Home Birth in Portugal: What Expats Need to Know

Choosing to Give Birth at Home

Home birth is a deeply personal choice for many families. It offers an intimate, controlled environment where the birthing process unfolds naturally, away from the clinical setting of a hospital. For expat women in Portugal, a home birth can provide comfort and familiarity in what may otherwise feel like an unfamiliar system. However, it’s essential to understand the legal, medical, and logistical aspects of planning a home birth here.

Considering a homebirth in Portugal

The Legality and Recognition of Home Birth in Portugal

Home birth is not considered illegal in Portugal; however, it is not integrated into the healthcare system. While an increasing number of healthcare professionals recognize the rights of women to choose their preferred birthing environment, there is still significant resistance to accepting home birth as a safe option, even for low-risk pregnancies. This resistance can make it challenging for families who opt for a home birth.

The Role of Midwives in Home Births

Midwives, or "midwife-nurses" (enfermeira-parteira), play a central role in the home birth experience in Portugal. These are licensed professionals who typically offer their services privately, as home birth is not supported by the public healthcare system. They provide prenatal care, guide the birthing process, and support the postpartum period. If you’re considering a home birth, you can find important resources and information through the Portuguese Association of Obstetric Nurses (APEO) at APEO (specifcially this section).

The Added Value of a Doula for Home Birth

While midwives focus on the clinical and medical aspects of childbirth, a doula provides emotional, physical, and informational support throughout the process. The roles of a doula and a midwife are different, making it beneficial to have both present during a home birth. A doula can help create a calm and supportive environment, advocate for your preferences, and provide comfort measures, while the midwife ensures the medical safety of the birthing process.

Preparing for a Home Birth in Portugal

1. Finding a Midwife: Seek out a midwife-nurse experienced in home births, preferably someone who speaks your language and aligns with your values. The APEO is an excellent resource for connecting with qualified professionals.

2. Creating a Birth Plan: Work with your midwife to design a birth plan that reflects your preferences and includes clear contingency plans for emergencies.

3. Securing Necessary Supplies: Your midwife will guide you on gathering the required materials for a safe and comfortable home birth.

4. Emergency Transfers and Challenges: While home births are considered safe for many low-risk pregnancies, it is vital to prepare for emergency transfers to a hospital if complications arise. A reality check is essential: some/many? women report experiencing judgment from healthcare providers at the hospital for their choice to pursue a home birth. Being prepared for this possibility can help you navigate such situations with resilience and confidence.

How I Can Help

Home birth can be a wonderful and empowering experience, but thorough preparation is key. In my ebook, Pregnancy and Birth in Portugal – A Comprehensive Guide for Expats, you’ll find information about homebirth, including navigating baby registration after a home birth. Whether you prefer to plan independently or seek additional guidance, this resource is designed to support you.