title: Barriers to Implementing Evidence-Based Intrapartum Care: A Descriptive Exploratory Qualitative Study.
abstract: BACKGROUND
  Evidence based practice is an effective strategy to improve the quality of obstetric care. Identification of barriers to adaptation of evidence-based intrapartum care is necessary and crucial to deliver high quality care to parturient women.
  
  
  OBJECTIVE
  The current study aimed to explore barriers to adaptation of evidence-based intrapartum care from the perspective of clinical groups that provide obstetric care in Iran.
  
  
  METHODS
  This descriptive exploratory qualitative research was conducted from 2013 to 2014 in fourteen state medical training centers in Iran. Participants were selected from midwives, specialists, and residents of obstetrics and gynecology, with a purposive sample and snowball method. Data were collected through face-to-face semi-structured in-depth interviews and analyzed according to conventional content analysis.
  
  
  RESULTS
  Data analysis identified twenty subcategories and four main categories. Main categories included barriers were related to laboring women, persons providing care, the organization environment and health system.
  
  
  CONCLUSIONS
  The adoption of evidence based intrapartum care is a complex process. In this regard, identifying potential barriers is the first step to determine and apply effective strategies to encourage the compliance evidence based obstetric care and improves maternity care quality.
authors.affiliation: Department of Midwifery, Reproductive Health Promotion Research Center, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran.
authors.forename: Mina
authors.initials: M
authors.lastname: Iravani
authors.affiliation: Department of Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, IR Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Janghorbani
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran.
authors.forename: Ellahe
authors.initials: E
authors.lastname: Zarean
authors.affiliation: Department of Adult Health Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IR Iran.
authors.forename: Masod
authors.initials: M
authors.lastname: Bahrami
keywords: Evidence-Based Practice; Intrapartum Care; Iran; Quality Improvement