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Table 2 The overarching theme, themes, sub-themes, and concepts that formed the participants’ lived experiences of maternal care during labour and delivery

From: Iranian midwives’ lived experiences of providing continuous midwife-led intrapartum care: a qualitative study

Overarching theme Theme Sub-theme Concepts
Wanting to lead continuous woman-centered care but being unable to 1.Emphasis on the non-interventional care Emphasis on physiological childbirth
Psychological care is more important than physical care
2.Midwifery-specific focus Midwife’s professional values Justice in care
Communication skills
A sense of empathy
Sense of responsibility and work ethics
Professional view of work
Midwife’s characteristics and competence in providing care Patience
An interest in the job
Right reaction in critical situations
Ability to do teamwork
Ability to control stress
3.Obstacles and challenges of midwifery care Lack of familiarity with and knowledge in relation to childbirth Pregnant woman’s unfamiliarity with the process of physiological childbirth
Pregnant woman’s unfamiliarity with the complications of cesarean section
The insignificant role of midwives in decision making Midwife is in the margins of decision making
Lack of midwife independence in the care process
Robotic care
Obstetrician utilitarianism Performing all deliveries
Not giving midwife the freedom to perform delivery
Lack of teamwork
High workloads along with work-related stress Multiple responsibilities along with work-related stress
Simultaneous responsibility of care for several women/people in labour
Argument-driven communication between obstetricians and midwives Argument over the diagnosis of problem
Argument along with disrespect
Argument over financial issues
An absence of a ‘triangle of trust’ in care Patient’s trust in midwife
obstetrician’s trust in midwife