Applying the Values of Modesty and Aurat in the Childbirth Experience

Authors

Siti Khatijah Ismail

Faculty of Islamic Contemporary Studies, University of Sultan Zainal Abidin (UniSZA), Terengganu (Malaysia)

Malini Mat Napes

Faculty of Medicine, University of Sultan Zainal Abidin (UniSZA), Terengganu (Malaysia)

Article Information

DOI: 10.47772/IJRISS.2026.100900175

Subject Category: Social science

Volume/Issue: 10/9 | Page No: 2458-2468

Publication Timeline

Submitted: 2026-09-20

Accepted: 2026-09-25

Published: 2026-10-05

Abstract

Childbirth is a deeply embodied experience in which clinical care intersects with women’s cultural, spiritual, and personal values. For Muslim women, modesty (haya’) and aurat are important in shaping perceptions of bodily privacy, dignity, autonomy, and psychological safety during labour and delivery. Despite growing attention to respectful maternity care, these dimensions remain insufficiently operationalised within institutional maternity practices. This study examines how modesty and aurat influence women’s physical, emotional, and psychological childbirth experiences; identifies environmental, institutional, and interpersonal factors affecting bodily privacy; and develops clinically oriented principles for faith-sensitive maternity care. A qualitative, library-based document analysis was conducted within an interpretive paradigm using peer-reviewed literature on childbirth, bodily privacy, gender preferences, respectful maternity care, and faith-sensitive healthcare. The documentary corpus was analysed thematically using Braun and Clarke’s framework. Three interrelated themes emerged: embodied modesty and relational autonomy; institutional and interpersonal negotiation of aurat; and operationalisation of modesty within faith-sensitive maternity care. The synthesis indicates that compromised privacy may intensify embarrassment, vulnerability, distress, and loss of control, whereas respectful practices can strengthen dignity, trust, emotional comfort, and participation in decision-making. Protection of aurat is therefore not solely an individual provider responsibility but an organisational issue shaped by maternity-unit design, staffing, communication, consent processes, and workflow. The article proposes an Aurat-Sensitive Respectful Maternity Care approach grounded in clinical necessity, minimum necessary exposure, relational consent, and institutional accountability. As a secondary document analysis, the study offers conceptual and practice-oriented synthesis rather than prevalence estimates or causal inference, and its propositions require empirical validation in maternity settings.

Keywords

Aurat, Modesty, Respectful Maternity Care, Childbirth

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References

1. Al-Aufi, K., Sawafi, A. Al, & Al-Hashmi, I. (2026). Maternal perception of husband support during childbirth in Oman: A qualitative descriptive study. Midwifery, 161, 104915. [Google Scholar] [Crossref]

2. Al-Mubarak, A., Ahilan, B., Dasgupta, T., Silverio, S., Mistry, H., Alharbi, L., Aldakhail, J., Heys, S., Von Dadelszen, P., & Magee, L. (2025). The Impact of Culture on Access to and Utilisation of Maternity Care Amongst Muslim Women in High‐Income Countries: A Qualitative Systematic Review. Bjog, 132, 1996–2008. [Google Scholar] [Crossref]

3. Alzyoud, F. A., Dapremont, J. A., & DuBois, M. A. (2026). Perspectives of Nurses and Midwives Regarding Factors That Contribute to and Protect Women From Disrespect and Abuse During Labor. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 55(4), 411–422. [Google Scholar] [Crossref]

4. Batram-Zantvoort, S., Razum, O., & Miani, C. (2022). A theoretical look at birth integrity: medicalization, risk theory, embodiment, and intersectionality. Sante Publique, 33(5), 645–654. [Google Scholar] [Crossref]

5. Braun V., Clarke V. (2019). Reflecting on reflexive thematic analysis. Qualitative research in sport, exercise and health, 11(4), 589–597. [Google Scholar] [Crossref]

6. Chen, L.-L., Pan, W.-L., Mu, P.-F., & Gau, M.-L. (2023). Birth environment interventions and outcomes: A scoping review. Birth, 50(4), 735–748. [Google Scholar] [Crossref]

7. Egger, E. E., Ibrahim, B. B., Nyhan, K., Desibhatla, M., Gleeson, D., & Hagaman, A. (2024). Patient-Defined Cultural Safety in Perinatal Interventions: A Qualitative Scoping Review. Health Equity, 8(1), 164–176. [Google Scholar] [Crossref]

8. Gagnon, É., & Marcotte, R. (2023). Modesty in care. Canadian Journal of Bioethics, 6(1), 1–12. [Google Scholar] [Crossref]

9. Gurung, R., & Van Wees, S. H. (2025). ‘They did not care for me. I was alone on bed like a dead person’: A qualitative study on mistreatment, dignity and power during childbirth in Nepal. Global Public Health, 20(1). [Google Scholar] [Crossref]

10. Halim, J. A., & Ismail, S. K. (2024). The Application of Maqasid Shariah In Antenatal Care By Male Healthcare Providers. Jurnal Islam Dan Masyarakat Kontemporari. [Google Scholar] [Crossref]

11. Hassan, S. (2022). Religious practices of Muslim women in the UK during maternity: evidence-based professional practice recommendations. BMC Pregnancy and Childbirth, 22. [Google Scholar] [Crossref]

12. Isik Ayan, H., & Ejder Apay, S. (2026). The Relationship Between Perceived Privacy and Fear of Childbirth During Labor: A Cross-Sectional Study. Mental Illness, 2026(1). [Google Scholar] [Crossref]

13. Ismail, A. M., Afifi, T., Elejla, S. A., Samaan, M., & Hirst, J. E. (2026). Childbirth experience and its relationship with postpartum depression and anxiety: a cross-sectional study from Gaza. Reproductive Health , 23(1). [Google Scholar] [Crossref]

14. Ismail, S. K., & Mutalib, L. A. (2022). Necessity of Sharia Compliant Maternity Care System in Malaysia. International Journal of Academic Research in Business and Social Sciences. [Google Scholar] [Crossref]

15. Jemai, H., Abdalla, M., Cramer, R., & Kruger, G. (2026). Faith, Birth, and Belonging: Muslim Women’s Experiences of Culturally and Religiously Sensitive Maternity Care in Australia. Australian Journal of Islamic Studies, 11(1). [Google Scholar] [Crossref]

16. Jones, E., Lattof, S., & Coast, E. (2017). Interventions to provide culturally-appropriate maternity care services: factors affecting implementation. BMC Pregnancy and Childbirth, 17. [Google Scholar] [Crossref]

17. Kalla, N., Ismarwati, I., & Zuhdi, M. (2025). Midwifery Philosophy in Islam and Its Implications for Midwifery Practice: A Scoping Review. Journal La Medihealtico. [Google Scholar] [Crossref]

18. Kazemi, A., Beigi, M., & Najafabadi, H. E. (2023). Environmental factors influencing women’s childbirth experiences in labor–delivery–recovery–postpartum unit: a qualitative cross-sectional study. BMC Pregnancy and Childbirth, 23(1). [Google Scholar] [Crossref]

19. Khan, S. (2021). Modesty during childbirth : perspectives of immigrant Muslim women in Canada. [Google Scholar] [Crossref]

20. Kosiak, M. (2017). Midwifery practices and Aboriginal and Torres Strait Islander women: Urban and regional perspectives. In Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery Care (pp. 113–137). [Google Scholar] [Crossref]

21. Kuo, S. C. (2005). Humanized childbirth. Hu Li Za Zhi The Journal of Nursing, 52(3), 21–28. [Google Scholar] [Crossref]

22. Le Breton, D. (2018). Modesty in hospital and in care. Soins, 63(831), 32–35. [Google Scholar] [Crossref]

23. Liddell, J., & Johnson, K. M. (2018). Dignity in childbirth: Us women’s perceptions of respect and autonomy in hospital births. In Research in the Sociology of Health Care (Vol. 36, pp. 87–108). [Google Scholar] [Crossref]

24. Maabreh, R., Eyadat, A., Al-Akash, H., Ashour, A., Hani, S. B., Yehia, D., Alhusban, R., Alsharairi, N., Abusbaitan, H., & Alwedyan, S. (2025). Barriers and Beliefs: A Qualitative Study of Jordanian Women’s Perceptions on Allowing Companions in the Labour Room. Societies. [Google Scholar] [Crossref]

25. Mostafa, Z. M., Goda, A. A., El-Shabrawy, E. M., & Saleh, L. H. M. (2026). Respectful Maternity Care and Maternal Satisfaction: A Cross-Sectional Study in Upper Egypt. Fayoum University Medical Journal, 17(2), 109–131. [Google Scholar] [Crossref]

26. Rala, N. M., Minnie, C. S., Matthews, A., & Shopo, K. D. (2026). Woman, companion and midwife interpersonal dynamics during childbirth: A phenomenological study in South African midwife-led birth units. International Journal of Africa Nursing Sciences, 26. [Google Scholar] [Crossref]

27. Siregar, A. N., Delfiza, I., Sari, J. W., Audisha, S., Dipa, M. N., Levisa, T., Julika, R. A., Amalia, D. R., & Gunawan, R. (2025). Integrasi Nilai-Nilai Islam dalam Asuhan Kebidanan pada Ibu Hamil dan Bersalin. Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran. [Google Scholar] [Crossref]

28. Suryani, L., Kamil, H., Hasanuddin, H., Yahya, M., Sulastri, S., Agustina, A., Hamzah, S., & Ramadhan, N. (2023). Application of sharia childbirth innovation model in Indonesia: Perspective of midwives and staff of the Islamic Service Unit. Journal of Family & Community Medicine, 30, 204–210. [Google Scholar] [Crossref]

29. Suryaningsih, E., Lesdianti, K., Marlinton, S., & Nurhidayati, S. (2026). Exploring Islamic Values in Midwifery Care: Exploring the Integration of Islamic Values in Midwifery care. Jurnal Promkes. [Google Scholar] [Crossref]

30. Turan, Z., Suveren, Y., & Vural, G. (2022). A qualitative study on the expectations and experiences of mothers during the childbirth process in Western Anatolia, Turkey. Women and Health, 62(5), 444–453. [Google Scholar] [Crossref]

31. Valizadeh, F., Heshmat, F., & Motaghi, Z. (2022). The Parturient Women’s Privacy Preservation in the Delivery Rooms: A Qualitative Study. Journal of Caring Sciences, 12, 33–41. [Google Scholar] [Crossref]

32. Van der Waal, R., & Mayra, K. (2023). Obstetric Violence. In Gender-Based Violence: A Comprehensive Guide (pp. 413–425). [Google Scholar] [Crossref]

33. Walburg, V., Friederich, F., & Callahan, S. (2014). Embarrassment and modesty feelings during pregnancy, childbirth and follow-up care: A qualitative approach. Journal of Reproductive and Infant Psychology, 32(2), 126–136. [Google Scholar] [Crossref]

34. Xu, Y., Tang, Y., Wang, M., Wang, X., Xu, W., Zhang, F., & Zhou, L. (2025). Midwives perspectives of barriers and facilitators for the practice of promoting women’s positive childbirth experience in China: A qualitative study. Women and Birth, 38(1). [Google Scholar] [Crossref]

35. Zinsser, L. A., & Stone, N. I. (2026). Overcoming Shame to Vocalise During Childbirth: A Qualitative Interview Study. Journal of Advanced Nursing, 82(3), 2345–2356. [Google Scholar] [Crossref]

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