title: Influence on birthing positions affects women's sense of control in second stage of labour.
abstract: OBJECTIVE
  to explore whether choices in birthing positions contributes to women's sense of control during birth.
  
  
  METHODS
  survey using a self-report questionnaire. Multiple regression analyses were used to investigate which factors associated with choices in birthing positions affected women's sense of control.
  
  
  METHODS
  midwifery practices in the Netherlands.
  
  
  METHODS
  1030 women with a physiological pregnancy and birth from 54 midwifery practices.
  
  
  RESULTS
  in the total group of women (n=1030) significant predictors for sense of control were: influence on birthing positions (self or self together with others), attendance of antenatal classes, feelings towards birth in pregnancy and pain in second stage of labour. For women who preferred other than supine birthing positions (n=204) significant predictors were: influence on birthing positions (self or self together with others), feelings towards birth in pregnancy, pain in second stage of labour and having a home birth. For these women, influence on birthing positions in combination with others had a greater effect on their sense of control than having an influence on their birthing positions just by themselves.
  
  
  CONCLUSIONS
  women felt more in control during birth if they experienced an influence on birthing positions. For women preferring other than supine positions, home birth and shared decision-making had added value.
  
  
  CONCLUSIONS
  midwives can play an important role in supporting women in their use of different birthing positions and help them find the positions they feel most comfortable in. Thus, contributing to women's positive experience of birth.
authors: Research Centre for Midwifery Science, Faculty of Midwifery Education & Studies, Zuyd University, P.O. Box 1256, 6201 BG Maastricht, the Netherlands. Electronic address: M.Nieuwenhuijze@av-m.nl.
authors: Marianne J
authors: MJ
authors: Nieuwenhuijze
authors: Ank
authors: A
authors: de Jonge
authors: Irene
authors: I
authors: Korstjens
authors: Luc
authors: L
authors: Budé
authors: Toine L M
authors: TL
authors: Lagro-Janssen
mesh_terms: D000328:Adult; D002755:Choice Behavior; D003657:Decision Making; D005260:Female; D006801:Humans; D007748:Labor Stage, Second / Q000523:psychology*; D008880:Midwifery / Q000379:methods*; D009321:Natural Childbirth / Q000451:nursing*; D009426:Netherlands; D009723:Nurse-Patient Relations; D056888:Patient Positioning / Q000379:methods / Q000523:psychology; D057240:Patient Preference; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Birthing position; Choice; Sense of control; Shared decision-making