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Study of Barriers to Professional Ethics in Midwifery Clinical Care from Midwives’ Viewpoints in Hospitals Specializing in Obstetrics and Gynecology in North Khorasan Province in 2018
Seyedeh Mahboobeh Rezaeean, Zahra Kazemi Gelian, Ghasem Kazemi Gelian, Zohreh Abbasi, Elahe Salari, Mahbubeh Tabatabaeichehr,
Volume 14, Issue 0 (3-2021)
Abstract
Failure to follow professional ethics in midwifery will lead to harmful risks, including an increase in maternal and infant mortality. The aim of this study was to investigate the barriers to professional ethics in midwifery clinical care from midwives ’viewpoints in hospitals specializing in obstetrics and gynecology in North Khorasan province in 2018. This cross-sectional descriptive study was performed with the participation of 141 midwives working in specialized obstetrics and gynecology hospitals in North Khorasan province, using classified sampling. The data collection tool was a questionnaire consisting of two parts: demographic information and barriers to professional ethics, in three areas: environmental and managerial and personal care. Data were analyzed using SPSS software version 22 and descriptive and inferential statistics. From the perspective of midwives, all three categories of environmental factors (73.94%), personal care (64.66%) and management (64.97%) were among the barriers to professional ethics. The most important barriers to professional ethics in the managerial dimension are staff shortages (80%), in the environmental dimension, biological changes in the body during work shifts (85.2%) and in the personal dimension, dissatisfaction with basic needs, such as insufficient income or adequate rest in midwifery (80.9%), was. Given the importance of observing professional ethics and the issues and problems arising from non-compliance, it is suggested that managers and officials make the necessary planning by hospitals to remove the barriers mentioned by midwives.

Compliance with the Right to Safe Motherhood and Its Predisposing, Reinforcing, and Enabling Factors Based on the Precede-Proceed Model from the Perspective of Midwifery Students
Maryam Kabirian, Seyedeh Mahboobeh Rezaeean, Rasul Alimi, Nayere Khadem, Robab Latifnejad Roudsari,
Volume 17, Issue 1 (3-2024)
Abstract
The right to safe motherhood encompasses several goals, including reducing maternal mortality, ensuring safe pregnancy and childbirth, and giving birth to healthy children. This study aimed to determine the degree of compliance with the right to safe motherhood and to identify its predisposing, reinforcing, and enabling factors based on the precede-proceed model from the viewpoint of midwifery students. This cross sectional study was conducted using the census method on 151 midwifery students at Mashhad University of Medical Sciences, Mashhad, Iran in 2021 and 2022. Data were collected through a demographic questionnaire, a researcher-made questionnaire to assess compliance with the right to safe motherhood, and a questionnaire to measure its predisposing, reinforcing, and enabling factors on a self-report basis. Statistical methods including Pearson’s and Spearman’s correlation coefficients were utilized to analyze data. The overall mean score of compliance with the right to safe motherhood was 116.6±38.8 with a range of 13-187. Regarding predisposing factors, 58.6% of students had an average to high level of awareness, 80.15% had a positive attitude, and 56.7% highly valued compliance with the right to safe motherhood. Concerning reinforcing factors, the encouragement by clinical mentors (94.8%) as well as legal support (94.6%), and in terms of enabling factors, proficiency and expertise in human resources (71.9%) were recognized as the most influencing factors in promoting compliance with the right to safe motherhood. Moreover, there was a strong positive correlation between enabling factors and compliance with the right to safe motherhood (r=0.950, p=0.488). The results suggest that from the perspective of midwifery students, the level of compliance with the right to safe motherhood is moderate. Given the relationship between enabling factors and compliance with the right to safe motherhood, educational and executive officials in midwifery are recommended to consider the role of these factors to improve the level of compliance with the right to safe motherhood to enhance the quality of midwifery services.

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