women’s perspectives on childbirth care services leading to the maternal near-miss event: a qualitative study

Background: insufficient evidence exists regarding the causes of adverse birth outcomes among women with previous cesarean sections (c-section). objectives: this study aimed to explore women‟s perspectives on childbirth care services leading to maternal near-miss (mnm) events. methods: following a narrative design, 12 women with a previous c-section who had an episode of mnm during childbirth or postpartum period referring to a tertiary referral hospital in zahedan city, iran, were chosen using purposive sampling. face-to-face interviews were used to collect data. data were analyzed using the six-phase guide to thematic narrative analysis approach. results: two themes related to childbirth care services leading to maternal near-miss events were extracted: (1) „ineffective communication‟ (ignoring the patient's words, insensitive listener, and non-critical thinking listener) and (2) „inappropriate care‟ (implementation of unnecessary or inappropriate care and early discharge). conclusion: an audit system is necessary to provide objective information on the domains related to care provision and help timely feedback to healthcare providers to improve the quality of care.