Developing of a new guideline for improving birth experiences among Iranian women: a mixed method study protocol

Ghanbari‐Homayi, Solmaz; Fardiazar, Zahra; Mohammad‐Alizadeh‐Charandabi, Sakineh; Jafarabadi, Mohammad Asghari; Mohamadi, Eesa; Meedya, Shahla; Mirghafourvand, Mojgan

doi:10.1186/s12978-020-0868-5

Cited by 11 publications

(10 citation statements)

References 45 publications

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“…Commentary on Israel’s minority group by [ 74 ] substantiated the finding of our review stating that older people and people with disabilities and comorbidities are marginalized in all circumstances during the outbreak of COVID-19 in Africa. It could also be due to a lower level of resistance in comorbid and older people than young and non-comorbid individuals with the literature affirming the finding of our review indicating that hypertension, diabetes, cardiovascular disease, kidney disease, and respiratory disease the most prevalent comorbidities [ 75 ].…”

Section: Discussionsupporting

confidence: 74%

Race against death or starvation? COVID-19 and its impact on African populations

Kassa

Grace

2020

Public Health Rev

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Background Born in the Chinese city of Wuhan, the consequences of the coronavirus pandemic on global health and economies have been and continue to be devastating. In Africa, its countries grieve for unprecedented burdens of caseloads and mortality due to COVID-19, the virus responsible for the disease. This narrative review aims to establish the scale of the health and economic crisis wrought by the pandemic in Africa, including its impact on the informal economic sector, projections of the effect on national GDP, as well as its political dimensions. Methods Documentary evidence issued between January and 8 August 2020 was sought from the Google Scholar, PubMed, Scopus, and Web of Science databases. Searches of published and unpublished abstracts were also conducted from appropriate websites, government documents, organizational reports, newspaper commentaries, and reports issued by global, regional, and local centers of disease control and prevention. Results The COVID-19 pandemic is responsible for a fourfold crisis in Africa: (1) a health crisis: the victimization of frontline healthcare workers and the looming caseload and death tolls with 1.039 million (12%) cases being confirmed and over 22,966 (2.4%) deaths as of 8 August 2020. The highest death toll was recorded in Southern Africa of 11,024 (48%) followed by North Africa with 6,989 (29.2%) deaths; (2) a social crisis: with the violation of human rights, the killing of citizens by security forces and increased crime. This, in turn, exacerbates social inequalities, the breakdown of households, instances of social unrest, and general impoverishment; (3) an economic crisis: manifested by a decline in GDP and mass unemployment; (4) a political crisis: implementation of measures that may not be appropriate for Africa, discrimination of refugees and immigrants, evacuation of citizens to their home countries, resulting in distrust of political leaders and postponement of national elections, and mounting cases of conflicts and unrest. Conclusion Lockdown during the COVID-19 outbreak is a prevention mechanism in affluent countries, in contrast to developing regions such as Africa, where it is a race against death and starvation. Policymakers must apply novel and locally relevant prevention and management strategies to cope with this growing disaster.

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Section: Discussionsupporting

confidence: 74%

Race against death or starvation? COVID-19 and its impact on African populations

Kassa

Grace

2020

Public Health Rev

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“…This study is a large, multiphase study aimed at developing recommendations to propose a clinical guideline for improving the Iranian primiparous women childbirth experience. The study design has already been published [ 27 ] (Fig. 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…The first phase of the study was a cross-sectional study in which the predictors of childbirth experience among primiparous women were investigated. The calculation of sample size has been reported in the protocol [ 27 ].…”

Section: Methodsmentioning

confidence: 99%

Recommendations for improving primiparous women’s childbirth experience: results from a multiphase study in Iran

Ghanbari-Homaie

Meedya

Mohammad‐Alizadeh‐Charandabi

et al. 2021

Reprod Health

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Background Women's satisfaction with childbirth experience is considered as one of the quality indicators of the maternity services across the world. However, there is no guideline for improving the experience of childbirth in Iran that is suitable for women with different cultural, economic, and social statuses. The aim of this study is to make recommendations for practice and propose a clinical guideline for improving the experience of women with vaginal births. Methods/design The study design was a mixed method study with a sequential explanatory approach consisting of three phases. The first phase of the study was a cross-sectional study to identify the predictors of traumatic vaginal childbirth experience among 800 primiparous women from Tabriz health centers who had vaginal birth. Data collection tools in this phase were Childbirth Experience Questionnaire (CEQ) and Support and Control in Birth (SCIB). Both tools were validated for Farsi language. The second phase was a qualitative study with 17 in-depth individual interviews among women who took part in the first phase to better understand their reasons that influenced their childbirth experience either positively or negatively. The third phase of the study was to develop recommendations for a proposed clinical guideline through a Delphi study where maternal health experts were selected and invited to take part in the panel. They first rated the proposed recommendations individually and provided written responses on their own agreement or disagreement with each statement in terms of its impact on childbirth experience, feasibility, acceptability, and cost-effectiveness. After three confirmation rounds, the final conscience was reached by the panel members. Results The results of the quantitative phase showed that the probability of negative experience of childbirth was increased when physical exercise was not implemented during pregnancy, lacking pain relief options, having fear of childbirth, lacking skin to skin contact with the newborn and being unable to initiate breastfeeding in the first hour after birth (P < 0.05). The analysis of qualitative data revealed 13 major theme categories which were related to women’s sense of internal control, external control and support. In the third phase of the study, culturally appropriate recommendations were made and an evidence-based clinical guideline was proposed. The proposed guideline was based on the combination of the quantitative and qualitative phases, a review of the literature, and the opinions of Iranian experts using the Delphi technique. Conclusion Given the high prevalence of negative childbirth experience among Iranian primiparous women, the present study may be of great interest for managers, leaders, policymakers, and care providers to improve the quality of the maternity services. However, further studies are required to translate the recommendations into practice and identify enablers and barriers during the implementation of the proposed guideline. To adopt the recommendations at national level, there is a need to further studies to assess the effectiveness of the proposed guideline within different communities across the region and the country.

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“…Mixed methods approaches are currently being used by a number of Iranian study groups to develop multiple guidelines (e.g. sexual and reproductive health of surrogate mothers [ 35 ], perinatal palliative care for women with foetal anomaly diagnosis [ 36 ], and improving the childbirth experiences of Iranian women [ 37 ]).…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a guideline on sexual and reproductive health of breast cancer survivors in Iran: a mixed methods study protocol

Roshandel

Lamyian

Azin

et al. 2021

Health Res Policy Sys

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Background Sexual and reproductive health problems significantly decrease quality of life in survivors of breast cancer. The best approach is to provide services according to evidence-based guidelines developed based on their practical context. Here, we aim to develop and validate a guideline on the sexual and reproductive health of breast cancer survivors in Iran. Methods The guideline will be developed and validated using an exploratory sequential mixed methods approach in three phases: (1) describing sexual and reproductive health needs of survivors of breast cancer in Iran and the health services they receive in this regard, (2) performing a systematic review of existing guidelines, resources, and documents on the sexual and reproductive health of breast cancer survivors worldwide, and (3) developing and validating a guideline on the sexual and reproductive health of women who survived breast cancer in Iran based on the results of phases 1 and 2 through multiple steps. Discussion A comprehensive and practical guideline on the sexual and reproductive health of breast cancer survivors in Iran will be developed which will be compatible with their specific needs and culture, considering the limited resources available. This guideline can significantly improve the quality of life in breast cancer survivors in Iran. In addition, the approach we will use here can be utilized to develop guidelines on sexual and reproductive health of female cancer survivors in general.

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Developing of a new guideline for improving birth experiences among Iranian women: a mixed method study protocol

Cited by 11 publications

References 45 publications

Race against death or starvation? COVID-19 and its impact on African populations

Race against death or starvation? COVID-19 and its impact on African populations

Recommendations for improving primiparous women’s childbirth experience: results from a multiphase study in Iran

Development and validation of a guideline on sexual and reproductive health of breast cancer survivors in Iran: a mixed methods study protocol

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