Table 5 Visualization of thematic analysis process

experience, nurses, normal pregnancy, medical advice, appointments, preparations, tiredness, immediate referral, neonatologist, waiting, no appointment, EAP, staff, lack, follow, incomplete, risks, aggravated prohibition, direct, negative, hiring, replacing, teams, incomplete, public, retired, public, private

Medical treatment, medical advice, antenatal appointment, postnatal follow-up, prevention, lack of staff, EAP, care provision brain drain, healthcare unit, hospital

Quality, antenatal care postnatal care, Primary care provision, Secondary intra- and postnatal care provision, Waiting times and time management, Psychological and formal support provision

1) Availability of Human resources

QS 1 Evidence based practices for routine care and management of complications

recorded, followed, accompanied, professionals, interest, report, observed, intervention, terms, signed, assist, register, sheet, failure, computer, waiting, EAP, cuts, crisis, GP, schedule, appointments, observe

Observation, Monitoring, data collection, follow-up, systems, EAP cuts, medical records

Monitoring and medical records, Actionable information systems articulation and communication, Physical resources

5) Essential physical resources available

QS 2 Actionable information systems

surgery, manage, request, improvements, sick, essential, concern, terrible, waiting, scientific, coordination, department, diagnosis, send, maternity, unit, closing, staff, lack, EAP, crisis

Staff exchange, hospital merge, closure of maternity units, EAP, crisis, GP, healthcare professionals

Appropriate referral, Shortage in staff and capacity in inter-facilities transport, Non-attendance of antenatal care consultations, Referral system articulation, Gate-keeping-system

2) Functional referral systems

QS 3 Functional referral system

attention, questions, awareness, poor explanation, face, contact, hours, infections, discharge, risks, knew nothing, response, decide, agrees, future, abortion, notion, lie, purpose, lost, horrible, measure, stuck, no information, died

Interaction, Information, knowledge, communication, Information provision, cuts by EAP, salaries, adequate response

Parents and healthcare staff communication, Emotional support provision, Effective communication

4) Emotional support

QS 4 Effective communication

carefulness, important, kind, zero privacy, sense, receive, friendly, involve, approach, expectation, thanks, protect, learned, waited, secure, loving, participation, comfort, staff, lack, EAP, cuts, leave, retire, stress, tired, career, salary, extra, time, working, hours, payment, years, public, private, contracts, nurse, medical doctor, young, cheaper, labour, specialization, job

Accompaniment, comforting care, lack of staff, EAP cuts, emotional support, higher workload, given regulations

Appropriate and respective treatment, Emotional support provision,

3) Competent, motivated, human resources

QS 5 Respect and preservation of dignity

traumatised, guilt, painful, crying, shock, difficult, psychologist, suffer, time lap, lack of feeling, no support, emotions, reasons, alone, reality, obsessive, behaviour, anxiety, panicked, desperate, erase, memory, frightened, staff, cuts, EAP, crisis, emotional, alone, guilt

Emotional management, Stress coping, support, EAP, cuts, psychologist available Observation, premature birth, traumatic event

Emotional and psychological support,

Formal and informal support, psychological surveillance

4) Emotional support

QS 6 Emotional support

unfriendly, time, impact, visits, value, knowledge, advised, not motivated, impatient, extreme, avoid, eye-contact, trainee, intensive, staff, complaints, distance, interfere, staff, EAP, cuts, crisis

Healthcare staff, time availability, treatment, competence, routine care, EAP, cuts, burnout, fragile teams, anxiety, stress, working hours, salary based, cheaper labour, inadequate care, increased working hours, workload,

Availability and suitability of healthcare staff, brain-drain to the private sector, burnout and stress increase

3) Competent, motivated, human resources

QS 7 Competent, motivated, human resources

machine, time restriction, all together, full room, inappropriate, fragile, un-practical, allowed, effort, breastfeeding, clock, pressure, conditions, influence, bathing, interruption practices, crisis, EAP, cuts, needles, preeclampsia, postpartum haemorrhage, birth, sepsis, premature

Adequate medicines, time restrictions, facilities, resources available, Capacity issues, closure of rooms, premature infections

Time and management of medical equipment, Capacity issues, Material and Equipment, Medication available

5) Essential physical resources available

QS 8 Essential physical resources available