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Overcoming Shame to Vocalise During Childbirth: A Qualitative Interview Study
Laura A Zinsser1, Nancy I Stone1
1Hannover Medical School, Midwifery Research and Education Unit, Hannover, Germany.
Journal of Advanced Nursing
|June 27, 2025
Summary
Women
Area of Science:
- Sociology of Gender
- Psychology of Childbirth
- Qualitative Research Methods
Background:
- Childbirth vocalizations are influenced by social and gender norms.
- Understanding women's subjective experiences of vocalization during labor is crucial for supportive care.
Purpose of the Study:
- To explore women's experiences with vocalization during childbirth.
- To investigate the interplay between vocalization and feelings of shame in labor.
Main Methods:
- Interpretive qualitative study using social constructionist theory.
- Semi-structured interviews with 18 postpartum women in Germany.
- Reflexive thematic analysis of interview data.
Main Results:
- Two themes emerged: 'the shame of being heard' and 'the value of my voice'.
- Women experienced shame and challenges in vocalizing due to social norms.
- A supportive environment and prior vocalization experience facilitated expression.
Conclusions:
- Shame significantly impacts women's vocal behavior during childbirth.
- Creating a safe, uninhibited environment supports vocal expression.
- Empathic birth companions and normalizing vocalization can reduce shame.
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