Repository logo

Implementation of birth plans integrated into childbirth preparation classes for vaginal birth: a qualitative study of women, their husbands and clinicians' perspectives in Iran.

Published version

Change log


Mohaghegh, Zaynab 
Javadnoori, Mojgan 
Najafian, Mahin 
Montazeri, Simin 
Abedi, Parvin 


BACKGROUND: Understanding women's experience of birth planning is necessary for introducing and implementing this process in the Iranian maternity services. This study aims to explore perceptions of birth plan implementation in Iran from the perspective of women, their husbands, and clinicians. METHODS: This qualitative study was conducted in Iran. Qualitative data were collected from November 2020 to March 2021 by conducting semi-structured in-depth interviews with ten mothers who prepared a birth plan, and 15 key informants (obstetricians, midwives, and husbands) who were involved in the implementation process of birth plans. Data were analyzed using conventional qualitative content analysis. RESULTS: Data reduction process resulted in 380 codes that were categorized in 16 subcategories and five main categories. The main categories were "Guide and pattern of preparing for childbirth pathway", "Maternal empowerment and sense of triumph", "Facilitating and enhancing communication", "Successful transition to parenthood and women's satisfaction", and "Challenges associated with implementation of the birth plan". The overarching theme "Birth plan: The missing link in promotion of vaginal birth in Iran" was constructed from these categories. CONCLUSION: Findings of this study highlight the effectiveness of the implementation of birth plan along with childbirth preparation classes for increasing the likelihood of a successful vaginal birth and promoting empowerment and satisfaction in women during the childbirth process. The findings of this study could pave the way for developing, introducing, and implementing of birth plan in Iran.



Birth plan, Experience, Qualitative research, Vaginal birth, Female, Pregnancy, Humans, Iran, Spouses, Parturition, Prenatal Care, Delivery, Obstetric, Qualitative Research

Journal Title

BMC Pregnancy Childbirth

Conference Name

Journal ISSN


Volume Title


Springer Science and Business Media LLC
Ahvaz Jundishapur University of Medical Sciences (RHPRC-9927. 2020-09-14)