Overcoming Shame to Vocalise During Childbirth: A Qualitative Interview Study.

Aim

To explore women's experiences of vocalisation during childbirth and the interplay with their feelings of shame.

Design

This interpretive, qualitative study is grounded in a social constructionist theory of gender, which provides a lens for examining the role of vocal toning in childbirth.

Methods

Between November 2023 and March 2024, 18 women in Germany were interviewed postpartum either at home or virtually. Semi-structured interviews were analysed using reflexive thematic analysis.

Results

Two themes were generated: 'the shame of being heard' and 'the value of my voice'. The findings demonstrate challenges women faced when vocalising during childbirth due to feelings of shame. Overcoming social norms were key; previous experience with vocalisation was an advantage. Vocal expression was also facilitated by a safe, supportive birth environment.

Conclusion

Shame influences behaviour during childbirth. A key factor appears to be whether women feel safe and uninhibited in their vocal expression, which can be supported through empathic birth companions. Additionally, vocalising with others can contribute to normalising the experience and reducing feelings of shame.

Implications for the profession care

The findings suggest that healthcare professionals can help women overcome shame to use vocalisation as a tool to navigate the challenges of childbirth.

Reporting method

Reporting adhered to the SRQR checklist.

Patient and public involvement

This study did not include client or public involvement in its design, conduct, or reporting.