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Interactive and constructive childbirth education is more effective than traditional methods in improving knowledge, attitudes and self-efficacy towards the upright position and mobility in labour
  1. Michael Phillipi1,
  2. Aaron B Caughey2
  1. 1California University of Science and Medicine, Colton, California, USA
  2. 2OB Gyn, OHSU, Portland, Oregon, USA
  1. Correspondence to Dr Aaron B Caughey, OB Gyn, OHSU, Portland, OR 97239, USA; caughey{at}

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Commentary on: Borer H, Dubovi I. Fostering childbirth education on upright positions and mobility during labour in nulliparous women. BMC Pregnancy Childbirth 2023;23:870. doi: 10.1186/s12884-023-06166-4.

Implications for practice and research

  • Childbirth education can be delivered in interactive and constructive formats to more effectively promote evidence-based interventions that improve maternal satisfaction.

  • Future research can explore the implementation and effectiveness of the ICAP framework in childbirth education in more diverse settings and environments.


Recent literature has demonstrated benefits of the upright position and mobility during labour, including a reduction in caesarean birth incidence and the promotion of positive childbirth experiences. However, mobilisation during labour is still not a common practice worldwide. This study by Borer and Dubovi investigates the use of interactive-constructive forms of childbirth instruction to improve maternal education of the benefits of mobility and foster positive attitudes towards this style of labouring. Chi and Wylie’s Interactive-Constructive-Active-Passive …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.