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J Caring Sci. 2024;13(1): 63-71.
doi: 10.34172/jcs.2024.31796
  Abstract View: 256
  PDF Download: 183

Original Article

The Unmet Needs of Women with Maternal Near Miss Experience: A Qualitative Study

Sedigheh Abdollahpour 1 ORCID logo, Abbas Heydari 2 ORCID logo, Hosein Ebrahimipour 3 ORCID logo, Farhad Faridhoseini 4 ORCID logo, Talat Khadivzadeh 5* ORCID logo

1 Reproductive Health, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
5 Reproductive Health, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
*Corresponding Author: Talat Khadivzadeh, Email: tkhadivzadeh@yahoo. com, Email: tkhadivzadeh@yahoo.com

Abstract

Introduction: A maternal near-miss (MNM) case is defined as “a woman who nearly died but survived from life-threatening pregnancy or childbirth complication”. This study was conducted on health care providers and near-miss mothers (NMMs) with the aim of discovering the unmet needs of Iranian NMM.

Methods: In this qualitative study 37 participants of key informants, health providers, NMMs and their husbands were selected using purposive sampling. Semi-structured in-depth interviews were conducted for data collection until data saturation was achieved. Data were analyzed using Graneheim and Lundman conventional content analysis.

Results: The analysis revealed the core category of “the need for comprehensive support”. Eight categories included “psychological”, “fertility”, “information”, “improvement the quality of care”, “sociocultural”, “financial”, “breastfeeding” and “nutritional” needs emerging from 18 sub-categories, were formed from 2112 codes.

Conclusion: Many of the real needs of NMM have been ignored. Maternal health policymakers should provide standard guidelines based on the needs discovered in this study to support the NMMs’ unmet needs.

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Submitted: 16 Aug 2022
Accepted: 28 Aug 2023
ePublished: 30 Dec 2023
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