# The meanings attributed by obstetricians to planned home birth

## TL;DR

This study explores how obstetricians in Brazil perceive planned home births, highlighting concerns about risks due to healthcare system limitations.

## Contribution

The study provides new qualitative insights into obstetricians' perceptions of planned home birth in Brazil, emphasizing systemic challenges.

## Key findings

- Obstetricians associate planned home birth with risks due to inadequate healthcare infrastructure.
- Lack of public policies and professional support hinders safe home births in Brazil.
- Snowball sampling revealed a consensus on structural and financial barriers to home birth safety.

## Abstract

to understand the meanings attributed by obstetricians to planned home birth.

this is a qualitative study carried out with 13 obstetricians from a regional hospital in Belém, Pará, recruited using the snowball sampling technique. Semi-structured interviews were used, recorded and transcribed in full to perform content analysis with the support of ATLAS ti 22.7 software.

there was a lack of sizing, support maternity wards and high purchasing power to guarantee childbirth. In addition to the lack of structure and professionals, the lack of knowledge on the subject and public policies constitutes an obstacle in the Brazilian health sector.

it is understood that, due to the meanings attributed by obstetricians, home birth constitutes a risk factor, especially due to the lack of structure and support in the Brazilian health system.

compreender os significados atribuídos por médicos obstetras sobre o parto domiciliar planejado.

trata-se de estudo qualitativo, realizado com 13 médicos obstetras de um hospital regional de Belém, Pará, recrutados pela técnica snowball sampling. Foi utilizada entrevista semiestruturada, gravada e transcrita na íntegra para a realização da análise de conteúdo com apoio do software ATLAS ti 22.7.

observou-se falta de dimensionamento, maternidades de suporte e poder aquisitivo elevado para garantir o parto. Além da falta de estrutura e de profissionais, a ausência de conhecimento sobre o tema e de políticas públicas constitui obstáculo no âmbito da saúde brasileira.

compreende-se que, pelos significados atribuídos pelos médicos obstetras, o parto domiciliar constitui um fator de risco, especialmente pela falta de estrutura e suporte no sistema de saúde brasileiro.