Health professionals’ perceptions of planned home birth care within the Brazilian health system

Author:

Beviláqua Jannaina Campos,dos Reis Laena Costa,Alves Valdecyr Herdy,Penna Lucia Helena Garcia,da Silva Silvio Éder Dias,Parente Andressa Tavares,de Jesus Dias Sousa Fabianne,Vieira Bianca Dargam Gomes,Pereira Audrey Vidal,Fernandes Maura Eduarda Sousa,Rodrigues Diego Pereira

Abstract

Abstract Background The American College of Obstetricians and Gynecologists, in its opinion of the Committee on Midwifery Practice, points out that planned home birth is a woman's and family's right to experience, but also to choose and be informed about, their baby's place of birth. The aim of this study was to understand obstetric nurses' perceptions of planned home childbirth care within the framework of the Brazilian obstetric model. Method A qualitative study, with Snowball Sampling recruitment, totaling 20 obstetric nurses through semi-structured interviews between September 2022 and January 2023, remotely, using the Google Meet application and the recording feature. After the data had been collected, the material was transcribed in full and subjected to content analysis in the thematic modality with the support of ATLAS.ti 8.0 software. Results Obstetric care at home emerged as a counterpoint to hospital care and the biomedical model, providing care at home based on scientific evidence and humanization, bringing qualified information as a facilitator of access and financial costs as an obstacle to effective home birth. Conclusion Understanding obstetric nurses' perceptions of planned home birth care in the context of the Brazilian obstetric model shows the need for progress as a public policy and for strategies to ensure quality and regulation.

Funder

This study was carried out with publication support from the Pro-Rectory of Research and Graduate Studies of the Federal University of Pará (Funding Code PAPQ-2023).

Publisher

Springer Science and Business Media LLC

Subject

Obstetrics and Gynecology

Reference40 articles.

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