was to explain the Students' experiences about the Scientific Olympiad. This research was a phenomenological qualitative study. Data were collected based on questionnaires (27 students) and semi-structured interviews (13 students) who were selected in the Medical Students' Scientific Olympiad. The analyzing of information was performed using clayze method. Results: Students' experiences were divided into two main themes, including motivating and restrictive factors. Scientific level, planning and implementation and welfare issues were obtained as the three main categories by analyzing data. The participants suggested four holding suggestions, side plans, facilities and the notification results. In conclusions, students' experiences stated that the Medical Students' Scientific Olympiad in Iran is still at an early stage that challenges further the knowledge level. Therefore, it is necessary to design questions with high taxonomy by trained academic facilities. Also, the attention to the side programs, welfare amenities and recreational programs as the motivating factors for participating in these competitions recommend.


2009 ◽  
Vol 17 (4) ◽  
pp. 443-448 ◽  
Author(s):  
Milene Barcellos de Menezes ◽  
Lucilda Selli ◽  
Joseane de Souza Alves

Dysthanasia means slow and painful death without quality of life. This study aimed to know whether nurses identify dysthanasia as part of the final process of the lives of terminal patients hospitalized at an adult ICU. This is an exploratory-qualitative study. Data were collected through semi-structured interviews with ten nurses with at least one year of experience in an ICU, and interpreted through content analysis. Results indicate that nurses understand and identify dysthanasia, do not agree with it and recognize elements of orthonasia as the adequate procedure for terminal patients. We conclude that nurses interpret dysthanasia as extending life with pain and suffering, while terminal patients are submitted to futile treatments that do not benefit them. They also identify dysthanasia using elements of orthonasia to explain it.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Marzieh Khamehchian ◽  
Mohsen Adib-Hajbaghery ◽  
Nastaran HeydariKhayat ◽  
Mahboubeh Rezaei ◽  
Mahdieh Sabery

2020 ◽  
Vol 7 (1) ◽  
pp. 4-8
Author(s):  
Nora H. K. Elabady ◽  
◽  
Ahmed M. Awara ◽  
Amr M. El-Badry ◽  
Nareman El-Hamamy ◽  
...  

Objective The aim of this prospective study is clinical and ultrasonographic evaluation of the pelvic floor in primiparous women after normal vaginal delivery with episiotomy and without episiotomy. Methods This is a cross-section study of primiparous women with a history of delivery at Tanta University Hospital from August 2018 to August 2019. The sample power was calculated based on avulsion (major and minor) in two groups (vaginal delivery with episiotomy and without episiotomy) of total forty-primiparous women with an interval after delivery (20 cases after normal vaginal delivery with episiotomy and 20 cases after normal vaginal delivery without episiotomy). Results Twenty-four hours of delivery there was a highly significant difference between group A (with episiotomy) and group B (without episiotomy) regarding to ultrasound abnormalities, degree of tear, blood loss, hemoglobin concentration and clinical findings, while no difference regarding levator ani weakness. Two months later from delivery there was no significant difference between group A and group B regarding to ultrasound abnormalities and levator ani weakness while there was a difference between the two groups in regarding with clinical findings. Conclusion Normal vaginal delivery without episiotomy in primiparous women is better than normal vaginal delivery with episiotomy as there is no perineal tenderness, no dyspareunia. Low incidence of urinary, rectal incontinence, tear and perineal infection.


2019 ◽  
Author(s):  
Sakineh Dadipoor ◽  
Gerjo Kok ◽  
Teamur Aghamolaei ◽  
Mohtasham Ghaffari ◽  
Ali Heyrani ◽  
...  

Abstract Background: The consumption of hookah is rising around the world, especially among women, due to social acceptance and a positive attitude. It is also necessary and inevitable to identify the factors that lead to a decrease in this upward trend. The present study aims to explain the determinants of cessation or reduction of hookah consumption among southern Iranian women in Bandar Abbas. Method: This qualitative study was carried out with a content analysis approach, between 2018 and 2019. In total, 36 in-depth, semi-structured interviews were conducted with experienced individuals (15 women with successful cessation, 21 women with unsuccessful cessation) with maximum variation in age, education, and occupation, from different geographical areas of the city. Thematic analysis was used for data analysis, and MAXqda software version 10 was used for data management. Results: In total, six main categories were extracted, including incentive backgrounds, the need for liberation, control of external stimuli, religious norms, self-efficacy, and political factors. Conclusions: The results showed that many external facilitators affect the decision to quit or reduce the use of hookah. Providing the necessary conditions and factors to increase the encouraging factors and perceived threats, spiritual support and high self-efficacy can be effective in the successful cessation or reduction of hookah consumption. Keywords: Hookah, Smoking cessation, Qualitative research, Smoking, Southern Iran, Woman


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