Information for the option of planned home birth: women's right to choose

Abstract

This article is part of an investigation which used the institutional ethnography of Dorothy Smith, aiming to describe women's process of choice in planned home birth. It used interviews held with 17 women who gave birth at home between 2008 and 2010 in Rio de Janeiro. We selected one category: information - a step for the option for planned home birth. The category was constructed based on six subcategories: knowing persons who had a home birth; knowing persons with negative experiences; the Internet as a source of information; books as a source of information, information from health professionals; and, the exchanging of information between women. The information acts as a network of knowledge, reports and experiences in their symbolic dimensions, favoring the raising of consciousness and the social organization of support. These knowledges and practices are a foundation for a social understanding and the women's discourse in the option for planned home birth.

The Meaning Assigned by Couples to Planned Home Birth Supported by Nurse Midwives of the Hanami Team

“…This care modality is based on the thought that the most appropriate place for delivery is the one where the woman feels safe and where the family is restored, the child, mother, and father, previously separated due to the medicalization of labor, in compliance with the technocratic paradigm of birth care. 5 At home, the participation of other family members and significant others in the birth scenario is nurtured. This type of delivery provides the exchange of affection between father/mother and the baby, and allows the participation of the couple in the event, respecting beliefs, values, and rituals of care that are significant for all the involved people and that has been developed within the collectivity.…”

An�lise do conceito parto humanizado de acordo com o m�todo evolucion�rio de Rodgers

“…O conceito de parto humanizado ainda não está incorporado às condutas obstétricas brasileiras. Há uma carência de informações nos centros obstétricos sobre o processo de parto e nascimento humanizado, evidenciada pelo modo como a atenção à saúde está organizada no que se refere à sua estrutura física, à dinâmica de acolhimento, à forma despreparada com a qual os profissionais de saúde recebem a parturiente e seus familiares (5) . Outro ponto que vale destacar, é a aceitação, de forma acrítica, por parte das parturientes sobre as melhores condutas a serem implementadas durante o seu trabalho de parto.…”

“…O parto humanizado é, portanto, um conceito polissêmico e complexo. A enfermagem obstétrica acompanha a evolução da Política Nacional de Humanização (PNH) e desempenha importante papel na assistência ao processo de parto hospitalar de baixo risco obstétrico (5) . Analisar um conceito permite elucidar ideias vagas, ambíguas e preconcebidas, de acordo com o contexto histórico social.…”

A informação de mulheres para escolha do processo de nascimento

“…Thus, the health professional is the main informant about the best choice and type of delivery, and, for the Humanization Policy, the encouragement of normal birth and reduction of unnecessary cesarean should be in the discourse of the professional. 1,8 • To discuss the information process of the woman for the free choice of the type of delivery, based on the reflexive analysis. This is a qualitative study, reflexive analysis, based on a biographical narrative review elaborated through scientific articles, manuals of the Ministry of Health, books, supported by the assistance offered to women in childbirth and birth focused on the right to information and choice of delivery, developed as a scientific initiation project in the area of women's health, of the nursing course of the University Center Anhanguera (UNIAN), with the purpose of answering the following guiding question: How is the information process with the woman configured for the free choice of way of delivery?…”

“…The popularization of the Internet has contributed to the growth of this form of expression enabling users to find information on different birth modalities of the technocratic hospital model. 8 When the information is scarce, or the subject knows that he is entitled to more information, he searches in the media and electronic sources of information (internet). For this group of subjects, even for those who reported having received information in the consultation and in the family and social life, the Internet proved to be an important instrument for source of information, apprehension of concepts on the subject, and decision making.…”