“A história dos três macacos sábios”, ou de como sobre os protestos do encerramento de blocos de parto em Portugal o poder político não viu, ouviu ou falou

Matos, Ana Raquel

doi:10.4000/eces.664

Cited by 1 publication

(1 citation statement)

References 18 publications

(14 reference statements)

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“…However, it is not clear if home birth could be considered under a strict interpretation of this Circular. It was published as part of the widely contested 2006-2007 national initiative for the centralisation of maternity care, which encompassed the closing of public maternity units with less than 1500 births per year to safeguard adequate levels of professional experience and expertise, but inevitably, it reinforced regional disparities (Matos 2010). The text of this Circular highlighted the progress made in the improvement of perinatal outcomes through hospital care, and as such, it conveyed the notion of the hospital being the only place where women may give birth safely.…”

Section: Home Birth and Maternity Care Systemsmentioning

confidence: 99%

Home Birth in Portugal—A Comprehensive Analysis Based on Official Statistical Data

et al. 2023

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To date, there are no comprehensive analyses of the official data on home births in Portugal that consider other determinants beyond place of birth, such as the conditions in which births occur or the mothers’ social profiles. The aims of this article were: (1) to describe the characteristics of childbirth in Portugal according to the place of birth, and (2) to analyse the association between home birth assistance and perinatal, neonatal, and infant mortality rates. We performed a descriptive, correlational analysis of the official datasets of live births in Portugal (census-based) produced by the National Institute of Statistics. In 2020, home births had more similarities with hospital births than to births occurring in any “other place”. Furthermore, considering the 1995–2020 timeframe, home births with specialised assistance were negatively correlated with perinatal, neonatal, and infant mortality, and home births with non-specialised professional assistance or those that were unassisted showed a positive correlation with these mortality rates. Home births are heterogenous, and merely referencing the place of birth does not provide enough information. Although it recommended further investigation, this analysis pointed to the need to assure a specific, systematic evaluation of the quality of care in home births that allows for the consistent assessment and improvement of its safety.

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Section: Home Birth and Maternity Care Systemsmentioning

confidence: 99%