Care Providers' Perspectives on Quality Prenatal Care in High-risk Pregnancies: A Qualitative Study.
Solmaz Mohammadi, Kobra Shojaei, Elham Maraghi and 1 others
PMID 37114102WHAT IT FOUND
Midwives and managers described six conditions for quality prenatal care in high-risk pregnancies: staffing and equipment, clinical optimality, referral organization, preconception care, risk assessment, and family-centered care.
Key findings
01Participants identified infrastructure, including human resources, medical equipment, and physical space, as a primary determinant of care quality.
02Clinical care quality was linked to continuous care from the same provider, accurate bedside assessment, and proper discharge protocols.
03Family-centered care, including home care with family participation and teaching husbands, was viewed as reducing hospital stays and improving maternal well-being.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was conducted in a specific region (Ahvaz, Iran), so the findings may not be transferable to other healthcare systems or cultural contexts. Data collection was limited to 19 participants, all of whom were healthcare providers, excluding the perspectives of patients or families. The study lacked data from public teaching hospitals, where care practices might differ from the non-teaching or comprehensive centers included.
Declared interests
The study was financially supported by Shahroud University of Medical Sciences, Iran. No conflicts of interest were declared by the authors.
The easy way to misread this
Do not interpret these themes as evidence that specific interventions improve clinical outcomes. The study reports the perceptions of professionals about barriers and facilitators in their local context, not the efficacy of care models.