Mkangi, Sospeter K.2024-03-282024-03-282023Mkangi, S. K. (2023). Upright birth position implementation and its hindering factors among nurses and midwives working in maternity departments of public hospitals in Dar es salaam-Tanzania, analytical cross-sectional study (Master's Dissertation) The University of Dodomahttps://repository.udom.ac.tz/handle/20.500.12661/4456Dissertation ( MSc. Midwifery and Women Health)Introduction: Despite the recommendations of the WHO that women should be delivered upright due to their physiological advantages; the majority of women are still delivered in the horizontal birth position. This not only deprives women and their foetuses and newborn of advantages related to the upright birth position but also subjects them to adverse effects attributed to the horizontal birth position. This study aimed to assess the upright birth position implementation and its hindering factors among nurses and midwives working in maternity departments in Dar es Salaam Tanzania. Methodology: This was a hospital-based analytical cross-sectional study design using a quantitative approach that was conducted in maternity department of public hospitals in Dar es Salaam. The study involved 283 nurses and midwives who were randomly selected. Self-administered structured questionnaires and observation checklists were used to collect data and descriptive and inferential statistics were used in the analysis whereby logistic models were employed. Results: The study revealed that upright birth position implementation was significantly low; only 13.4% (38) out of 283 participants reported having ever implemented upright birth position at least once. The identified hindering factors were; low level of education (AOD 1.799; P=0.001; 95%CI: 0.846, 4.681), short duration of work in the labour ward (AOD 1.354; P=0.019; 95%CI:1.473,7.129), lack of knowledge (AOR 7.090; P=0.005; 95% CI: 2.829, 16.483), low self-efficacy (AOR 1.731; P=0.003; 95% CI: 0.685, 4.718), discomfort (AOR 2.498; P=0.018; 95% CI: 1.167, 5.347), inconvenience (AOR 1.302; P=0.001; 95% CI: 0.884, 3.693) and maternal medical conditions (AOR 2.396; P=0.022; 95% CI: 1.174, 7.495). Conclusion: This study revealed that the upright birth position implementation is hindered by lack of knowledge, low self-efficacy, discomfort, and inconvenience and maternal related condition particularly maternal medical condition. Therefore, in order to scale up the upright birth position nurses and midwives should be trained on upright birth position and deliver women by considering evidence-based implementation. Moreover, labour wards should be made supportive for delivering women in upright position by ensuring availability of necessary equipment, guidelines, and standard procedures.enUpright birthNurses and midwivesBirth positionBirth and maternityMartenity departmentsThesis