Abstract
Aim: To reveal, with reference to everyday life, the social relations surrounding women's option for planned home births. Method: Institutional Ethnography (IE). Subjects: Seventeen women who planned home births and who gave birth at home, assisted by an obstetric physician or nurse, from January 2008 to December 2010. Data collected through semi-structured interviews between October and December 2010. Data treated to thematic analysis, referencing the theory of Dorothy Smith. Results: The category 'social relationships and their influence on the option for planned home birth' has emerged. Discussion: Thinking about power relations in terms of the option for planned home births means to encourage free choices experienced by women in terms of their distinct and different support networks. Conclusion: The empowerment of women in the birth process is essential for maternal-fetal wellbeing.
References
Feyer ISS, Monticelli M, Volkmer C, Burico RA. Publicações cientificas brasileiras de enfermeiras obstétricas sobre o parto domiciliar: revisão sistemática de literatura. Texto Contexto Enferm. 2013; 22(1):247-56.
Milfont PMS, Silva VM, Chaves DBR, Beltrão BA. Quality of care and satisfaction of women with natural childbirth: exploratory study. Braz J Nurs. 2011, 10(3). Obtido 2013/01/02, de http://www.objnursing.uff.br/index.php/nursing/article/view/3493/1099
Brasil. Ministério da Saúde. Caderno de informação de saúde. (Série G. Estatística e informações em Saúde). Brasília: Ministério da Saúde; 2012.
Brasil. Ministério da Saúde. Indicadores de Saúde da cidade do Rio de Janeiro. Rio de Janeiro: Ministério da Saúde; 2010.
Jonge A, Goes VD, Ravelli AC, Amelink-verburg MP. Mol BW, Nijhuis JG, et al. Perinatal mortality and morbidity in a nationwide cohort of 529n688 low-risk planned home and hospital births. BJOG. 2009; 116(9): 1177-84.
Boucher D, Bennett C, Macfarlin B, Freeze R. Staying home to give birth: why women in the United States choose home birth. J Midwifery Womens Health. 2009; 54(2):119-26.
Evers AC, Brouwers HA, Hukkelhoven CW, Nikkels PG, Boon J, Hillegersberg J, et al. A perinatal mortality and severe morbidity in low and high risk term pregnancies in the Netherlands: prospective cohort study. BMJ. 2010; 341(5639):1-8.
Birthplace in England Collaborative Group. Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study. BMJ. 2011; 24(343):7400-16.
Ferreira ABH. Dicionário Aurélio de Língua Portuguesa. 5ª ed. Rio de Janeiro: Editora Positivo; 2011.
Malheiros PM, Alves VH, Rangel TSA, Vargens OMC. Parto e nascimento: saberes e práticas humanizadas. Texto Contexto Enferm. 2012; 21(2):329-37.
Victora CG, Aquino EML, Leal MC, Monteiro CA, Barros FC, Szwarcwald CL. Maternal and child health in Brazil: progress and challenges. Lancet. 2011; 377 (9780):1863-76.
Véras RM. Etnografia institucional: conceito, usos e potencialidades em pesquisas no campo da Saúde. Sau & Transf Soc. 2011; 1(2): 58-66.
Minayo MCS. Pesquisa social: teoria, método e criatividade. 28ª ed. Rio de Janeiro: Vozes; 2010.
Brasil. Conselho Nacional de Saúde. Resolução 466 de 12 de dezembro de 2012. Brasília: Conselho Nacional de Saúde; 2012.
Smith DE. Institutional ethnography: a sociology for people. Toronto: Altamira Press; 2005.
Colacioppo PM, Kiffman M, Riesco MLG, Schneck C, Osava R. Parto domiciliar planejado: resultados maternos e neonatais. Rev de Enf Ref. 2010; série III(2): 81-90.
Smith DE. Institutional ethnography as practice. Lanham: Rowman & Littlefeild Publishers; 2006.
Lagomarsino BS, Van der Sand ICP, Girardon-Perlini NMO, Linck CL, Ressel LB. A cultura mediando preferências pelo tipo de parto: entrelaçamento de fios pessoais, familiares e sociais. Rev Min Enferm. 2013; 17(3): 688-94.
Brasil. Ministério da Saúde. Atenção a saúde do recém-nascido: guia para os profissionais de saúde – cuidados gerais. V. 1. (Série A. Normas e Manuais Técnicas). Brasília: Ministério da Saúde; 2011.
Mccourt, C. Childbirth, midwifery and concepts of time. Berghahn Books; 2009.