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Table 2 The codes and the subcategories of the category "The midwifery ethical considerations about the clients"

From: Development and validation of the code of ethics for midwives in Iran

Subcategory

Code

Greeting

Introducing and using the identification card

Giving explanations about the rooms and care processes

Welcoming the client on her arrival

Making a friendly communication

Creating a peaceful environment with a self-confident approach

Guiding the client

Privacy

Privacy protection

Considering drape for covering the client’s lap during obstetric examinations

Providing maternity care in separate rooms

The private counseling of the client

Making a sense of security by considering privacy during the examination

The right of the client for taking care of in a private environment

Ensuring that no other people enter during the examination

Confidentiality

Preservation of physical and mental privacy

The importance of confidentiality especially in the midwifery profession

Confidentiality regarding the examination results

Confidentiality about the client's records and information

Protecting women's information in the electronic transfer processes

Empathy

The importance of empathy

Empathy with the clients in labor and delivery rooms

The value of empathy as the half of treatment

Security

Allowing the client to have companions

Patiently interactions with clients in labor and delivery

Making friendly and respectful communication during the examination

Responsible for cleanliness and safety of equipment

Be kind to the client

Making the client feel comfortable

Respectful and non-biased care

Respectful care is the right of the client, especially in crowded centers

Culturally appropriate communication

Providing care to all clients without any cultural biases

Providing care to everyone regardless of their illness, addiction, and problems

Provide care without a long waiting time

Providing respectful care regardless of the client's characteristics or problems

Respecting the clients' Opinions

Respecting the client's culture

The importance of respect and dignity for the clients

Communicate with respect and trust

Communication with honesty and intimacy

Decision Making

About the normal labor and delivery

Initiating breastfeeding before episiotomy

To have no angiocatheter during normal labor and delivery

Giving informed consent throughout labor and delivery

Permitting the peripartum interventions

The clients' needs

Entry permission with the client's permission

Obtaining permission for giving information to the relatives

Providing adequate explanations based on the client's needs

To have companion

Considering all health dimensions

Special needs of vulnerable clients

In exceptional circumstances, such as disasters and covid-19 pandemic

Reduce stress

By giving the necessary information

Reducing stress during labor to prevent negative effects on breastfeeding

Patient treatment of clients for reducing stress caused by care processes

Providing quality care

To benefit the client

Prevent harm

With up-to-date scientific information

Without discrimination

Based on the social justice

Providing information

Providing information according to the understanding of the clients

Ensuring clients' understanding of taught topics

Giving information to the mother and answering her questions

Avoiding confusing the patient

Giving up-to-date information

Using teaching aid methods

Creating calm with proper counseling

Providing advice to the patient to create a sense of importance

Providing complete and up-to-date midwifery information

Providing clear information

Avoiding quick and unclear consultations

Giving information about maternal rights in the midwifery care-providing system

Using simple and sincere expressions due to the sensitivity of midwifery counseling topics

Counseling with patience to correct a misconception

Changing the harmful attitudes with rational reasons

Using an interpreter for non-local language speaker clients

Ask about the client's problems by making a friendly communication

To be trained in prenatal care such as nutrition, exercise, and breastfeeding

To receive explanations before and during any care process

|To be taught about the perinatal period and care from high school

To be informed about the advantages and disadvantages of family planning methods according to the conditions of the client's condition

To be informed about the mechanism of the action of the family planning methods

To be informed about the clients’ rights

Obtaining a signature after giving sufficient information to the client

Giving information for free and informed decision

Giving the information about advantages and disadvantages of the new technologies

Providers only make suggestions and are not decision-makers

Providers give information and the clients are decision-makers