Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jan 1;18(2):e21471.
doi: 10.5812/ircmj.21471. eCollection 2016 Feb.

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Mina Iravani  1 , Mohsen Janghorbani  2 , Ellahe Zarean  3 , Masod Bahrami  4
Affiliations

Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study

Mina Iravani et al. Iran Red Crescent Med J. .

Abstract

Background: Evidence based practice is an effective strategy to improve the quality of obstetric care. Identification of barriers to adaptation of evidence-based intrapartum care is necessary and crucial to deliver high quality care to parturient women.

Objectives: The current study aimed to explore barriers to adaptation of evidence-based intrapartum care from the perspective of clinical groups that provide obstetric care in Iran.

Materials and methods: This descriptive exploratory qualitative research was conducted from 2013 to 2014 in fourteen state medical training centers in Iran. Participants were selected from midwives, specialists, and residents of obstetrics and gynecology, with a purposive sample and snowball method. Data were collected through face-to-face semi-structured in-depth interviews and analyzed according to conventional content analysis.

Results: Data analysis identified twenty subcategories and four main categories. Main categories included barriers were related to laboring women, persons providing care, the organization environment and health system.

Conclusions: The adoption of evidence based intrapartum care is a complex process. In this regard, identifying potential barriers is the first step to determine and apply effective strategies to encourage the compliance evidence based obstetric care and improves maternity care quality.

Keywords: Evidence-Based Practice; Intrapartum Care; Iran; Quality Improvement.

PubMed Disclaimer

References

    1. World Health Organization . The World Health Report: Make Every Mother and Child Count, 2005. Geneva: World Health Organization; 2005.
    1. Garner P, Meremikwu M, Volmink J, Xu Q, Smith H. Putting evidence into practice: how middle and low income countries "get it together". BMJ. 2004;329(7473):1036–9. doi: 10.1136/bmj.329.7473.1036. - DOI - PMC - PubMed
    1. World Health Organization . Care in Normal Birth. Geneva: World Health Organization; 1996.
    1. Enkin M, Keirse M, Neilson J, Crowther C, Duley L, Hodnett E, et al. A Guide to Effective Care in Pregnancy and Childbirth. Third ed. New York: Oxford University Press; 2000.
    1. Gulmezoglu AM, Langer A, Piaggio G, Lumbiganon P, Villar J, Grimshaw J. Cluster randomised trial of an active, multifaceted educational intervention based on the WHO Reproductive Health Library to improve obstetric practices. BJOG. 2007;114(1):16–23. doi: 10.1111/j.1471-0528.2006.01091.x. - DOI - PubMed

LinkOut - more resources