DOULAS IN OBSTETRIC CARE: A REVIEW ON THE LEGISLATION AND STATUTE OF THE FEDERATION OF DOULAS IN BRAZIL
Marilia Botelho Soares Dutra
Fernandes
University
of Brazil, Graduation in Medicine, Fernandópolis, SP.
Bárbara Almeida Arruda
University
of Brazil, Graduation in Medicine, Fernandópolis, SP.
Fernanda de David
University
of Brazil, Graduation in Medicine, Fernandópolis, SP.
Jéssica Andrade de Almeida Rosa
University
of Brazil, Graduation in Medicine, Fernandópolis, SP.
Lincoln Kemp Marini
University
of Brazil, Graduation in Medicine, Fernandópolis, SP.
Maria Cirleide de Souza Farias
University
of Brazil, Graduation in Medicine, Fernandópolis, SP.
Thalita dos Santos Carrera
University
of Brazil, Graduation in Medicine, Fernandópolis, SP.
Thaís Freitas Diana
Universidade Brasil, Graduation in Physiotherapy,
Fernandópolis, SP.
Rodrigo Augusto Bittencourt de
Alencar
University of Brazil, Graduation
in Medicine, Fernandópolis, SP.
Corresponding author: marilia.botelhofernandes@gmail.
with
ABSTRACT
The migration of births from the home environment to the hospital
resulted in transformations in the act of giving birth, ceasing to be a
physiological event specific to women, to transforming it into a medical act
full of interventions that can cause iatrogenesis, in addition to an increase
in costs to health-care systems. In this context, the figure of the doula
emerges, an active health professional in the movements for the humanization of
childbirth, who seeks physical and emotional support for women during
pregnancy, childbirth and the puerperium. Doulas function as an active part of
this transformation and are fundamental to reducing the cesarean section
epidemic, as well as to the fight for women's reproductive health. Although the
profession has been recognized for a long time around the world, in Brazil, it
was only in March 2022 that the laws regulating the profession were approved at
the Federal level. The approval was the result of the union of professionals
who began to organize themselves into State Federations and, later, created the
National Federation of Doulas of Brazil, the organization responsible for the
Statute of the Profession. This article discusses the changes that have
occurred in obstetrics over recent history.
Keywords: Doulas. Humanized Childbirth. Obstetrics. Women's health.