{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:53:17Z","timestamp":1791269597704,"version":"4.1.0"},"reference-count":58,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify prenatal education strategies that support women's mobility during labor and to examine how these strategies address childbirth self\u2010efficacy and informed decision\u2010making as complementary capabilities relevant to active participation during labor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A scoping review (updated October 12, 2025) searched six bibliographic databases and one gray\u2010literature database using predefined eligibility criteria. Studies on prenatal education that addressed women's preparation for mobility and upright positions during labor, including related dimensions of decision\u2010making and self\u2010efficacy, were included. Screening and data extraction were performed independently in duplicate, with consensus procedures. Findings are presented narratively and in tables\/figures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty articles were included, predominantly primary studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927; 90.0%). The review identified 15 studies that explicitly operationalized mobility\/upright positions as a structured, primary strategy, alongside additional studies that mentioned mobility without a structured focus. Three specific strategies to promote active labor were described: a birth ball exercise program, the Labor Hopscotch Framework, and birth plan counseling. Practices such as yoga, mindfulness, and experiential\/discovery\u2010based learning addressed body awareness, connections between movement and fetal positioning, and women's comfort and confidence through active engagement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite recommendations to inform expectant women about active\u2010labor options in prenatal education, relatively few studies provided structured, mobility\u2010focused strategies. Where present, studies reported greater childbirth confidence, use of non\u2010pharmacological pain relief, lower pain, and increased use of upright positions. A persistent research gap remains regarding targeted prenatal education that prepares women to make informed choices about mobility and positioning during labor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.70125","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T06:35:30Z","timestamp":1791268530000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prenatal Education Strategies Designed to Support Women's Mobility During Labor: A Scoping Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8120-9644","authenticated-orcid":false,"given":"Marlene Isabel","family":"Lopes","sequence":"first","affiliation":[{"name":"University of Coimbra, Health Sciences Research Unit: Nursing (UICISA: E) Nursing School of University of Coimbra  Coimbra Portugal"},{"name":"Faculty of Health Sciences and Nursing, Centre for Interdisciplinary Research in Health Universidade Catolica Portuguesa  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarida","family":"Vieira","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Nursing, Centre for Interdisciplinary Research in Health Universidade Catolica Portuguesa  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Mendes","sequence":"additional","affiliation":[{"name":"University of Coimbra, Health Sciences Research Unit: Nursing (UICISA: E) Nursing School of University of Coimbra  Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7512-0582","authenticated-orcid":false,"given":"Rosa","family":"Moreira","sequence":"additional","affiliation":[{"name":"University of Coimbra, Health Sciences Research Unit: Nursing (UICISA: E) Nursing School of University of Coimbra  Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e1udia","family":"Br\u00e1s","sequence":"additional","affiliation":[{"name":"University of Coimbra, Health Sciences Research Unit: Nursing (UICISA: E) Nursing School of University of Coimbra  Coimbra Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9351-6684","authenticated-orcid":false,"given":"Alexandrina","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Nursing School, RISE\u2010Health University of Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"WHO Recommendations: Recommendations on Antenatal Care for a Positive Pregnancy Experience","year":"2016"},{"key":"e_1_2_11_3_1","article-title":"Individual or Group Antenatal Education for Childbirth or Parenthood, or Both","volume":"3","author":"Gagnon A. 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