Level of Knowledge and Attitude About Vertical Birth Among Obstetrics Professionals at a Public Hospital in Tacna-Peru
DOI:
https://doi.org/10.70409/rmhhut.v19i1.152Keywords:
attitude, humanized care, knowledge, vertical birth, obstetrics professionalsAbstract
Objective: To determine the relationship between the level of knowledge and attitude toward vertical birth among obstetrics professionals at the Hipólito Unanue Hospital in Tacna during the year 2024. Materials and Methods: A non-experimental, analytical, and cross-sectional study with a quantitative approach was conducted. The population consisted of 42 obstetrics professionals working at the hospital, included through census sampling. The level of knowledge was evaluated using a 20-question multiple-choice questionnaire, and attitude was assessed through a 15-item Likert scale. Statistical analysis included frequencies, percentages, Fisher's exact test, and the calculation of Odds Ratio (OR) with a 95% confidence interval. Results: A total of 57.1% of the professionals presented a medium level of knowledge, 38.1% a high level, and 4.8% a low level. Regarding attitude, 88.1% of the participants showed a favorable disposition toward vertical birth. No statistically significant association was found between the level of knowledge and attitude (p = 0.20). However, obstetricians with adequate knowledge showed a higher probability of having a favorable attitude compared to those with low knowledge (OR = 9.0; 95%, CI: 0.47–173.34), although this relationship did not reach statistical significance (p = 0.226). Conclusions: A medium level of knowledge and a favorable attitude toward vertical birth predominated. Although no significant association was found between the variables, the results suggest that strengthening training in humanized birth could encourage its implementation in clinical practice.
References
Cunningham F, Leveno K, Bloom S, Spong C, Dashe J, Hoffman B, et al. Williams Obstetricia, 26e. 26th ed. McGraw-Hill, editor. New York; 2018.
Vargas Londoño VF, Rodríguez Castiblanco JP, Corredor Acosta MT, Vallejo Astudillo NM. Ventajas y desventajas del parto vertical en contraste con el parto horizontal: una revisión de la literatura. Investig en Enfermería Imagen y Desarro [Internet]. 2018;20(1):9–11. Available from: https://doi.org/10.11144/Javeriana.ie20-1.vdpv
Ministerio de Salud. Norma técnica de salud para la atención del parto vertical en el marco de los derechos humanos conpertinencia intercultural. Resolución Ministerial N° 518-2016/MINSA [Internet]. Lima; 2016 p. 1–85. Available from: www.gob.pe/minsa%0Ahttp://www.digemid.minsa.gob.pe
Zang Y, Lu H, Zhang H, Huang J, Ren L, Li C. Effects of upright positions during the second stage of labour for women without epidural analgesia: A meta-analysis. J Adv Nurs. 2020;76(12):3293–306.
Organización Mundial de la Salud. WHO recommendations Intrapartum care for a positive childbirth experience [Internet]. Geneva; 2018. Available from: https://iris.who.int/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1
Bonfil Sánchez BL, Sánchez Soto JM, Juárez Landin C. Posición anatómica vertical durante el parto. Cienc Lat Rev Científica Multidiscip. 2022;6(5):1461–78.
Lawrence A, Lewis L, Hofmeyr GJ, Styles C. Maternal positions and mobility during first stage labour (Review). Cochrane Database Syst Rev. 2013;2013(10).
Rani K, Ravi RK, Attri V, Kaur H, Pareek B, Baby P. Impact of Upright Position during the First Stage of Labour on Maternal Outcomes: A Randomized Controlled Trial. Rev Recent Clin Trials. 2025;20(1):52–8.
Bohren M, Hofmeyr GJ, Sakala C, Fukusawa R, Cuthbert A. Continuous support for women during childbirth (Review). Cochrane Database Syst Rev. 2013;2013(7):134.
Bohren MA, Tunçalp Ö, Miller S. Transforming intrapartum care: Respectful maternity care. Best Pract Res Clin Obstet Gynaecol [Internet]. 2020;67:113–26. Available from: https://doi.org/10.1016/j.bpobgyn.2020.02.005
Hernández Sampieri R, Fernández Collado C, Baptista Lucio P. Metodología de la investigación. McGraw-Hill, Interamericana Editores SADC., editors. 6ta. edición. Mexico; 2014. 634 p.
Trigozo L, Huaman B. Parto vertical en el I y II nivel de atención en salud: Conocimientos, actitudes y prácticas en profesionales de obstetricia de la provincia de San Martín, periodo enero- julio 2017. [Internet]. Vol. 1. Universidad Nacional de San Martìn; 2018. Available from: https://repositorio.unsm.edu.pe/item/a8facc85-f063-4c63-ab0b-1705e7437f0c
Lyliana RH. Conocimientos y actitudes sobre el parto vertical eninternos de obstetricia de la Universidad NacionalMayor de San Marcos - año 2015. 2016;1–74. Available from: https://hdl.handle.net/20.500.12672/4811
Renfrew MJ, McFadden A, Bastos MH, Campbell J, Channon AA, Cheung NF, et al. Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. Lancet [Internet]. 2014;384(9948):1129–45. Available from: http://dx.doi.org/10.1016/S0140-6736(14)60789-3
Farías-Vela AP, Capera-López LF, Díaz-Quijano DM, Ortiz-Zornosa S, Restrepo-Guarnizo MC, Restrepo-Castro OI. Knowledge of humanized childbirth in Colombian residents and gynecologists. Ginecol Obstet Mex [Internet]. 2023;91(5):299–306. Available from: https://doi.org/10.24245/gom.v91i5.8430
Bedregal A, Ugarte G. Relación del nivel de conocimiento y actitud hacia el parto humanizado en obstetras que brindan atención en el Centro de Salud Maritza Campos Diaz 2024 [Internet]. Universidad Católica de Santa María. Universidad Católica de Santa María; 2024. Available from: https://repositorio.ucsm.edu.pe/items/b1873d05-4fc1-4f66-bbbd-399266966f72
Medina Martinez RM. Parto vertical a partir de los conocimientos de las parteras de la comunidad de Ilanga, Trujillo, Colón, años 2002-2022. Rev Medica Sinerg [Internet]. 2024;9(4):e1137. Available from: https://doi.org/10.31434/rms.v9i4.1137
Davis-Floyd R. The technocratic, humanistic, and holistic paradigms of childbirth. Int J Gynecol Obstet [Internet]. 2001;75(SUPPL. 1):5–23. Available from: https://doi.org/10.1016/S0020-7292(01)00510-0
Miller S, Abalos E, Chamillard M, Ciapponi A, Colaci D, Comandé D, et al. Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide. Lancet [Internet]. 2016;388(10056):2176–92. Available from: http://dx.doi.org/10.1016/S0140-6736(16)31472-6
Gupta J, Sood A, Hofmeyr G, Vogel J. Position in the second stage of labour for women with epidural anaesthesia. Cochrane Database Syst Rev. 2017;(5):1–132.
Mohammed OY, Erlandsson K, Seyoum T, Hailemeskel S, Derseh L, Lindgren H. Dynamic birth position, awareness and practice by midwives in Ethiopia: a parallel mixed-methods study. BMC Pregnancy Childbirth [Internet]. 2025;25(926):1–12. Available from: http://doi.org/10.1186/s12884-025-08051-8
Martins C, Amaro C, Dias H, Santos MJ, Coutinho E. Vertical Birth: Scoping Review on Obstacles To Its Implementation. Millenium J Educ Technol Heal [Internet]. 2025;2(17):e39733. Available from: https://doi.org/10.29352/mill0217e.39733
Lopes MI, Vieira M, Cardoso A. Women’s empowerment for active labor: A qualitative study with nurse-midwives in antenatal education for childbirth. Eur J Midwifery [Internet]. 2024;8(August):1–10. Available from: https://doi.org/10.18332/ejm/188117
Hacivelioǧlu D, Tavşanll NG, Şenyuva I, Kosova F. Delivery in a vertical birth chair supported by freedom of movement during labor: A randomized control trial. Open Med [Internet]. 2023;18(1). Available from: https://doi.org/10.1515/med-2023-0633
Musie MR, Peu MD, Bhana-Pema V. Culturally appropriate care to support maternal positions during the second stage of labour: Midwives’ perspectives in South Africa. African J Prim Heal Care Fam Med. 2022;14(1):2071–936.
Zang Y, Huang J, Zhang H, Sun K, Li X, Wang D, et al. Implementation of the practice programme for upright positions in the second stage of labour and the birth experience of Chinese women: a qualitative study. Midwifery [Internet]. 2023;125(103801):1–6. Available from: https://doi.org/10.1016/j.midw.2023.103801
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Copyright (c) 2026 Melanie Carolina Cutipa Huayta, Yusselinovich Vradislava Vigil Dávalos, Shirley Lizbeth Huarino Suca, Danila Diana Huanco Apaza, Gema Natividad Sologuren García, Soledad Sotelo-Gonzales
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