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

Leila Bozorgian; Abbas Ebadi; Fatemeh Janipour; Simin Montazeri

doi:10.4103/ijnmr.ijnmr_128_24

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

Iran J Nurs Midwifery Res. 2025 Nov 3;30(6):851-857. doi: 10.4103/ijnmr.ijnmr_128_24. eCollection 2025 Nov-Dec.

Authors

Leila Bozorgian¹, Abbas Ebadi², Fatemeh Janipour³, Simin Montazeri⁴

Affiliations

¹ Midwifery Department, Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
² Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
³ Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran.
⁴ Reproductive Health Promotion Research Center, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

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; Iranian women; happiness.