Exploring Intrapersonal and Extrapersonal Factors Influencing Iranian Women’s Indescribable Pleasure: A Content Analysis Study

Leila Bozorgian, Abbas Ebadi, Fatemeh Janipour, Simin Montazeri4

Abstract


Background: Natural childbirth is one of the most challenging psychological events in women’s lives. Women’s perceptions of this experience exert a profound influence on their psychological state and can impact maternal and infant health outcomes. Therefore, this study aimed to explain Iranian women’s experience with pleasant natural childbirth. Materials and Methods: This qualitative study employed conventional content analysis. Semistructured, in‑depth interviews were conducted with 17 primiparous women who experienced natural childbirth. Purposive sampling, aiming for maximum variation, continued until data saturation was achieved. The analysis followed Granheim and Lundman’s conventional content analysis method. Results: The analysis revealed a central theme of indescribable pleasure, supported by two main categories: intrapersonal factors and extrapersonal factors. The intrapersonal subcategories included mothers’ self‑confidence, feelings of security, heartfelt faith, feelings of empowerment, and a sense of worthiness. Extrapersonal factors encompassed respect for the mother, maternal support, midwives’ professional skills, service quality, and the physical environment. Conclusions: The study’s findings emphasize the importance of several intrapersonal and extrapersonal factors that help women experience immense pleasure during natural childbirth. We highlight the need for mental and emotional readiness before conception, acquiring essential skills for pregnancy and delivery, and ensuring high‑quality, respectful care to guarantee a positive birthing experience.

 


Keywords


Childbirth, happiness, Iranian women

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References


Hoffmann L, Banse R. Psychological aspects of childbirth: Evidence for a birth‐related mindset. Eur J Soc Psychol 2021;51:124 51.

Hosseini Tabaghdehi M, Kolahdozan S, Keramat A, Shahhossein Z, Moosazadeh M, Motaghi Z. Prevalence and factors affecting the negative childbirth experiences: A systematic review. J Matern Fetal Neonatal Med 2020;33:3849 56.

Esan DT, Adugbo JE, Fawole IO, Akingbade O. Coping experiences of Nigerian women during pregnancy and labour: A qualitative study. Int J Community Based Nurs Midwifery 2023;11:23 33.

Beecher C, Devane D, White M, Greene R, Dowling M. Women’s experiences of their maternity care: A principle based concept analysis. Women Birth 2020;33:419 25.

Anderson G, Zega M, D’Agostino F, Rega ML, Colaceci S, Damiani G, et al. Meta synthesis of the needs of women cared for by midwives during childbirth in hospitals. J Obstet Gynecol Neonatal Nurs 2021;50:6 19.

World Health Organization. WHO recommendations on intrapartum care for a positive childbirth experience. World Health Organization; 2018. Available from: https://www.google. com/books/edition/WHO_Recommendations_on_Intrapartum_ Care. [Last accessed on 2025 Jul 10].

Olza I, Leahy Warren P, Benyamini Y, Kazmierczak M, Karlsdottir SI, Spyridou A, et al. Women’s psychological experiences of physiological childbirth: A meta synthesis. BMJ Open 2018;8:e020347.

Witteveen AB, Stramrood CAI, Henrichs J, Flanagan JC, van Pampus MG, Olff M. The oxytocinergic system in PTSD following traumatic childbirth: Endogenous and exogenous oxytocin in the peripartum period. Arch Womens Ment Health 2020;23:29 317.

Harrison SE, Ayers S, Quigley MA, Stein A, Alderdice F. Prevalence and factors associated with postpartum posttraumatic stress in a population based maternity survey in England. J Affect Disord 2021;279:749 56.

Olza Fernández I, Marín Gabriel MA, Gil Sanchez A, Garcia-Segura LM, Arevalo MA. Neuroendocrinology of childbirth and mother-child attachment: The basis of an etiopathogenic model of perinatal neurobiological disorders. Front Neuroendocrinol 2014;35:459 72.

Alan J, Steinberg MD. What is Pleasure. Sussex Publishers, LLC; 2022. Psychology. Available from: https://www.psychologytoday. com/us/blog/the-meditating-mind/202203/what-is-pleasure.

Barrett NF. Enjoyment as Enriched Experience: A Theory of Affect and its Relation to Consciousness. Springer Nature; 2023. ISBN: 9783031137907, 3031137906.

Nørfelt A, Kock F, Karpen IO, Josiassen A. Pleasure through pain: An empirical examination of benign masochism in tourism. J Travel Res 2023;62:448 68.

Henrique AJ, Rodney P, Joolaee S, Cox S, Shriver A, Moreira CB, et al. Understanding childbirth pain in Brazilian women: A qualitative descriptive study. Women Birth 2021;34:e368 75.

Wigert H, Nilsson C, Dencker A, Begley C, Jangsten E, Sparud Lundin C, et al. Women’s experiences of fear of childbirth: A metasynthesis of qualitative studies. Int J Qual Stud Health Well being 2020;15:1704484.

Jafari E, Mohebbi P, Mazloomzadeh S. Factors related to women’s childbirth satisfaction in physiologic and routine childbirth groups. Iran J Nurs Midwifery Res 2017;22:219.

Hall H, Fooladi E, Kloester J, Ulnang A, Sinni S, White C, et al. Factors that promote a positive childbearing experience: A qualitative study. J Midwifery Women’s Health 2023;68:44 51.

Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs 2008;62:107 15.

Mayring P. Qualitative content analysis. A Comp Qual Res 2004;1:159 76.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurs Educ Today 2004;24:105 12.

Lincoln YS, Guba EG. But is it rigorous? Trustworthiness and authenticity in naturalistic evaluation. New directions for program evaluation 1986;1986:73 84.

Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Lippincott Williams and Wilkins; 2008. ISBN: 9780781794688, 0781794684.

Gustafsson S, Raudasoja M. Experiences of success and failure in childbirth. J Reprod Infant Psychol 2024;43:905 25.

Raudasoja M, Vehviläinen‐Julkunen K, Tolvanen A. Passing the test of motherhood? Self‐esteem development and birth experience in the transition to motherhood: A longitudinal mixed methods study in Finland. J Adv Nurs 2022;78:4246 60.

Curtin M, Savage E, Leahy‐Warren P. Humanisation in pregnancy and childbirth: A concept analysis. J Clin Nurs 2020;29:1744 57.

Khodarahmi S, Hajian S, Zare E, Nasiri M. The effect of backup midwife on maternal experience after vaginal childbirth–A qualitative study. J Med Life 2022;15:539.

Heravan MB. The relationship of childbirth self efficacy with attitudes toward vaginal delivery in nulliparous women. Adv Nurs Midwifery 2023;32:13 9.

Ahmadi Z. Identifying and explaining experiences of fear of childbirth and coping strategies: A qualitative study. J Qual Res Health Sci 2020;9:47 58.

Khamehchian M, Adib Hajbaghery M, HeydariKhayat N, Rezaei M, Sabery M. Primiparous women’s experiences of normal vaginal delivery in Iran: A qualitative study. BMC Pregnancy Childbirth 2020;20:1 8.

JA L. Why natural childbirth? J Perinat Educ 2000;9:44 6.

Leinweber J, Fontein‐Kuipers Y, Karlsdottir SI, Ekström‐Bergström A, Nilsson C, Stramrood C, et al. Developing a woman‐centered, inclusive definition of positive childbirth experiences: A discussion paper. Birth 2023;50:362 83.

Barnett B, Jenkinson B, Lee N. The impact of a perineal care bundle on women’s birth experiences in Queensland, Australia: A qualitative thematic analysis. Women Birth 2023;36:271 80.

Organization WH. Standards for Improving Quality of Maternal and Newborn Care in Health Facilities. World Health Organization. WHO recommendations on postnatal care of the mother and newborn: World Health Organization. 2016. ISBN 978 92 4 151121 6.

Demirci AD, Kabukcuglu K, Haugan G, Aune I. “I want a birth without interventions”: Women’s childbirth experiences from Turkey. Women Birth 2019;32:e515 22.

Ahmed SA, Mahimbo A, Dawson A. Quality intrapartum care expectations and experiences of women in sub Saharan African low and low middle income countries: A qualitative meta synthesis. BMC Pregnancy Childbirth 2023;23:1 19.

Goldkuhl L, Gyllensten H, Begley C, Nilsson C, Wijk H, Lindahl G, et al. Impact of birthing room design on maternal childbirth experience: Results from the room 4 birth randomized trial. HERD 2023;16:200 18.

Nielsen JH, Overgaard C. Healing architecture and Snoezelen in delivery room design: A qualitative study of women’s birth experiences and patient centeredness of care. BMC Pregnancy Childbirth 2020;20:283.

Kazemi A, Najafabadi MBHE. Environmental factors influencing women’s childbirth experiences in labor–delivery–recovery– postpartum unit: A qualitative cross sectional study. BMC Pregnancy Childbirth 2023;23:2 9.

Skogström LB, Vithal E, Wijk H, Lindahl G, Berg M. Women’s experiences of physical features in a specially designed birthing room: A mixed methods study in Sweden. HERD 2023;15:193–205.


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