Midwifery · 2026
Conditional reproductive feasibility: A qualitative content analysis of childbearing among married women working in hospitals in Qom, Iran.
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Alipour Zahra, Khalajinia Zohre
Аннотация
BACKGROUND: Women working in hospital settings may face particular childbearing challenges as family responsibilities coexist with demanding, often shift-based clinical work. Qualitative evidence on their experiences in this context remains limited.
AIM: To explore married women's experiences and perceptions of childbearing in the context of family life and work in hospitals in Qom, Iran.
METHODS: This qualitative descriptive study used inductive conventional qualitative content analysis. Fifteen married women were recruited purposively with snowball referrals. Semi-structured interviews were analysed concurrently in Persian; MAXQDA supported data management. Trustworthiness addressed credibility, dependability, confirmability and transferability.
RESULTS: Analysis identified 280 meaning units and 118 initial codes, integrated into 12 categories and four themes: from desire to decision; hospital work constraints and the limits of formal support; childcare as reproductive infrastructure; and confidence in providing for and raising a child. Cross-theme comparison generated conditional reproductive feasibility. It described how an existing desire or intention to have a child became more or less practicable as reproductive timing, shared family decision-making, workplace support accessible in practice, reliable shift-compatible childcare and confidence in providing for and raising a child converged or diverged. Possible, difficult, delayed and limited were post hoc, overlapping analytical positions rather than pre-specified categories or stages.
CONCLUSION: Formal entitlements did not necessarily translate into usable support under ward conditions. The findings suggest that childbearing-supportive measures for staff in the participating hospitals should be practically accessible, compatible with shift-based work and childcare needs, and integrated with workforce planning.
AIM: To explore married women's experiences and perceptions of childbearing in the context of family life and work in hospitals in Qom, Iran.
METHODS: This qualitative descriptive study used inductive conventional qualitative content analysis. Fifteen married women were recruited purposively with snowball referrals. Semi-structured interviews were analysed concurrently in Persian; MAXQDA supported data management. Trustworthiness addressed credibility, dependability, confirmability and transferability.
RESULTS: Analysis identified 280 meaning units and 118 initial codes, integrated into 12 categories and four themes: from desire to decision; hospital work constraints and the limits of formal support; childcare as reproductive infrastructure; and confidence in providing for and raising a child. Cross-theme comparison generated conditional reproductive feasibility. It described how an existing desire or intention to have a child became more or less practicable as reproductive timing, shared family decision-making, workplace support accessible in practice, reliable shift-compatible childcare and confidence in providing for and raising a child converged or diverged. Possible, difficult, delayed and limited were post hoc, overlapping analytical positions rather than pre-specified categories or stages.
CONCLUSION: Formal entitlements did not necessarily translate into usable support under ward conditions. The findings suggest that childbearing-supportive measures for staff in the participating hospitals should be practically accessible, compatible with shift-based work and childcare needs, and integrated with workforce planning.