Back
 Health  Vol.8 No.4 , February 2016
The Outcome of Midwife-Mother Relationship in Delivery Room: A Qualitative Content Analysis
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.
Cite this paper: Attarha, M. , Keshavarz, Z. , Bakhtiari, M. and Jamilian, M. (2016) The Outcome of Midwife-Mother Relationship in Delivery Room: A Qualitative Content Analysis. Health, 8, 336-343. doi: 10.4236/health.2016.84035.
References

[1]   Aghabarary M, Mohammadi, E. and Varvani-Farahani, A. (2009) Barriers to Application of Communicative Skills by Nurses in Nurse-Patient Interaction: Nurses and Patients’ Perspective. Journal of Nursing Midwifery Iran University of Medical Sciences, 22, 19-31. (In Persian)

[2]   Asemani, O. (2011) A Review of the Models of Physician-Patient Relationship and Its Challenges. Iranian Journal of Medical Ethics and History of Medicine, 5, 44-57. (In Persian)

[3]   Rowe, R.E., Garcia, J., Macfarlane, A.J. and Davidson, L.L. (2002) Improving Communication between Health Professionals and Women in Maternity Care: A Structured Review. Health Expectations, 5, 63-83.
http://dx.doi.org/10.1046/j.1369-6513.2002.00159.x

[4]   Rowe, R., Garcia, J., Macfarlane, A.J. and Davidson, L.L. (2001) Does Poor Communication Contribute to Stillbirth and Infants Death? A Review. Journal of Public Health, 23, 23-34.
http://dx.doi.org/10.1093/pubmed/23.1.23

[5]   Moslemabadi Farahani, S., Malekzadegan, A., Mohammadi, R. and Hosseini, F. (2005) Effect of the One to One Midwifery Care during Labor on Modes of Delivery. Iran Journal of Nursing, 18, 71-82. (In Persian)

[6]   Yeh, J. and Nagel, E.E. (2010) Patient Satisfaction in Obstetrics and Gynecology: Individualized Patient-Centered Communication. Women’s Health, 3, 23-32.
http://dx.doi.org/10.4137/cmwh.s5870

[7]   Hargie, O., Dickson, D., Boohan, M. and Hughes, K. (1998) A Survey of Communication Skills Training in UK Schools of Medicine: Present Practices and Prospective Proposals. Medical Education, 32, 25-34.
http://dx.doi.org/10.1046/j.1365-2923.1998.00154.x

[8]   Vincent, P. (2002) Baby Catcher: Chronicles of a Modern Midwife. Scribner, New York.

[9]   Thachuk, A. (2007) Midwifery, Informed Choice, and Reproductive Autonomy: A Relational Approach. Feminism and Psychology, 17, 39-56.
http://dx.doi.org/10.1177/0959353507072911

[10]   Sharpe, M. (2004) Intimate Business: Woman-Midwife Relationships. Dissertation Abstracts International, Ontario.

[11]   Parratt, J. and Fahy, K. (2003) Trusting Enough to Be Out of Control: A Pilot Study of Women’s Sense of Self during Childbirth. Australian Midwifery, 16, 15-22.
http://dx.doi.org/10.1016/s1031-170x(03)80011-9

[12]   Hosseini, F. (2005) Effect of the One-to-One Midwifery Care during Labor on Modes of Delivery. Iran Nursing Journal, 18, 71-81. (In Persian)

[13]   Sehati, F., Najarzade, M., Seyed Rasooli, E. and Zamn Zade, V. (2009) The Effect of Continuity of Midwifery Care during the Length of Labor and Delivery. Nursing & Midwifery Journal, 4, 13-18. (In Persian)

[14]   Kordi, M., Bakhshi, M. and Tara, F. (2014) The Effect of Continuous Support during Labor on Labor Progress in Primigravida Women. The Iranian Journal of Obstetrics, Gynecology and Infertility (IJOGI), 14, 7-14. (In Persian)

[15]   Khadivzadeh, T., Katebi, M.S., Sepehri Shamloom, Z. and Esmaily, H. (2015) Assessment of Midwives’ Communication Skills at the Maternity Wards of Mashhad Teaching Hospitals in 2014. Journal of Midwifery and Reproductive Health, 3, 394-400.

[16]   Department of Health (1993) Changing Childbirth: Part I: Report of the Expert Maternity Group. HMSO, London.

[17]   Bluff, R. and Holloway, I. (1994) “They Know Best”: Women’s Perceptions of Midwifery Care during Labour and Childbirth. Midwifery, 10, 157-164.
http://dx.doi.org/10.1016/0266-6138(94)90046-9

[18]   Graneheim, U.H. and Lundman, B. (2004) Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to Achieve Trustworthiness. Nurse Education Today, 24, 105-112.
http://dx.doi.org/10.1016/j.nedt.2003.10.001

[19]   Pascalo Bonaro, D. and Kroger, M. (2004) Continuous Female Companionship during Child Birth: A Crucial Resource in Time of Stress or Calm. Journal of Midwifery & Women’s Health, 49, 19-27.
http://dx.doi.org/10.1016/j.jmwh.2004.04.017

[20]   Hunter, L. (2002) Being with Women: A Guiding Concept for the Care of Laboring Women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 31, 650-657.
http://dx.doi.org/10.1177/0884217502239213

[21]   Ahmadi Afshar, Z. (2010) Evaluation of the Effect of Continouse Midwifery Support on Pain Intensity in Labour and Delivery. Journal of Rafsanjan University of Medical Sciences, 9, 293-304. (In Persian)

[22]   Hodnett, E.D., Gates, S., Hofmeyr, G.J. and Sakala, C. (2013) Continuous Support for Women during Childbirth (Review). Cochrane Database of Systematic Reviews, 5, Article No.: CD003766.

[23]   Hunter, L.P. (2009) A Descriptive Study of “Being with Women” during Labour and Birth. Journal of Midwifery & Women’s Health, 54, 111-118.

[24]   Dahlberg, U.I.A. (2013) The Woman’s Birth Experience—The Effect of Interpersonal Relationships and Continuity of Care. Midwifery, 29, 407-415.
http://dx.doi.org/10.1016/j.midw.2012.09.006

[25]   Hunter, B. (2006) The Importance of Reciprocity in Relationships between Community Based Midwives and Mothers. Midwifery, 22, 308-322.
http://dx.doi.org/10.1016/j.midw.2005.11.002

[26]   Nilsson, C. and Lundgren, I. (2009) Women’s Lived Experience of Fear of Childbirth. Midwifery, 25, e1-e9.
http://dx.doi.org/10.1016/j.midw.2007.01.017

[27]   Thomson, G.M. and Downe, S. (2010) Changing the Future to Change the Past: Women’s Experiences of a Positive Birth Following a Traumatic Birth Experience. Journal of Reproductive and Infant Psychology, 28, 102-112.
http://dx.doi.org/10.1080/02646830903295000

[28]   Rossiter, L. (2008) The Development Midwife-Mother Relationship Questionnaire (MMRQ). PhD Thesis, Faculty of Graduate Studies and Research, University of Regina, Regina.

[29]   Sengane, M. (2013) Mothers’ Expectations of Midwives’ Care during Labour in a Public Hospital in Gauteng. Curationis, 36, 1-9.
http://dx.doi.org/10.4102/curationis.v36i1.320

[30]   Hassan Zahraee, R.F.F., Yazdani, M., Ahmadi, Z. and Bashardoost, N. (2003) Supportive Role of the Midwife in Preventing Post Partum Depression. The Journal of Qazvin University of Medical Sciences, 25, 19-24. (In Persian)

[31]   Askari, F., Atarodi, A.T.S., Delshad Noghabi, A. and Sadegh Moghadam, L.R.R. (2010) Women’s Labor Experience: A Phenomenological Study. Ofogh-e-Danesh GMUHS Journal, 16, 39-47. (In Persian)

 
 
Top