Developing evidence-based maternity care in Iran: a quality improvement study
2008

Improving Maternity Care in Iran

Sample size: 100 publication Evidence: moderate

Author Information

Author(s): Aghlmand Siamak, Akbari Feizollah, Lameei Aboulfath, Mohammad Kazem, Small Rhonda, Arab Mohammad

Primary Institution: Tehran University of Medical Sciences

Hypothesis

Can a multi-faceted intervention improve the quality of maternity care in an Iranian hospital?

Conclusion

The new care model improved women's satisfaction and reduced caesarean birth rates.

Supporting Evidence

  • Women's satisfaction levels improved significantly on 16 of 20 items after the new care model was introduced.
  • Seventy-eight percent of studied women experienced care consistent with the new model.
  • The rate of caesarean births decreased from 42% to 30% after implementing the new care model.

Takeaway

The study shows that by listening to what women want and using the best medical practices, hospitals can make moms happier and help them have fewer surgeries.

Methodology

A before-and-after study design was used to implement a new care model based on women's needs and evidence-based practices.

Potential Biases

Involvement of midwives in data collection may have introduced bias.

Limitations

Causality cannot be definitively established due to the study design.

Participant Demographics

Women who gave birth at an Iranian Social Security Hospital.

Statistical Information

P-Value

p < 0.0001

Confidence Interval

95% CI: 2.07–6.07

Statistical Significance

p < 0.0001

Digital Object Identifier (DOI)

10.1186/1471-2393-8-20

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