{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:37:32Z","timestamp":1791311852847,"version":"4.3.1"},"reference-count":30,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T00:00:00Z","timestamp":1568678400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr. j. prim. health care fam. med."],"abstract":"<jats:p>Background: An evidence-based practice suggests that the birth position adopted by women during labour has a significant impact on the maternal and neonatal birth outcomes. The birth positions are endorsed by guidelines of maternity care in South Africa, which documented that women in labour should be allowed to select the birth position of their choice, preferably alternative birth positions (including upright, kneeling, squatting and lateral positions) during labour. Thus, the lithotomy birth position should be avoided. However, despite available literature, midwives routinely position women in the lithotomy position during normal vertex births, which causes several adverse maternal outcomes (namely prolonged labour, postpartum haemorrhage) and adverse neonatal outcomes (such as foetal asphyxia and respiratory compromise).Aim: The aim was to explore and describe factors hindering midwives\u2019 utilisation of alternative birth positions during labour in a selected public hospital.Setting: A public hospital in the Tshwane district, Pretoria were used in the study.Methods: This study used the qualitative, exploratory and descriptive research design. This design gathered quality information on factors hindering midwives\u2019 utilisation of alternative birth positions during labour in a selected public hospital.Results: The study revealed the following themes: (1) midwives\u2019 perceptions on alternative use of birth positions and (2) barriers to utilisation of alternative birth positions. The themes were discussed and validated through the use of a literature review.Conclusion: The lack of skills and training during the midwifery undergraduate and postgraduate programme contributes to the midwives being incompetent to utilise alternative birth positions during clinical practice.<\/jats:p>","DOI":"10.4102\/phcfm.v11i1.2071","type":"journal-article","created":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T02:46:07Z","timestamp":1568688367000},"source":"Crossref","is-referenced-by-count":25,"title":["Factors hindering midwives\u2019 utilisation of alternative birth positions during labour in a selected public hospital"],"prefix":"10.4102","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9572-6319","authenticated-orcid":false,"given":"Maurine R.","family":"Musie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1585-2404","authenticated-orcid":false,"given":"Mmapheko D.","family":"Peu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3873-2296","authenticated-orcid":false,"given":"Varshika","family":"Bhana-Pema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2019,9,17]]},"reference":[{"key":"ref0001","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2016.06.003"},{"key":"ref0002","author":"Currie","year":"2016","journal-title":"Alternative birth positions"},{"key":"ref0003","author":"World Health Organization","year":"1996","journal-title":"Care in normal birth: A practice guide"},{"key":"ref0004","author":"Department of Health","year":"2015","journal-title":"Guidelines for maternity care in South Africa"},{"key":"ref0005","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2016.05.002"},{"key":"ref0006","author":"Gafka","year":"2016","journal-title":"The effect of alternative labor positions versus the lithotomy Position on birthing outcomes: An Integrative Literature Review"},{"key":"ref0007","author":"Gupta","year":"2012","journal-title":"Position in the second stage of labour for women without epidural anaesthesia"},{"key":"ref0008","author":"National Institute for Health and Care Excellence","year":"2017","journal-title":"Care in second stage of labour"},{"key":"ref0009","first-page":"1","volume":"2014","author":"Gizzo","year":"2014","journal-title":"BioMed Res Int"},{"key":"ref0010","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.11.006"},{"key":"ref0011","author":"National Committee on the Confidential Enquiries into Maternal Deaths","year":"2018","journal-title":"Saving mothers saving mothers 2014\u20132016: Seventh triennial report on confidential enquiries into maternal deaths in South Africa"},{"key":"ref0012","author":"United Nations","year":"2018","journal-title":"Transforming our world 2030 agenda for sustainable developmental goals"},{"key":"ref0013","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12187"},{"key":"ref0014","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2012.12.007"},{"key":"ref0015","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2013.06.004"},{"issue":"10","key":"ref0016","first-page":"CD003934","volume":"8","author":"Lawrence","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"ref0017","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12199"},{"key":"ref0018","author":"De Vos","year":"2011","journal-title":"Research at grassroots for the social sciences and human service professionals"},{"key":"ref0019","author":"Polit","year":"2017","journal-title":"Nursing research: Generating and assessing evidence for nursing practice"},{"key":"ref0020","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.03.012"},{"key":"ref0021","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs-2014-003837"},{"key":"ref0022","doi-asserted-by":"publisher","DOI":"10.1111\/jhq.12065"},{"key":"ref0023","first-page":"117","volume":"94","author":"Smith","year":"2004","journal-title":"S Afr Med J"},{"key":"ref0024","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60789-3"},{"key":"ref0025","doi-asserted-by":"publisher","DOI":"10.4102\/hsag.v15i1.450"},{"key":"ref0026","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.2279"},{"key":"ref0027","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-007810"},{"key":"ref0028","doi-asserted-by":"publisher","DOI":"10.4236\/ojog.2017.71011"},{"key":"ref0029","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2015.08.009"},{"key":"ref0030","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2018.1453333"}],"container-title":["African Journal of Primary Health Care &amp; 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