A new research initiative, known as the MAM-Care study, is set to investigate methods for enhancing maternal autonomy regarding birthing positions. This exploratory pre-post intervention study protocol aims to understand how specific interventions can empower women to choose their preferred position during labour and birth. This area is particularly significant given that most births currently occur in the supine (lying on the back) position, despite ongoing discussions about optimal positions.

While medical evidence on whether particular birthing positions offer definitive advantages over others remains largely inconclusive, the practice of giving birth in the supine position is widespread in many healthcare settings. This conventional approach can sometimes limit a woman’s ability to move freely and select a position that might feel more comfortable or natural to her during labour. Earlier research has frequently indicated a strong correlation between a woman’s satisfaction with her birthing experience and her perceived sense of control and involvement in decision-making throughout the process.
The MAM-Care study protocol is specifically designed to investigate an intervention aimed at fostering greater maternal choice. By focusing on increasing autonomy, researchers hope to identify effective strategies that enable women to make informed decisions about their birthing positions, moving beyond an automatic default to the supine position. The primary goal is not to advocate for one position over another, but rather to ensure that women feel heard, respected, and supported in their personal preferences during such a pivotal life event.
The findings from this exploratory study protocol could provide valuable insights into how healthcare providers can better support maternal autonomy in various birthing environments. If successful, interventions that empower women’s choices during labour may lead to improved birthing experiences and greater satisfaction. This research has the potential to influence future clinical guidelines and practices, encouraging a more patient-centred approach to childbirth where the woman’s preferences are actively considered and facilitated.