Knowledge and attitudes of students' midwives regarding establishment and function of Birth Centers in Greece.

Introduction: The initiative to establish Birth Centers in Greece was driven by the recognized need for family-centered health services that enhance the natural aspects of pregnancy, childbirth, and postpartum care. These centers aim to provide safe and supportive environments for expectant mothers, staffed by skilled professionals, primarily midwives. Aim: This study explores the attitudes and knowledge of midwifery students regarding Birth Centers, evaluating their readiness to support and work within such settings, which promote less interventionist birthing practices. Materials and Methods: A closed-ended questionnaire was administered to midwifery students at the University of West Attica in 2014 and 2024. Responses were analyzed to assess changes in perceptions over time regarding the role and benefits of Birth Centers. Data were coded and analyzed using statistical software to ensure robust comparison and confidentiality. Results: The study involved 190 respondents, showing a significant endorsement of Birth Centers, with high agreement on their benefits for reducing cesarean rates and enhancing maternal satisfaction. However, there was a noted decline in the preference for working in out-of-hospital settings and a decrease in the perception of Birth Centers' economic benefits to the public health system. Conclusion: While the majority of midwifery students recognize the value of Birth Centers, there is a shift towards more cautious acceptance and a notable decline in the interest in pursuing long-term careers in such settings. These findings highlight the need for continuous education on the efficacy and management of Birth Centers and may influence future healthcare policies and training programs.