Childbirth Experiences among Moroccan Rural Women: A Qualitative Study

Document Type : Original Research Article

Authors

1 Assistant Professor, Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco

2 a) Professor, Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN 46202, USA b) Department of Pediatrics, School of Medicine, Indiana University, Indianapolis, IN 46202, USA

3 a) Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco, b) Medical Biotechnology Research Laboratory (MEDBIOTECH), Department of Pathology, National Institute of Oncology, Rabat, Morocco

4 Professor, Laboratory of Health Sciences and Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Settat 26000, Morocco

10.22038/jmrh.2025.85805.2593

Abstract

Background & aim: Rural residency significantly impacts maternal health in Morocco, as women in rural areas face higher risks of pregnancy-related complications and reduced access to medical facilities. This qualitative study aimed to explore the childbirth experiences of rural Moroccan women to inform improvements in perinatal care and health equity.
Methods: In this descriptive qualitative study, we used purposive sampling. Twenty-five rural Moroccan women who gave birth between 2021 and 2022 in public hospital maternity wards in the Essaouira and Taza regions were interviewed. A semi-structured interview guide with open-ended questions was used to collect qualitative data on childbirth and hospital experiences. Data collection continued until data saturation was reached. Thematic analysis was conducted using MAXQDA 2020 to identify recurring themes.
Results: The analysis identified three overarching themes. The first theme, difficulties shaping birth experiences, included subthemes related to first birth challenges, hospital versus home delivery, and barriers to access. Also, a theme of social and institutional influences on birth experience emerged, which is characterized by minimizing hospital stays, family support, and disrespect by hospital staff.  The third theme, obstetric violence, encompassed experiences of the Kristeller maneuver and non-consented episiotomy and/or vaginal examinations.
Conclusion: Findings underscore the need for systemic interventions, including improved access to maternal healthcare, better communication from care providers, and greater respect for patients’ dignity and autonomy.

Keywords

Main Subjects

References

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Journal of Midwifery and Reproductive Health
Volume 14, Issue 2
April 2026
Pages 5332-5343

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