Mothers' Perception of Quality of Services from Health Centers after Perinatal Loss

Electron Physician. 2016 Feb 25;8(2):2006-17. doi: 10.19082/2006. eCollection 2016 Feb.

Abstract

Introduction: Perinatal loss is one of the most stressful life events that parents and caregivers experience. Providing an empathetic, caring environment to support mothers who experience perinatal loss is necessary. The aim of this study was to assess mothers' perception of the quality of services received from health centers after perinatal loss.

Methods: This study was conducted in 2014-2015 using qualitative content analysis. Participants in the study were 40 women with a history of miscarriage, stillbirth, or neonatal death who live in Tehran and Shahrekord, Iran. Data were collected from the participants through semi-structured, in-depth interviews, and they were analyzed using qualitative content analysis.

Results: One theme and six main categories were developed, and they indicated the mothers' experiences and understandings of the quality of service received after perinatal loss. The major theme was 'dissatisfaction with the quality of care received.' The main categories included: 1) effective communication, 2) expecting responsiveness, 3) expecting to respect the patient's dignity, 4) expecting better care, 5) tension of medical expenses, and 6) insufficient facilities.

Conclusion: The findings of this study highlighted the weaknesses, inadequacies, strengths, and opportunities in providing health services. They can help reproductive health policy-makers reduce the pain and suffering of the affected families with appropriate measures.

Keywords: mothers’ perceptions; perinatal loss; quality of service.