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Table 2 The main themes and extracted categories

From: Experiences of health care providers on pregnancy and childbirth care during the COVID-19 pandemic in Iran: a phenomenological study

Theme

Category

Sub-category

1. Fear of disease

Reducing maternal referrals for prenatal and postnatal care

Reduction in the number of prenatal care referrals in health centers

Reduction in the number of referrals to hospital centers

Reduction in the activity of private offices

The preference of mothers to give birth in safe centers

Tendency to delivery in private centers

The increased mothers’ referrals to non-hospital delivery centers

concerns on maternity complications

Neglecting the complications of pregnancy and childbirth

Attention to and focus on COVID-19

Workplace insecurity

Unknown nature of the disease

Asymptomatic carriers

shortage of personal protective equipment (PPE)

2. Burnout

The increased workload

New roles

Infection of employees and staff shortages

The reduced family relationships

concern on transmitting the disease to the family

Entrusting children to grandparents and staying away from them

lack of motivational factors

Lack of encouraging supports

Comparing their working conditions with other staff

Lack of empathy of officials

3.Lessons learned by the COVID-19 Pandemic

Adaptation to new conditions

The increased knowledge about the disease to overcome conditions

Enhanced team working among staff

Inter team cooperation

The need to strengthen and support maternity health services

Providing consulting services to staff

Providing a platform for maternity care at home

Using the capacity of telemedicine for maternity services

The need for incentive processes for maternity care staff

The need for performing rapid screening tests in birth centers