Related Experiment Video
Updated: Apr 21, 2026
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Model of planned home birth care in Brazil: A scoping review
Thayná C Queiroz1, Jamile C C Bussadori1, Pollyana G Silva1
1Universidade Federal de São Carlos, Rodovia Washington Luís, km 235, São Carlos - SP. 13565-905, Brazil.
Problem:
Unlike England, Canada, and the Netherlands, where home birth is regulated and integrated into public health care, Brazil still lacks formal regulation, clinical standards, and national guidelines for planned home birth.
Background:
In Brazil, 99.3% of births occur in hospitals. Planned home birth with nurse-midwives and midwives has grown as an alternative, promoting professional autonomy and respecting physiological processes. International evidence supports its safety, but it remains outside the formal health system.
Aim:
To map the scientific literature on planned home birth care provided by nurse-midwives and midwives in Brazil.
Method:
A scoping review was conducted in accordance with the JBI Reviewer's Manual. Searches were carried out between January and February 2024 and updated in December 2024. Databases and repositories included BVS, PubMed, CINAHL, Cochrane Library, Scopus, Web of Science, EMBASE and national thesis repositories. The inclusion criteria were population, nurse-midwives and midwives; concept, childbirth care model; context, planned home births in Brazil.
Findings:
Thirteen studies published between 2012 and 2023 were included, involving 124 nurse-midwives and one midwife. Findings were grouped into categories: care process, team composition, materials, protocols, good practice indicators, evaluation indicators, and professional experience.
Discussion:
While planned home birth is expanding in Brazil, barriers remain, including absence of national protocols, difficulty accessing supplies, and poor integration with hospital services.
Conclusion:
The autonomy, integration and expertise of nurse-midwives and midwives are central to safe planned home births. National policies and standardised guidelines are needed in Brazil to strengthen this model of care and ensure safety, legitimacy, and sustainability.
More Related Videos
Related Concept Videos
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:21Planning Nursing Care I
01:29Planning Nursing Care II
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...