اولین همایش بین المللی تحول خدمات سلامت: تلفیق مراقبت، درمان، بازتوانی و امیدبخشی

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کد مقاله 1296

عنوان Midwives’ Attitudes Toward Childbearing and Associated Factors in Comprehensive Health Centers ‎in Isfahan, Iran

نویسندگان Zahrasadat Mousavi - Shadi Goli - ‎Mojgan Janighorban

چکیده Background: The decline in fertility and the recent pronatalist turn in population policies in Iran have ‎highlighted the role of health-care providers, especially midwives, in fertility counselling and shaping ‎couples’ attitudes toward childbearing. ‎ Aim: This study aimed to assess the attitudes toward childbearing and related factors among midwives ‎working in comprehensive health centers in Isfahan, Iran.‎ Methods: This descriptive-analytic cross-sectional study was conducted among all midwives working in ‎comprehensive health centers in Isfahan city. A census sampling approach was used, and finally 152 ‎midwives who met the inclusion criteria were included in the analysis. Data were collected using a two-‎part questionnaire comprising sociodemographic and occupational characteristics and a researcher-‎developed Attitude toward Childbearing Questionnaire (21 items on a five-point Likert scale). Content ‎validity was confirmed using the Content Validity Ratio (CVR) and Content Validity Index (CVI). Internal ‎consistency was acceptable with a Cronbach’s alpha of 0.78, and temporal stability was confirmed by a ‎test-retest correlation above 0.8. Data were entered into SPSS and analyzed using descriptive ‎statistics, one-way analysis of variance, and Tukey’s post-hoc test at a significance level of 0.05.‎ Results: The mean total attitude score toward childbearing was 79.86 ± 5.96, and the mean item score ‎on the 1-5 scale was 3.8 ± 0.28, indicating a relatively positive attitude toward childbearing among the ‎midwives. Mean attitude scores differed significantly by economic status, years of work experience, ‎and employment status (p<0.05). The highest mean scores were observed among midwives with poor ‎economic status (approximately 4.10) and those with 15-20 years of work experience (about 4.19). ‎Midwives with non-permanent employment had higher mean attitude scores than those with ‎permanent contracts (about 3.91 vs. 3.76). In contrast, no significant associations were found between ‎attitude scores and age, marital status, number of children, number of siblings, or educational level ‎‎(p>0.05).‎ Conclusion: Overall, midwives working in comprehensive health centers in Isfahan had relatively ‎positive attitudes toward childbearing. However, the strength of these attitudes varied more by ‎occupational characteristics and perceived economic status than by classical individual factors such as ‎age and education. When designing educational and counselling interventions on childbearing, it is ‎recommended to consider midwives’ lived experiences and working conditions and to strengthen ‎their role as knowledgeable counsellors and advocates for reproductive rights.‎

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