Абстрактный

Clarification of risk management in safe delivery, by Iranian experts: A qualitative study

Forozun Olfati, Afsaneh Keramat, Nasrin Changizi, Masud Yunesian, Saeid Asefzadeh

Background: Dealing with the risk and the risk management, will improve the quality of health planning and policy making in safe delivery. This study is aimed to express the views of experts on risk and risk management in the safe delivery in Iran.

Methods: The current study was part of a qualitative research conducted by content analysis method in 2013 and purposive sampling, performing 24 in-depth interviews based on semi-structured questions and analyzed using thematic content analysis. The participants in this research included midwives, obstetricians and managers.

Results: In the present study, experts considered both the social and medical approaches of risk. Midwives had more attention to social and community-based approaches, while professionals and managers had more attention to medical approach of risk.

Conclusions: The best solution is paying attention to both approaches. Doctors and midwives should have the skills and flexibility required to use two approaches at the same time and always attention to the environmental and personal background of women and their families. In this way, the low-risk mothers will get more benefits during delivery and the high-risk mothers will use special care.