Impolite Birth: Provider Perspectives on Vocalization During Childbirth

IF 2.5 3区医学 Q1 NURSING Birth-Issues in Perinatal Care Pub Date : 2025-03-10 DOI:10.1111/birt.12907

Lee Roosevelt, Kris Danford, Ruth Zielinski

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Abstract

Background

Childbirth is a pivotal event marked by diverse vocalizations, yet scant research examines healthcare providers' perspectives on vocalization during birth. This study seeks to address this gap by exploring the attitudes and practices of various healthcare professionals regarding vocalization during labor and birth.

Methods

This study used a qualitative comparison approach, grounded in Organizational Cultural Phenomenon of Humanized Childbirth. Five discipline specific focus groups were conducted with doulas, nurses, community midwives, hospital midwives, and obstetricians to explore provider perceptions and experiences with vocalization during childbirth.

Results

Analysis of the focus groups indicated five overarching themes: (1) Shame and apologies, (2) Providers inhibiting or facilitating vocalization of gendered norms, (3) Affirmations or “Mantras,” (4) Right and wrong sounds, and (5) Developing comfort with vocalization.

Discussion

The findings underscore the need for education on supporting vocalization during childbirth. The tension between provider expectations and birthing individuals' autonomy highlights broader issues of paternalism in Western childbirth practices. Addressing these dynamics can foster a more respectful and empowering birth environment, promoting positive birth experiences.

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不礼貌分娩：提供者对分娩时发声的看法。

背景：分娩是一个以不同发声为标志的关键事件，但很少有研究检查医疗保健提供者在分娩时发声的观点。本研究旨在通过探索各种医疗保健专业人员在分娩和分娩期间发声的态度和做法来解决这一差距。方法：本研究以人性化分娩的组织文化现象为基础，采用定性比较方法。五个学科特定的焦点小组进行了与导乐，护士，社区助产士，医院助产士和产科医生探讨提供者的看法和经验，在分娩中发声。结果：焦点小组的分析表明了五个主要主题：(1)羞耻和道歉；(2)提供者抑制或促进性别规范的发声；(3)肯定或“咒语”；(4)正确和错误的声音；(5)培养发声的舒适性。讨论：研究结果强调了在分娩过程中支持发声教育的必要性。提供者的期望和分娩个体的自主权之间的紧张关系凸显了西方分娩实践中家长式作风的更广泛问题。解决这些问题可以营造一个更加尊重和赋权的分娩环境，促进积极的分娩体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Birth-Issues in Perinatal Care 医学-妇产科学

CiteScore

4.10

自引率

4.00%

发文量

审稿时长

>12 weeks

期刊介绍： Birth: Issues in Perinatal Care is a multidisciplinary, refereed journal devoted to issues and practices in the care of childbearing women, infants, and families. It is written by and for professionals in maternal and neonatal health, nurses, midwives, physicians, public health workers, doulas, social scientists, childbirth educators, lactation counselors, epidemiologists, and other health caregivers and policymakers in perinatal care.