Prenatal Education Strategies Designed to Support Women's Mobility During Labor: A Scoping Review

ABSTRACT Aim To identify prenatal education strategies that support women's mobility during labor and to examine how these strategies address childbirth self‐efficacy and informed decision‐making as complementary capabilities relevant to active participation during labor. Methods A scoping review (updated October 12, 2025) searched six bibliographic databases and one gray‐literature database using predefined eligibility criteria. Studies on prenatal education that addressed women's preparation for mobility and upright positions during labor, including related dimensions of decision‐making and self‐efficacy, were included. Screening and data extraction were performed independently in duplicate, with consensus procedures. Findings are presented narratively and in tables/figures. Results Thirty articles were included, predominantly primary studies ( n  = 27; 90.0%). The review identified 15 studies that explicitly operationalized mobility/upright positions as a structured, primary strategy, alongside additional studies that mentioned mobility without a structured focus. Three specific strategies to promote active labor were described: a birth ball exercise program, the Labor Hopscotch Framework, and birth plan counseling. Practices such as yoga, mindfulness, and experiential/discovery‐based learning addressed body awareness, connections between movement and fetal positioning, and women's comfort and confidence through active engagement. Conclusion Despite recommendations to inform expectant women about active‐labor options in prenatal education, relatively few studies provided structured, mobility‐focused strategies. Where present, studies reported greater childbirth confidence, use of non‐pharmacological pain relief, lower pain, and increased use of upright positions. A persistent research gap remains regarding targeted prenatal education that prepares women to make informed choices about mobility and positioning during labor.