The challenges of prenatal care services during the COVID-19 pandemic: qualitative evidence of primary health care providers’ perspective in Iran.

Publication date: May 27, 2025

The COVID-19 pandemic affected almost all healthcare services, including prenatal care. Providing care to pregnant women during the pandemic was affected by general policies related to the control of COVID-19 and thus faced many challenges. Exploring the challenges of prenatal care during the pandemic can be helpful for effective planning and interventions to reduce the fundamental challenges. The present study aimed to explore the midwives’ perception of care challenges during the COVID-19 pandemic. This qualitative research was conducted using conventional content analysis in 13 health centers of Hamadan, Iran, between July and September 2023. A semi-structured interview was conducted with 13 midwives who had experience providing prenatal care services to pregnant mothers during the COVID-19 pandemic and were selected using the purposive sampling method. Granheim and Lundman’s 5-step content analysis approach was used for data analysis. Three themes describing challenges to prenatal care during the COVID-19 pandemic emerged, including the unfamiliarity and unpreparedness of the health system in facing COVID-19, disruption in the quantity and quality of services, and socio-economic and systemic challenges. PNC providers have experienced various challenges during the current COVID-19 pandemic. The results of the present study can be used to reduce the problems and challenges of providing prenatal care services in future pandemics. Effective interventions such as strong and managed organizational support, maintaining and sustaining the midwifery staffing, empowering PNC providers, supplying personal protective equipment, adopting strategies to improve mental health, and considering special measures and various incentives for midwives are necessary to overcome similar crises in the future.

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Concepts Keywords
Future COVID-19
Iran Maternity care
Midwifery Prenatal care
Pandemic
Therapy

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease IDO quality
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
disease MESH communicable Diseases
disease MESH Non Communicable Diseases
disease MESH emergency
disease IDO country
disease MESH infection
disease MESH complications
disease MESH preterm birth
disease MESH gestational hypertension
disease MESH gestational diabetes
disease MESH miscarriage
disease MESH maternal deaths
disease MESH morbidity
disease MESH preeclampsia
drug DRUGBANK Serine
disease MESH stillbirth
disease MESH infant deaths
disease IDO process
disease MESH facial expressions
disease MESH privacy
disease MESH education level
pathway REACTOME Immune System
disease MESH death
disease MESH abnormalities
drug DRUGBANK Tropicamide
drug DRUGBANK Tretamine
disease MESH Marital status
drug DRUGBANK L-Valine
disease IDO blood
disease MESH high blood pressure
drug DRUGBANK Etoperidone
drug DRUGBANK Trestolone
disease MESH anxiety
disease MESH uncertainty
drug DRUGBANK Eszopiclone
drug DRUGBANK Methylergometrine
disease MESH pregnancy complications
disease MESH burnout
drug DRUGBANK Nonoxynol-9
disease MESH psychological well being
disease MESH job demands

Original Article

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