Birthing consciousness and the flow experience during physiological childbirth.
Orli Dahan, Alexander Zibenberg, Alon Goldberg
Midwifery November 1, 2024 DOI: 10.1016/j.midw.2024.104151 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Observational cohort Peer reviewed |
|---|---|
| Sample size | 766 |
| Population | Israeli women with childbirth experience |
| Topics | Mystical experience |
| Keywords | Birthing consciousness Childbirth Flow state Physiological birth |
| Citations | 14 |
| Key findings | Women who experienced physiological childbirth had a higher flow state during birth than those who used epidural anesthesia or instrumental interventions. |
Abstract
It has been demonstrated that birth without medical intervention conveys significant physical and psychological benefits to the mother and her newborn baby. However, there is a need to include women's subjective experience of physiological birth to understand and promote it. The theoretical concept of "birthing consciousness" hypothesizes that women during natural childbirth sometimes experience a specific altered state of consciousness, which is a positive peak experience that resembles "flow" in many aspects. To investigate the underexplored connection between the physiological mode of childbirth and altered states of consciousness during childbirth. Israeli women with childbirth experience were recruited through social media (Facebook groups with a focus on childbirth and motherhood). Participants (n = 766) completed an online survey: the Flow State Scale (FSS) and a demographic questionnaire. Differences were found between modes of birth as to flow state, as women who experienced physiological childbirth (i.e., with no epidural anesthesia or instrumental interventions) had a higher flow state during birth. This link empirically confirms the phenomenon of birthing consciousness. All nine dimensions of the mental state of flow apply to childbirth: challenge-skill balance, action-awareness merging, clear goals, unambiguous feedback, concentration on the task, sense of control, loss of self-consciousness, transformation of time, and autotelic experience. Understanding a women's subjective experience during physiological birth can enhance clinical understanding of physiological birth thus promoting positive physiological birth experiences - which has crucial health benefits. We propose that more studies need to be done to promote experiencing flow during physiological birth.
Comparable studies
Other observational and cohort studies on mystical experience, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Neural correlates of a mystical experience in Carmelite nuns Carmelite nuns | 2006 | Observational cohort | |
| EEG activity in Carmelite nuns during a mystical experience Carmelite nuns | 2008 | Observational cohort | n = 14 |
| Neural correlates of mystical experience Vietnam veterans with penetrating traumatic brain injury and matched healthy controls | 2015 | Observational cohort | n = 148 |
| The Peak Experience Variable in DPT-Assisted Psychotherapy with Cancer Patients Cancer patients | 1977 | Observational study | n = 128 |
| Psilocybin-Induced Mystical-Type Experiences are Related to Persisting Positive Effects: A Quantitative and Qualitative Report Healthy volunteers | 2022 | Observational cohort | n = 28 |
Citations in the library
Cited by 5
- Being in the zone during physiological birth: a comparative study of hospital and home birth environments. Frontiers in Global Women's Health 2025
- When postnatal debriefing silences women: A critique through the lens of set and setting. Midwifery July 16, 2025
- Holding presence: relational environments and the structure of consciousness in childbirth Philosophical Psychology July 27, 2026
- Birthing With Others: Exploring the Efficacy of One-On-One Professional Support on Physiological Birth and Flow State. Birth December 1, 2025
- "Being in the zone" makes a difference: flow, birth experience, birth duration, and postpartum Stress. Journal of reproductive and infant psychology October 18, 2025
Cites 3
- The Black Book of Psychotropic Dosing and Monitoring. Psychopharmacology Bulletin July 8, 2024
- How Personal Transformation Occurs Following a Single Peak Experience in Nature: A Phenomenological Account Journal of Humanistic Psychology November 1, 2020
- Birthing Consciousness as a Case of Adaptive Altered State of Consciousness Associated With Transient Hypofrontality Perspectives on Psychological Science April 29, 2020