Impolite Birth: Provider Perspectives on Vocalization During Childbirth

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.