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Dynamic birth position, awareness and practice by midwives in Ethiopia: a parallel mixed-methods study.
Osman Yimer Mohammed1,2, Kerstin Erlandsson3,4, Tewodros Seyoum3,5
1Department of Women and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. oyimer86@gmail.com.
Awareness and practice of dynamic birth positions among Ethiopian midwives are low. Targeted training and improved working conditions are crucial for increasing their use and enhancing maternal care.
Area of Science:
- Maternal Health
- Obstetrics
- Midwifery Practice
Background:
- Respectful maternity care includes allowing women to choose their birth position.
- Dynamic birth positions are linked to better obstetric outcomes.
- Knowledge and practice of dynamic birth positions among Ethiopian midwives are not well understood.
Purpose of the Study:
- To assess Ethiopian midwives' awareness and practice of dynamic birth positions.
- To explore midwives' perspectives and experiences with dynamic birth positions.
Main Methods:
- Convergent parallel mixed-methods design.
- Quantitative analysis using logistic regression.
- Qualitative thematic analysis.
Main Results:
- 483 midwives participated (473 quantitative, 10 qualitative).
- Low levels of knowledge (45%) and practice (22.6%) of dynamic birth positions were observed.
- Training was the strongest predictor for knowledge, attitude, and practice.
Conclusions:
- Ethiopian midwives show low awareness and practice of dynamic birth positions.
- Barriers include limited awareness and poor working conditions.
- Training, awareness campaigns, and improved facilities are recommended to promote dynamic birth positions.
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