分娩影响妇女的方式很多，包括疲倦的感觉，不知所措，强调,有了婴儿蓝调，如果不注意，这会导致产后抑郁,这是一种可能造成灾难性影响的精神状态。分娩会影响妇女的心理和身体状况，而拥有支持性助产士通过提供足够的信息来指导妇女是积极分娩经历的一个关键问题。世界卫生组织(世卫组织)强调，有必要促进妇女的分娩选择，作为获得安全和难忘经历的一种手段，因为分娩经历会影响妇女的心理状况。一些妇女在分娩和分娩期间可能会感到担忧和焦虑，怀孕期间的偏见和缺乏分娩选择促进可能会加剧这种情况。消极的分娩经历可能导致消极的心理困扰和产后抑郁，这会干扰母亲之间的联系，宝贝,和家庭。助产士,因此，需要了解与分娩有关的情感方面，并能够促进和支持受其照顾的妇女的情感和社会心理需求。然而,在纳米比亚的背景下，缺乏可以为当前挑战提供方向和特定环境解决方案的经验证据。本研究遵循定性研究设计，采用探索性方法，对10名有意选择的助产士进行一对一访谈。助产士在这项研究中的经历描绘了他们对手头问题的热情；然而，突出的是促进分娩选择的一些障碍(主题1)，因为它们表达了工作人员短缺，信息的时机，信息共享,和文化影响作为他们促进分娩的一些经验。此外，助产士共同缺乏分娩选择的规定（主题2），因为没有遵守妇女的权利，尽管有协议和指导方针，但缺乏以妇女为中心的护理，然而他们并没有被遵守。总之,助产士作为主要看护者，积极需要提供无偏见的分娩信息，以实现积极的产后健康。在怀孕早期开始分娩选择，使妇女有时间权衡选择，消除与分娩类型有关的任何误解，并减少焦虑和对分娩的恐惧。这可能导致产后抑郁症，女性的心理健康。促进分娩选择对于积极的分娩经历和分娩管理以及制定确保妇女和社会心理健康的指导方针和政策至关重要。
Childbirth affects women in a myriad of ways including feelings of tiredness, being overwhelmed, stressed, and having baby blues, and if not attended to, this can lead to postpartum depression, which is a mental condition that can have disastrous effects. Childbirth can affect the mental and physical status of a woman and having supportive midwives who guide women by giving adequate information is an issue of critical concern for a positive birth experience. The World Health Organisation (WHO) has emphasised the need to facilitate childbirth choices for women as a means of having a safe and memorable experience as the experience in childbirth affects the psychological status of a woman. Some women may experience worry and anxiety during labour and childbirth, which may be exacerbated by bias and a lack of childbirth choice facilitation during pregnancy. A negative childbirth experience may lead to negative psychological distress and postpartum depression, which will interfere with the bond between the mother, baby, and family. Midwives, thus, need to understand the emotional aspects that are attached to childbirth and be able to facilitate and support the emotional as well as the psychosocial needs of women under their care. However, there is a dearth of empirical evidence within the Namibian context that can provide direction and context-specific solutions to the present challenge. The current study followed a qualitative research design with an exploratory approach with one-on-one interviews with 10 midwives who were purposively selected. The midwives\' experiences in this study depicted their zeal towards the issue at hand; however, what stood out were some barriers in the facilitation of childbirth choices (theme 1) as they expressed the shortages of staff, the timing of information, information sharing, and cultural influences as some of their experiences in facilitating childbirth. Furthermore, midwives shared a lack of provision for childbirth choice (theme 2) as the rights of women were not observed, and a lack of women-centred care despite protocols and guidelines being there, and yet they are not adhered to. In conclusion, midwives as primary caregivers actively need to provide unbiased childbirth information to achieve positive postpartum health. Initiating childbirth choices early in pregnancy gives women the time to weigh options and clearing of any misconceptions relating to childbirth types as well as reducing anxiety and fear of birth, which could lead to postpartum depression and by extension, the mental well-being of the women. Facilitating childbirth choices is critical in positive birth experiences and the management of childbirth as well as crafting guidelines and policy formulation that ensure a mentally healthy woman and society.
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