Siamak Aghlmand|Fatemeh Akbari|A Lameei|Kazem Mohammad|Rhonda Small|Mohammad Arab
Developing evidence-based maternity care in Iran: a quality improvement study
Tehran University of Medical Sciences|Tehran University of Medical Sciences|Urmia University|Tehran University of Medical Sciences|La Trobe University|Tehran University of Medical Sciences
current iranian perinatal statistics indicate maternity care continues need improvement response implemented multifaceted intervention improve quality maternity care iranian social security hospital using beforeandafter design aim improve uptake selected evidence based practices closely attend identified womens needs preferencesthe major steps study 1 identify womens needs values preferences via interviews 2 select process professional consensus top evidencebased clinical recommendations requiring local implementation 3 redesign care based selected evidencebased recommendations womens views 4 implement new care model measured impact new care model maternal satisfaction caesarean birth rates utilising maternal surveys medical record audit implementation new care modeltwenty womens needs requirements well ten evidencebased clinical recommendations selected basis improving care following introduction new model care womens satisfaction levels improved significantly 16 20 items p 00001 compared baseline seventyeight percent studied women experienced care consistent new model fewer women caesarean birth 30 compared 42 previouslythe introduction quality improvement care model improved compliance evidencebased guidelines associated improvement womens satisfaction levels reduction rates caesarean birth