Abuya T, Warren C, Miller N Exploring the prevalence of disrespect and abuse during childbirth in Kenya. PloS One. 2015; 10

Askari F, Atarodi A, Torabi S Women's labor experience: a phenomenological study. Int Med Today. 2010; 15:(4)39-46

Betran AP, Ye J, Zhang J, Torloni MR The increasing trend in caesarean section rates: global, regional and national estimates: 1990-2014. PLoS One. 2016; 11:(2)

Continuous support for women during childbirth. 2017.

Boie S, Lauridsen H, Glavind J, Smed M, Uldbjerg N, Bor P The childbirth experience questionnaire (CEQ)-validation of its use in a danish-speaking population of new mothers stimulated with oxytocin during labour. PLoS One. 2020; 15:(5)

Dencker A, Taft C, Bergqvist L, Lilja H, Berg M Childbirth experience questionnaire (CEQ): development and evaluation of a multidimensional instrument. BMC Pregnancy Childbirth. 2010; 10:(10)

Drost EA Validity and reliability in social science research. Educ Res Perspectives. 2011; 38:(1)

Dzomeku V, van Wyk B, Lori J Experiences of women receiving childbirth care from public health facilities in Kumasi, Ghana. Midwifery. 2017; 55:90-95

Ghobadi M, Ziaee T, Mirhaghjo N, Pazandeh F, Kazemnejad Lili E Evaluation of satisfaction with natural delivery experience and its related factors in Rasht women. J Health Care. 2018; 20:(3)215-224

Hildingsson I, Karlström A, Larsson B Childbirth experience in women participating in a continuity of midwifery care project. Women Birth. 2021; 34:(3)e255-e261

Hulton L, Matthews Z, Stones RWSouthampton: University of Southampton; 2000

Ishola F, Owolabi O, Filippi V Disrespect and abuse of women during childbirth in Nigeria: a systematic review. PLoS One. 2017; 12:(3)

Jafari E, Mohebbi P, Mazloomzadeh S Factors related to women's childbirth satisfaction in physiologic and routine childbirth groups. Iran J Nurs Midwifery Res. 2017; 22:(3)219-224

Kasegari F, Pazandeh F, Darvish S, Huss R, Nasiri M Admitting women in active labour: a randomised controlled trial about the effects of protocol use on childbirth method and interventions. Women Birth. 2020; 33:(6)543-548

Khatooni E, Akbarzadeh I, Abdalmaleki E, Abdi Z, Ahmadnezhad E Evaluating maternal and child health indicators for the sustainable development goals in 2018: what is Iran's position?. Epidemiol Health. 2019; 41

Larsson C, Saltvedt S, Edman G, Wiklund I, Andolf E Factors independently related to a negative birth experience in firsttime mothers. Sex Reprod Healthc. 2011; 2:(2)83-89

Lunda P, Minnie CS Women's experiences of continuous support during childbirth: a meta-synthesis. BMC Pregnancy Childbirth. 2018; 18:(1)

Tehran: Ministry of Health and Medical Education; 2006

Moridi M, Pazandeh F, Hajian S, Potrata B Midwives’ perspectives of respectful maternity care during childbirth: a qualitative study. PLoS One. 2020; 15:(3)

Nilsson L, Thorsell T, Wahn E Factors influencing positive birth experiences of first-time mothers. Nurs Res Pract. 2013; 2013

Nystedt A, Hildingsson I Women's and men's negative experience of child birth—a cross-sectional survey. Women Birth. 2017; 31:(2)103-109

Pazandeh F, Potrata B, Huss R, Hirst J, House A Women's experiences of routine care during labor and childbirth and the influence of medicalization: a qualitative study from Iran. Midwifery. 2017; 53:63-70

Midwifeled continuity models versus other models of care for childbearing women. 2016.

Sedigh Mobarakabadi S, Najmabadi K, Ghazi-Tabatabaie M Ambivalence towards childbirth in a medicalized context: a qualitative inquiry among Iranian mothers. Iranian Red Crescent Medical Journal. 2015; 17:(3)

Shahshahan Z, Heshmati B, Akbari M, Sabet F Caesarean section in Iran. Lancet. 2016; 388:(10039)29-30

Shirzad M, Shakibazadeh E, Hajimiri K Prevalence of and reasons for women's, family members’, and health professionals’ preferences for cesarean section in iran: a mixed-methods systematic review. Reprod Health. 2021; 18:(1)

Smarandache A, Kim THM, Bohr Y, Tamim H Predictors of a negative labour and birth experience based on a national survey of Canadian women. BMC Pregnancy Childbirth. 2016; 16:(1)

Stjernholm Y, Da P, Charvalho S, Bergdahl O, Vladic T, Petersson M Continuous support promotes obstetric labor progress and vaginal delivery in primiparous women -a randomized controlled study. Front Psychol. 2021; 12

Torkzahrani S Commentary: childbirth education in Iran. J Perinat Educ. 2008; 17:(3)51-54

New York: United Nations; 2015

Walker K, Dencker A, Thornton J Childbirth experience questionnaire: validating its use in the United Kingdom. BMC Pregnancy Childbirth. 2015; 15

Zhu X, Hou R, Lu H, Pang R Review of the midwifery related policies development progress in modern times of China. Chinese Nursing Manag. 2015; 1:e122-e125

Iranian women's birth experiences: a cross-sectional study

02 December 2022
Volume 30 · Issue 12



Women's childbirth experiences are an essential measure of childbirth and have a significant role in evaluating and improving the quality of care given during birth. This study's aim was to evaluate women's experiences during labour and childbirth in a teaching hospital in Iran.


This cross-sectional study was conducted in a public hospital in Guilan from July to August 2018. The study recruited 126 low-risk postpartum women. The childbirth experience questionnaire and a researcher-developed questionnaire were used for data collection. Linear regression was used to assess the effect of factors on birth care experience (significance level: P<0.05). Results Women's experiences of childbirth were not optimal. Women's overall experience score was 2.56±0.42. The desire to have a normal birth (P<0.001), the freedom to drink, change position or walk during labour (P=0.01), receiving respectful care (P<0.001) and emotional support (P=0.009) were contributing factors to women's perceptions of their experiences.


Quality improvement strategies are needed to implement evidence-based care in Iran. Interventions to ensure that healthcare professionals’ behaviour promotes women's psychological wellbeing and creates a respectful birth environment are required to promote high-quality childbirth care and improve birth experiences in Iran.

In the past decade, efforts to achieve the five millennium development goals reduced maternal mortality and the prevalence of complications during pregnancy and childbirth (United Nations, 2015). However, improving the quality of maternity care is also essential to achieve the new sustainable development goals related to maternal health (World Health Organization (WHO), 2016).To promote positive childbirth experiences, the WHO (2015) recommends implementation of evidence-based and respectful maternity care. This approach refers to providing appropriate medical interventions at the right time, and preserving women's dignity in line with her personal and cultural needs and preferences (WHO, 2015; 2019). However, the medicalised model of care is dominant in many parts of the world and women continue to experience unnecessary interventions during labour and childbirth, which adversely impact their birth experiences (Abuya et al, 2015; Dzomeku et al, 2017; Ishola et al, 2017).

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