The study aimed to describe the experiences of a group of nurse-midwives from the city of Campinas, SP, Brasil, regarding the transition process from attending institutionalized births to attending home births, in the period 2011 -2013. The study is of the experience report type; the reflections, perceptions and challenges experienced in this process were collected using the technique of brainstorming. Content analysis, as proposed by Bardin, was used, which yielded four thematic categories: a) the hospital experience; b) living with obstetric violence; c) returning home and d) the challenges of home care. It is concluded that attending home births offers greater satisfaction to the nurses, even in the face of various obstacles, as it is possible to offer a care to the woman and new-born which covers both the concept of comprehensiveness and the current scientific recommendations.

This qualitative, exploratory and descriptive study aimed to understand the reasons that underlie the choice of homebirth. The information was captured through semi-structured interviews, applied between February and March 2014, recorded and transcribed. The sample obtained by saturation of data was composed of 14 women who had at least one experience of home birth, planned and attended in the previous year in the city of Campinas, state of São Paulo, Brazil, and region. The discussions were analyzed according to the method of Bardin's content analysis. The results gave rise to two categories: to gain information so as to be able to make an informed choice, and to be against the model of hospital care. The reasons listed show that the acquisition of knowledge is a basic condition to support the decision to give birth at home, in addition to revealing these women's great dissatisfaction with the current institutionalized model of care during childbirth.

Giving birth at home represents a rising modality of delivery care in the Brazilian society, although in unrepresentative proportion when compared to the number of hospital childbirths. In Brazil, the topic has been broadly discussed by different professional categories, highlighting the safety issue involved in the process. The aim of this theoretical and reflective study was to present a brief overview of the overall care related to home childbirth, also questioning the reality of the contemporary Brazilian obstetric scenario. The scientific literature presents both obstetric and neonatal outcomes as favorable to home childbirth; similar risks when compared to hospital childbirth and higher rates of maternal satisfaction, and these both factors justify its practice. Therefore, a movement of women who are deeply unhappy with the current model of obstetric care is currently observed and they have been opting for home childbirth as a response to institutional violence, fragmentation and depersonalization of hospital care. Descriptors

<p>Objetivo: investigar as dificuldades encontradas pelas enfermeiras obstetras que estão atuando na assistência ao parto domiciliar. Método: estudo descritivo e de abordagem qualitativa. A coleta de dados foi realizada por meio de uma entrevista semiestruturada com nove enfermeiras obstetras que atendiam partos domiciliares há mais de um ano. Os dados foram analisados segundo a Análise de Conteúdo. Resultados: os depoimentos deram origem a três categorias que revelaram dificuldades relacionadas à: escassez de informações sobre o parto domiciliar; transferência do domicílio para o hospital; e lacunas do processo de trabalho. Conclusão: as enfermeiras obstetras enfrentavam dificuldades de ordem social e prática que fragilizavam e dificultavam a assistência ao parto domiciliar. Estas dificuldades parecem estar relacionadas à falta de regulamentação desse modelo de atenção ao parto nas políticas públicas de saúde do país.</p><p><br />Descritores: Enfermagem Obstétrica. Enfermeiras Obstétricas. Parto Humanizado. Parto Domiciliar. Saúde da Mulher.<br /><br /></p>

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