SciELO - Scientific Electronic Library Online

vol.12 issue2Screening of antibiotic residues and mycotoxins in fluid pasteurized cow's milk marketed in ParaguayStandardization of automated multi-locus variable number tandem repeats analysis for Methicillin-resistant Staphylococcus aureus typing isolated from invasive infections in paraguayan pediatric population author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista de salud publica del Paraguay

Print version ISSN 2224-6193On-line version ISSN 2307-3349


MEDINA-RODRIGUEZ, Julia Raquel; MORA-ESCOBAR, Gladys Ester  and  CUSIHUAMAN-PUMA, Antonio Ulises. Home delivery, role of the empirical midwife: Paraguay, 2010-2020. Rev. salud publica Parag. [online]. 2022, vol.12, n.2, pp.26-35. ISSN 2307-3349.


To date, heterogeneous conditions continue to arise regarding the delivery environment, from institutionalized birth to home birth.


To analyze the situation of home births, the role of the empirical midwife and times of COVID-19 Pandemic in Paraguay: scopes from 2010 to September 2020.


A descriptive, cross-sectional and observational study of birth records and the type of personnel who attended them in institutions of the public and private sector, social security, at the household level and in other settings of the country, 2010-2020 period, from the Vital Statistics of the Ministry of Public Health and Social Welfare data.


In Paraguay, 97.2% of deliveries was attended by health professionals, 2.6% by empirical midwives and 0.2% attended by others, according to each particular scenario in the period from 2010 to 2019. Between January to September 2020 (context of COVID-19) 97.7% of vaginal deliveries was attended by health personnel; 1.9% by empirical midwives who had a leading role during the early phases of the quarantine for the pandemic situation, and 0.3% for others.


Nowadays, there is not enough safety data and bibliographic contribution to support home birth in our field, because of the health compromise of the mother-child binomial, especially. The primary role of the empirical midwives should be as community actors in charge of informing, educating, and referring maternal health cases to the health services, aiming at institutionalized births.

Keywords : Home births; Empirical midwives; Quarantine due to COVID-19 contingency; Vital strategies. Paraguay.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )