Overcoming Shame to Vocalise During Childbirth: A Qualitative Interview Study

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

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.

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.

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.

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.

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

Reporting adhered to the SRQR checklist.

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