The birthing experience : towards an ecosystemic approach

Abstract

The birth of a child is a life-changing event in a woman's life. However, women's subjective experiences of giving birth have not been extensively researched, while the literature reflects an inherent realist approach. This has resulted in a decontextualised account of this critical event in women's lives. This conceptual study discusses the body of knowledge on the birthing experience from a widened perspective that includes not only the birthing woman, but also the people she interacts with and the context in which birth is embedded. The study comments on the way birth is managed in technological society and how its inherent Newtonian epistemology impacts on a woman's experience of birth. Ecosystemic epistemology is presented as an alternative approach which provides an holistic understanding of this experience. A reconceptualisation is proposed which acknowledges the social construction of birth. Lastly, the alternative birth movement as a more holistic approach to birth is discussed