Midwives generally encourage laboring women to be mobile as long as possible and to adopt whatever position is most comfortable, however, there are indications and contraindications for the use of certain positions during the course of labor. Modifying intrapartum care to reflect current evidence, regarding the factors that influence maternal positions in labor will improve the maternity care that women and families receive. Health professionals working in obstetric care need to be aware of the evidence-based practice regarding maternal positions in labor to enable women to make informed choices.

We need to do series of studies on modifying positions and how it is help in labor and by time we will be able to convince midwives to follow the modfying positions.

I think midwives can encourage women to choose their own position, but the right time is not the birth. I'm sure, it should happen earlier at least in pregnancy.

GynZone in Danmark has developed an e-learning tool for parents to be about birth positions.

http://www.gynzone.net/women-s-health/birth-positions

I presume you are speaking about hospital midwives.  At home, women choose whatever position they want and no one has to tell them what to do before or during birth. The only exception is first births. For first births women deliver in sitting so that I can slow down the emergence of the head to prevent all tearing.   See video.  

Otherwise, women do what they choose and more than half choose to deliver with their head leaning on their beds, kneeling next to the bed, - a variation of all fours.

https://www.youtube.com/watch?v=UnjTN6LcQ2c

In Jordan , Hospital delivery is the only option we have for women. Unfortunately, we don't have home deliveries at all.   So yes, I am speaking about hospital midwives. 

 Jordanian mothers suffer from the midwifery malpractice, for example, a birth position is limited to lithotomy position, women are not allowed to move around during labour period, they should stay in bed;  they are not allowed to eat, their membranes are ruptured very early and given oxytocin to decrease labour hours. midwives use only therapeutic intervention for pain. we have an extensive antenatal care in quantity, not quality. 

Wow Lina, that sounds sad. Not the hospital delivery at all, but the "malpractice". Maybe women can start a change, if they are encouraged and choose birth places with better midwifery care. Let them walk as long as they want to while laboring and let them eat fruit bites. Small steps can make a difference.

Yes, midwifery malpractice in Jordan needs a "revolution " from Jordanian women to be changed. If women  know their rights , things will be much better

They are all connected to the internet, they can use international knowledge ;-)

we offer pelvic floor training and birth positions to mothers to be

http://www.gynzone.net/women-s-health

and prevention and suturing of birth injuries and waterbirth e-learning options to midwives and obstetricians http://www.gynzone.net

If you have a network spread it to all "your women" and start the revolution

http://www.gynzone.net/women-s-health

There is a lack of homebirth midwives in Jordan. However, two non-Jordanian women living in Jordan  emailed me because I live 4 hours away from Jordan,  in Israel.  In the end, they found women in Jordan to attend their births at home, though they had to go to hospital afterwards to register the births.    So, the good news is that there is some underground homebirth in Jordan!    It is not as hard to make change as you think.   You could invite me to come speak in Jordan.  I have 85 publications, and everyone always respects the foreign speaker than the indigenous midwife.

I am 60 and lived thru the revolution in the US.   It happened because revolutionary women invited 5 or 10 women into their homes for consciousness raising.  It was done like that.   From the ground up by small groups of women until it caught on because no one can stop truth.   In small meetings educating one woman at a time..  Jordan is a small country.   You could do it also.  Start small, Invite 10 women into your home to explain why homebirth is safer.   Then have those 10 women also invite 10 women into their homes.   Translate my YouTube into arabic.  It has already been translated into Russian, Spanish, Czech and Hebrew.    I didnt translate it.  Other women translated it and I just set it up for them.   It has thousands of hits in those languages.   You can get women off their backs.   Hospitals are not jails.    As soon as a women refuses to get on her back and delivers squatting on the floor, there is nothing nurses and doctors can do.   They cant call the police.   The woman is not breaking the law.    It is merely a consciousness raising that is necessary.

Wow, I will start with my family females, then will go outside the circle. Judy I really appreciate the idea, but my worries are that we do not have competent midwives that can perform home deliveries. BUT I will start the revolution.

I am planning to publish more YouTubes to train competent midwives. 2.2 million people have watched my YouTube how to deliver all women without a tear.   Birth is a natural process that happens well if you don't disturb it and only rarely needs intervention.  Youtube is a great equalizer.   How many women have access to the internet in Jordan?   You will have to translate some of my things into Arabic.  Feel free to contact me directly [email protected] 

Start small.   You meet with 10 women and they each meet with 10 women- now you have 100.    If each of them meet with 10 women, you have 1000 and now you are ready for a conference.  The conference can be over Skype.   It can be a Facebook group where women ask questions.    But just start. 

30 years ago we began in Israel,  by insisting that women be allowed to have a pillow on the hospital delivery bed, while delivering in lithotomy position.   Women met, educated each other.  Today 1 in 500 women have a planned homebirth, and there are 15 homebirth midwives.    Untrained homebirth midwives is a big problem.   But they wont have worse outcomes than you are having in hospital anyway.    Do it!

This is not a common birth position among women attended by midwives as far as I know or in my experience, but maybe you have different data?

Women used a variety of birth positions and a majority gave birth in flexible sacrum positions. No associations were found between flexible sacrum positions and SPT. Flexible sacrum positions were associated with fewer episiotomies.

Perineal injuries and birth positions among 2992 women with a low risk pregnancy who opted for a homebirth

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966598/