Social relations and the option for planned home birth: an institutional ethnographic study

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.

Exploring social and health care representations about home birth: An Integrative Literature Review

“…In this sense, information plays a major role: knowledge and experience networks emerge fostering awareness and dissemination. These networks are essential to understand home birth from a social perspective (Lessa, Tyrell, Alves, & Rodrigues, 2014). Women understand that information must be acquired before and during their pregnancy since lack of information is the main obstacle to making the decision to give birth at home (Sanfelice & Shimo 2015a).…”

Cuidado de si e relações de poder: enfermeira cuidando de outras mulheres

“…In particular attention to childbirth, the home and the Birthing Centers of Normal Childbirth -as places with less medical influence and somehow distant from hospital institutions -arise as environments that facilitate women's autonomy and empowerment. In home childbirth, the woman is in an environment that is part of her own life, which minimizes the domain of professionals on her body (35) . Also, Birthing Centers of Normal Childbirth constitute a stimulus to childbirth physiology, a space of subjectivity and intersubjectivity that aims at women's protagonism regarding their citizenship, rights, and autonomy.…”

“…Moreover, recurring themes were: nurse/woman relationship; care or health education practices in relation with autonomy and empowerment; procedures that focus mainly on the female body; Lessa HF et. al (35) 2014 BDENF Portuguese/ English Article Qualitative Social relations and planned home childbirth.…”

Theoretical, methodological and analytical aspects of ethnographic research in obstetric nursing: an integrative review

“…Regarding the theoretical and methodological aspects, Chart 3 presents the summary of the elements found in the selected articles. Among the methodological frameworks adopted were: ethnography (15)(16)(21)(22)29,31,39) , focused ethnography (19)(20)31) , institutional ethnography (24,(34)(35)(40)(41)44) and ethnonursing (17)(18)23,(25)(26)(27)(28)(32)(33)(36)(37)(38)(42)(43) .…”

“…Interpretative Paradigm, Constructivist Epistemology and Inductive Logic Theoretical formulations or concepts in light of the Theory of Diversity and Universality of Cultural Care (17)(18)23,25,28,32,(36)(37)(38)(39) Cultural anthropology (15,21) , of health and symbolic (27) Pedagogical principles of education for social change in the concept of nursing practice as a partnership to transform health behaviors (29) Approach to the four fundamental principles of health ethics (16) Conceptual models of Critical Success Factors and Critical Success Factors and the Model for the Evaluation of Rural Sustainability (24) Analytical framework of habitus, capital and the field (20) Therapeutic Narratives (26) Methodological Referentials Ethnography (15)(16)(21)(22)29,31,39) , focused ethnography (19)(20)31) , institutional ethnography (24,(34)(35)(40)(41)44) and ethnonursing (17)(18)23,(25)(26)(27)(28)(32)(33)(36)…”