Midwives’ expectations from pregnant women regarding their participation in safe delivery: a qualitative study

Midwives’ expectations from pregnant women regarding their participation in safe delivery: a qualitative study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Help Center Sign In Submit a Preprint Cite Share Download PDF Research article Midwives’ expectations from pregnant women regarding their participation in safe delivery: a qualitative study Roghieh Bayrami, Rahim Baghaei This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-26635/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background : Pregnant women’s participation in safe delivery is associated with safety assurance and improvement. Safety and care quality improvement in developed countries has so far been based on research and clinical evidence. Nonetheless, stakeholders’ preferences and expectations were not much taken into account. This study aimed to explore midwives’ expectations from pregnant women regarding their participation in safe delivery. Methods : This qualitative study was conducted in 2019 in three public hospitals in Urmia, Iran. Data were collected through 24 in-depth semi-structured interviews with 24 midwives. Sampling was done purposively and continued up to data saturation. Data were analyzed through Graneheim and Lundman’s qualitative content analysis. Results: Midwives’ expectations from pregnant women regarding their participation in safe delivery were grouped into the two main themes of effective communication (with two main categories) and empowerment of pregnant women (with three categories). The five main categories of these two themes were client’s interaction with midwife, confidence in midwife, readiness for delivery, health literacy improvement, and participation in safe behaviors, respectively. Conclusions : Understanding midwives’ expectations regarding pregnant women participation in safe delivery is important to the development of policies for care quality and safety improvement in perinatal care. Keywords : Patient participation, Safe delivery, Qualitative study Health Economics & Outcomes Research Health Policy Patient participation Safe delivery Qualitative study Full-text Due to technical limitations, full-text HTML conversion of this manuscript could not be completed. However, the manuscript can be downloaded and accessed as a PDF. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-26635","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":552495,"identity":"c4e0f6ae-55f2-4d71-87ee-c3909d86f0f6","order_by":1,"name":"Roghieh Bayrami","email":"","orcid":"","institution":"Urmia University of Medical Sciences School of Nursing and Midwifery","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Roghieh","middleName":"","lastName":"Bayrami","suffix":""},{"id":552496,"identity":"87cec035-bff6-4723-84c3-546aeee224d7","order_by":2,"name":"Rahim Baghaei","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA50lEQVRIiWNgGAWjYBACAwYGNiAlwcDA3gATY2zAqRxVC88B0rSAdCUQ6TBz9uPXHvyosGAwn/nGdOPPNgZ5/gbmtg/4tFj25JQb9pyRYJC5nWN2m7eNwXDGAcbmGXgddiAnTYK3TYJBQhqohbGNgXEDA2Mzfr+cf5Mm+fcfUIvkGbObQIfZE9ZyI/2YNG8DUIsEj9kNoMMSCWqxnPGGTVrmmASPBE9a2W2ecxLJMw4T0GLOn/5M8k1NnZwE++FtN3+U2dj2t7c/xqsFGIUGYBLKA8YpMwENwITygKCSUTAKRsEoGOEAAFMhQNhrCh3qAAAAAElFTkSuQmCC","orcid":"","institution":"Urmia University of Medical Sciences School of Nursing and Midwifery","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Rahim","middleName":"","lastName":"Baghaei","suffix":""}],"badges":[],"createdAt":"2020-05-03 13:03:04","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-26635/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-26635/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":1081119,"identity":"5d850080-df15-4737-ad24-a1889aff1f01","added_by":"auto","created_at":"2020-05-12 17:33:40","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":622211,"visible":true,"origin":"","legend":"","description":"","filename":"renamed0d7c3.pdf","url":"https://assets-eu.researchsquare.com/files/rs-26635/v1_stamped.pdf"},{"id":1081113,"identity":"06d6300a-195a-40d4-82ef-23acb78501eb","added_by":"auto","created_at":"2020-05-12 17:33:32","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":570155,"visible":true,"origin":"","legend":"","description":"","filename":"renamed0d7c3.pdf","url":"https://assets-eu.researchsquare.com/files/rs-26635/v1/renamed0d7c3.pdf"},{"id":13502994,"identity":"97c57fdb-00f1-445d-840f-ca32f6feb104","added_by":"auto","created_at":"2021-09-16 23:16:59","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":335018,"visible":true,"origin":"","legend":"","description":"","filename":"renamed0d7c3.pdf","url":"https://assets-eu.researchsquare.com/files/rs-26635/v1_covered.pdf"}],"financialInterests":"","formattedTitle":"Midwives’ expectations from pregnant women regarding their participation in safe delivery: a qualitative study","fulltext":[{"header":"Full-text","content":" \u003cp\u003eDue to technical limitations, full-text HTML conversion of this manuscript could not be completed. 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Safety and care quality improvement in developed countries has so far been based on research and clinical evidence. Nonetheless, stakeholders’ preferences and expectations were not much taken into account. This study aimed to explore midwives’ expectations from pregnant women regarding their participation in safe delivery. \u003c/p\u003e\u003cp\u003eMethods : This qualitative study was conducted in 2019 in three public hospitals in Urmia, Iran. Data were collected through 24 in-depth semi-structured interviews with 24 midwives. Sampling was done purposively and continued up to data saturation. Data were analyzed through Graneheim and Lundman’s qualitative content analysis. \u003c/p\u003e\u003cp\u003eResults: Midwives’ expectations from pregnant women regarding their participation in safe delivery were grouped into the two main themes of effective communication (with two main categories) and empowerment of pregnant women (with three categories). The five main categories of these two themes were client’s interaction with midwife, confidence in midwife, readiness for delivery, health literacy improvement, and participation in safe behaviors, respectively. \u003c/p\u003e\u003cp\u003eConclusions : Understanding midwives’ expectations regarding pregnant women participation in safe delivery is important to the development of policies for care quality and safety improvement in perinatal care. 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