Elementos constitutivos do plano de parto e nascimento para o prénatal e o parto: revisão integrativa

Abstract

To identify and synthesize scientific evidence on the constitutive elements of the Birth Plan, considering content, language, structure, development, and use during prenatal care and childbirth. Method: this is a descriptive integrative literature review, with the guiding question developed using the PICo strategy. The bibliographic search was conducted between March and April 6, 2026, in LILACS, MEDLINE/PubMed, and SciELO. Primary studies published between 2011 and 2025 in Portuguese, English, or Spanish that explicitly addressed the Birth Plan were included. Study selection was performed by two independent reviewers, and data were organized in a synoptic matrix and analyzed through narrative synthesis. Results: eighteen studies published between 2011 and 2025 were included, with a higher concentration from 2021 onward. The findings were organized into four thematic categories: structure, content, and standardization of the Birth Plan; development during prenatal care and shared decision-making; implementation barriers and coordination between prenatal care and maternity services; and repercussions on childbirth experience, care practices, and newborn care. Conclusion: the Birth Plan has the potential to improve obstetric care by promoting autonomy, communication, informed decision-making, and respectful care practices. However, its effectiveness depends on institutional support, professional training, accessible language, and integration between prenatal care and maternity services.