Home care program for high-risk pregnancies: a qualitative study of care providers perspectives from Iran

Abstract Background High-risk pregnancies are accompanied by significant complications for the mother, fetus, and baby if not controlled and received timely care. During home antenatal care, high-risk pregnant women can receive non-medical interventions by a home visitor. Objective This study’s main...

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Main Authors: Masoumeh sayahi, Shahrbanoo Salehin, Mehrnoosh Zakerkish, Afsaneh Keramat, Shahrbanoo Goli
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-025-07150-w
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author Masoumeh sayahi
Shahrbanoo Salehin
Mehrnoosh Zakerkish
Afsaneh Keramat
Shahrbanoo Goli
author_facet Masoumeh sayahi
Shahrbanoo Salehin
Mehrnoosh Zakerkish
Afsaneh Keramat
Shahrbanoo Goli
author_sort Masoumeh sayahi
collection DOAJ
description Abstract Background High-risk pregnancies are accompanied by significant complications for the mother, fetus, and baby if not controlled and received timely care. During home antenatal care, high-risk pregnant women can receive non-medical interventions by a home visitor. Objective This study’s main aim was to explore care providers’ perspectives regarding the home care program for high-risk pregnancies. Materials and methods This qualitative study was conducted in a university hospital and 5 comprehensive health centers in Ahvaz (Iran) from February 2023 to July 2023. The sampling method used was purposive sampling considering the maximum possible diversity, which continued until data saturation. There were 13 in-depth and semi-structured interviews with care providers. Data were simultaneously analysed using Graneheim and Lundman content analysis by MAXQDA version 20 software. Results Data analysis led to the extraction of 3 main categories, 10 subcategories, and 24 main codes. The main categories and subcategories were “support dimension (family and community support for high-risk pregnant women),” “education dimension (empowerment of high-risk pregnant women and care providers),” and “infrastructures of the program (acculturalization, provision of program budget and care tariff, means and equipment, security and ethical issues, manpower, and the necessary arrangements for the home care).” Conclusions Providing home care services for high-risk pregnant women plays a vital role in expanding health justice and ensuring maximum access for high-risk pregnant women to perinatal care. Implementing the home care program requires family and community support, educational empowerment of care providers, and the provision of the necessary infrastructure for the program for high-risk pregnant mothers and their families.
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spelling doaj-art-5a2d336db1f542cbb83e76bc939849522025-01-26T12:57:14ZengBMCBMC Pregnancy and Childbirth1471-23932025-01-012511910.1186/s12884-025-07150-wHome care program for high-risk pregnancies: a qualitative study of care providers perspectives from IranMasoumeh sayahi0Shahrbanoo Salehin1Mehrnoosh Zakerkish2Afsaneh Keramat3Shahrbanoo Goli4Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical SciencesSexual Health and Fertility Research Center, Shahroud University of Medical SciencesDiabetes research center, Health research institute, Ahvaz Jundishapur University of Medical SciencesCenter for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical SciencesCenter for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical SciencesAbstract Background High-risk pregnancies are accompanied by significant complications for the mother, fetus, and baby if not controlled and received timely care. During home antenatal care, high-risk pregnant women can receive non-medical interventions by a home visitor. Objective This study’s main aim was to explore care providers’ perspectives regarding the home care program for high-risk pregnancies. Materials and methods This qualitative study was conducted in a university hospital and 5 comprehensive health centers in Ahvaz (Iran) from February 2023 to July 2023. The sampling method used was purposive sampling considering the maximum possible diversity, which continued until data saturation. There were 13 in-depth and semi-structured interviews with care providers. Data were simultaneously analysed using Graneheim and Lundman content analysis by MAXQDA version 20 software. Results Data analysis led to the extraction of 3 main categories, 10 subcategories, and 24 main codes. The main categories and subcategories were “support dimension (family and community support for high-risk pregnant women),” “education dimension (empowerment of high-risk pregnant women and care providers),” and “infrastructures of the program (acculturalization, provision of program budget and care tariff, means and equipment, security and ethical issues, manpower, and the necessary arrangements for the home care).” Conclusions Providing home care services for high-risk pregnant women plays a vital role in expanding health justice and ensuring maximum access for high-risk pregnant women to perinatal care. Implementing the home care program requires family and community support, educational empowerment of care providers, and the provision of the necessary infrastructure for the program for high-risk pregnant mothers and their families.https://doi.org/10.1186/s12884-025-07150-wCare providersHigh-risk pregnancyHome careProgram
spellingShingle Masoumeh sayahi
Shahrbanoo Salehin
Mehrnoosh Zakerkish
Afsaneh Keramat
Shahrbanoo Goli
Home care program for high-risk pregnancies: a qualitative study of care providers perspectives from Iran
BMC Pregnancy and Childbirth
Care providers
High-risk pregnancy
Home care
Program
title Home care program for high-risk pregnancies: a qualitative study of care providers perspectives from Iran
title_full Home care program for high-risk pregnancies: a qualitative study of care providers perspectives from Iran
title_fullStr Home care program for high-risk pregnancies: a qualitative study of care providers perspectives from Iran
title_full_unstemmed Home care program for high-risk pregnancies: a qualitative study of care providers perspectives from Iran
title_short Home care program for high-risk pregnancies: a qualitative study of care providers perspectives from Iran
title_sort home care program for high risk pregnancies a qualitative study of care providers perspectives from iran
topic Care providers
High-risk pregnancy
Home care
Program
url https://doi.org/10.1186/s12884-025-07150-w
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AT mehrnooshzakerkish homecareprogramforhighriskpregnanciesaqualitativestudyofcareprovidersperspectivesfromiran
AT afsanehkeramat homecareprogramforhighriskpregnanciesaqualitativestudyofcareprovidersperspectivesfromiran
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