Emotions in labour: Italian obstetricians' experiences of presence during childbirth

J Reprod Infant Psychol. 2018 Feb;36(1):30-41. doi: 10.1080/02646838.2017.1395399. Epub 2017 Nov 6.

Abstract

Objective: The present study represents a qualitative research aimed to explore the obstetricians' psychological experiences of birth.

Background: During labour the role of obstetricians assumes a fundamental importance in hospitalised childbirth. However, literature analysis has shown that the psychological side of birth has been investigated only considering the woman's and midwife's points of view. The obstetricians' psychological experiences have not been considered enough and only a few studies at a quantitative level have been performed.

Methods: Seven focus groups for a total of 72 obstetricians were conducted in hospital contexts in Italy. The qualitative methodology of grounded theory was adopted.

Findings: The results were divided into three different core themes: obstetricians' approaches to delivery, critical aspects about relationships in the delivery room, and obstetricians' feelings and emotions in the delivery room. Each theme was subdivided into different subthemes.

Conclusion: The results highlight different ways obstetricians approach their profession, the complex and multifaceted relationship with the woman and the extraordinary variety of feelings and emotions, which enrich, but also may complicate, life in the delivery room. Further studies could provide more details to help researchers to develop new and more effective strategies to support obstetricians' training and work.

Keywords: Obstetricians; childbirth; emotions; focus group; psychological experiences.

MeSH terms

  • Delivery, Obstetric
  • Emotions*
  • Female
  • Focus Groups
  • Grounded Theory
  • Humans
  • Italy
  • Labor, Obstetric*
  • Obstetrics*
  • Parturition / psychology*
  • Physician-Patient Relations
  • Physicians / psychology*
  • Pregnancy
  • Qualitative Research