"Talk to me, not at me": obese women's experiences of birth and their encounter with birth attendants-a qualitative study

Int J Qual Stud Health Well-being. 2020 Dec;15(1):1845286. doi: 10.1080/17482631.2020.1845286.

Abstract

Purpose: To explore the birth experiences of obese women in regard to their encounter with birth attendants. Methods: Qualitative, in-depth interviews with 10 women were conducted in February 2020. Data were analysed using a descriptive phenomenological method. Results: Four interrelated constituents were identified: The preconception and prejudice of being unhealthy and less able; Being unique among all the other unique women; "Talk to me, not at me"-the importance of information and communication, and; Feeling secure enough to be in the 'birthing bubble'. Conclusion: For the women in our study, being obese meant experiencing challenges as well as opportunities during childbirth and in their encounter with birth attendants. Experiences of preconceptions, alienation, a focus on risk and a loss of autonomy in encounters with birth attendants were found to negatively impact the birthing process. The women desired affirmative and inclusive encounters; these kinds of encounters may improve the birth experiences of obese women.

Keywords: Experience; birth attendants; childbirth; midwives; obesity; phenomenology.

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Female
  • Humans
  • Interviews as Topic
  • Midwifery*
  • Norway
  • Obesity / psychology*
  • Prejudice
  • Professional-Patient Relations
  • Qualitative Research
  • Young Adult

Grants and funding

This research received no specific grants from funding agencies in the public, commercial or not-for-profit sectors.