Exploring perceptions of instructors about childbirth preparation training courses: A qualitative study

Abstract

BackgroundChildbirth preparation training courses on maternal and neonatal health increase awareness, and capability of pregnant women in overcoming fear and anxiety and managing labor pains.ObjectiveTo identify the affecting factors and barriers of these courses from the perspective of their instructors.MethodsThis qualitative study of the content analysis type, has been conducted on 16 certified teachers of the training courses of the Hamadan city in 2015. Data were collected by semi-structured in-depth interviews and were then analyzed by using MAXQDA10 application.ResultsParticipants’ experiences are indicated on three main themes including the objectives of the course, facilitators and barriers. The main objectives of the course were reported as to improve maternal and newborn health, promote natural childbirth and preparedness for parenting and breastfeeding. The main facilitators of the successful implementation include observing educational standards, strengthening the communication and relationship between mothers and staff, mobilization, and the role of instructor. The major barriers are reported as inadequate support from management system, insufficient intra-sector collaboration, poor attitude of obstetricians and physicians, inadequate access, theory-practice gap and not intended to labor naturally.ConclusionThe results of our study show that multiple factors are involved in the participation of pregnant women in antenatal classes. Promoting natural childbirth requires intra-sector and inter-sectoral collaboration, as well as the community participation.

Challenges to the implementation of a multi-level intervention to reduce mistreatment of women during childbirth in Iran: a qualitative study using the consolidated framework for implementation research

“…The ndings showed that the situations of facilities of maternity hospitals do not adapt the content of the classes, the timing of the start of the classes are not appropriate, and they are not announced correctly. Previous studies have assessed the factors in uencing childbirth preparation classes; e.g., a study conducted by Otogara (2017) reported the need for presence of a psychologist consultant, as well as appropriate timing and information for successful implementation of classes [59].…”

Women's experiences about the psychoeducational group programme with caring‐healing modalities and peer support on fear of childbirth: A phenomenological study

“…In another study, nulliparaous women were determined to experience fears such as unknown fear, inability to cope with contractions and loss of control during delivery because they were inexperienced and uneducated. Also, it was found that childbirth preparation education increased the awareness of women by their false beliefs about the childbirth process (Otogara et al, 2017).…”

“…The women said the education had very much reduced their fears, and that it had taught them to manage the processes related to pregnancy, childbirth and postpartum. Similarly, antenatal education maternity preparation education (Otogara et al, 2017) raised women's awareness in coping with fears. Women gained the ability to manage all of the processes and learn the methods of pain relief and pain management skills in relation to their own roles.…”

“…In addition, previous studies show that the effect of education offered by professionals is important in the women's birth type preferences. Women emphasized that the realization that childbirth is a psychological process can only be acquired through education provided by professionals (Otogara et al, 2017; Sanders & Crozier, 2018).…”

Application of virtual reality technology combined with moderate perineal protection in natural childbirth

“…About 5-40% of pregnant women fear childbirth in western countries, and a recent study reported that Chinese pregnant women have moderate levels of childbirth fear and anxiety [5]. It is estimated that out of every five pregnant women, one has a fear of natural childbirth, and, in most women, fear of birth leads to increased anxiety, pain and prolonged labour [6]. Depression and anxiety are common mental disorders during pregnancy and after childbirth worldwide [7].…”