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Archive for the ‘International midwifery issues’ Category

Hungary legalizes mothers’ right to home delivery

by Ágnes Vinkovits

Saturday 10:10, March 5th, 2011

A long-awaited detailed regulation on home birth allows women to decide where they want to give birth as long as the baby is not in danger and so does not need a hospital environment.

According to government spokeswoman Anna Nagy, the regulation, that comes into effect on April 1 and will affect births after May 1, lays down all the duties, responsibilities and competencies of those assisting homebirths. Professionals helping baby deliveries outside hospitals have to have the required qualification as well as a license from public health and medical officer service ÁNTSz.

They have to be a professional obstetricians or midwives with labor room experience exceeding two years and registered assistance at minimum 50 births. Mothers who want to give birth in a non-hospital environment have to choose the health supplier and the professionals to assist at the delivery by the 36th week of the pregnancy. The selected professionals have to be contracted with the given health supplier.

Also, mothers have to declare in advance that if the leading birth assistant or the pediatrician finds that hospitalization is necessary, they will accept it without opposition. At this point, the infant’s right to life comes before the mother’s right to autonomy.

The current regulation has been created with the contribution of the association of mother, child and public health nurses MAVE, Születésház Association, foundation for alternative birth Alternal, hospital association MKSz, the ambulance service and also human liberties association TASz.

The detailed regulation is seen putting an end to a long struggle of women wishing to give birth outside hospitals and also of those professionals helping these mothers. Due to homebirths having been so unregulated so far, an internationally recognized home birth expert Ágnes Geréb was arrested for helping a pregnant woman who unexpectedly went into labor during a birth training course. At that time, Geréb was prohibited from practicing due to a former incident that ended up in the death of a baby. After Geréb was taken in custody last October, her supporters held numerous demonstrations for her release and also for a clear regulation on home birth.

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Great job, mom.

I’ve been posting about Agnes Gereb’s arrest in Hungary (in Sept?)–she helped women birth at home.

This mom sued the country of Hungary because she couldn’t find a miwife or doctor to assist her birth at home because they were scared of the legal repercussions (like arrest, as in Gereb’s case). Reading the summary below is fascinating. I don’t know if it will lead to any positive changes, or if others will follow suit, but it was a brave thing to do, I think. I would be mad, too, in a good way.

1. Regine Marton on 17 January, 2011

Hungary and Home Birth 14.12.2010 Legal uncertainty prevented mother from giving birth at home In today’s Chamber judgment in the case Ternovszky v. Hungary (application no. 67545/09), which is not final1, the European Court of Human Rights held, by a majority, that there had been: A violation of Article 8 (right to respect for private and family life) of the European Convention on Human Rights

Principal facts: The applicant, Anna Ternovszky, is a Hungarian national who was born in 1979 and lives in Budapest. She was pregnant when she lodged her application with the Court.She intended to give birth at her home, rather than in a hospital or a birth home, but alleged she had not been able to do so because health professionals were effectively dissuaded by law from assisting her as they risked being convicted. It appeared that at least one such prosecution had taken place in recent years.

Complaints, procedure and composition of the Court Relying, in particular, on Article 8 (right to respect for private and family life), the applicant alleged that the fact that she had not been able to benefit from adequate professional assistance for a home birth in view of the relevant Hungarian legislation – and as opposed to those wishing to give birth in a health institution – had amounted to discrimination in the enjoyment of her right to respect for her private life.

The application was lodged with the European Court of Human Rights on 15 December 2009. Judgment was given by a Chamber of seven, composed as follows: Françoise Tulkens (Belgium), President, Danutė Jočienė (Lithuania), Dragoljub Popović (Serbia), András Sajó (Hungary), Nona Tsotsoria (Georgia), Kristina Pardalos (San Marino), Guido Raimondi (Italy), Judges, 1

Under Articles 43 and 44 of the Convention, this Chamber judgment is not final. During the three-month period following its delivery, any party may request that the case be referred to the Grand Chamber of the Court. If such a request is made, a panel of five judges considers whether the case deserves further examination. In that event, the Grand Chamber will hear the case and deliver a final judgment. If the referral request is refused, the Chamber judgment will become final on that day. Once a judgment becomes final, it is transmitted to the Committee of Ministers of the Council of Europe for supervision of its execution. Further information about the execution process can be found

here:www.coe.int/t/dghl/monitoring/execution 2 section 101(2) of Government Decree no. 218/1999 and also Stanley Naismith, Section Registrar. Decision of the Court The Court observed that “private life” incorporated aspects of an individual’s physical and social identity including the right to respect for both the decisions to become and not to become a parent, hence the right of choosing the circumstances of becoming a parent. Although Ms Ternovszky had not been prevented as such from giving birth at home, there had been an interference with the exercise of the right to respect for her private life given that legislation arguably dissuaded health professionals from providing the requisite assistance.

The relevant legislation might reasonably be seen as contradictory. While the Health Care Act 1997 recognised patients’ right to self-determination, including the right to reject certain interventions, a Government decree sanctioned health professionals carrying out activities within their qualifications in a manner incompatible with the law or their licence. The Hungarian Government recognised the necessity of regulating this matter; however no specific decree to that end had been enacted yet. It had moreover not been disputed that, in at least one case, proceedings had been instituted against a health professional for home birth assistance. The Court therefore concluded that the matter of health professionals assisting home births was surrounded by legal uncertainty prone to arbitrariness. Because of the absence of specific and comprehensive legislation and of the permanent threat posed to health professionals inclined to assist them, the applicant was effectively not free to choose to deliver at home. Consequently, there had been a violation of Article 8. Article 41 Under Article 41 (just satisfaction) of the Convention, the Court held that Hungary was to pay the applicant 1,250 euros (EUR) in respect of costs and expenses. The judgment is available only in English. This press release is a document produced by the Registry. It does not bind the Court. Decisions, judgments and further information about the Court can be found on its Internet site.

To receive the Court’s press releases, please subscribe to the Court’s RSS feeds. Press contacts echrpress@echr.coe.int | tel: +33 3 90 21 42 08 Céline Menu-Lange (tel: + 33 3 90 21 58 77) Emma Hellyer (tel: + 33 3 90 21 42 15) Tracey Turner-Tretz (tel: + 33 3 88 41 35 30) Kristina Pencheva-Malinowski (tel: + 33 3 88 41 35 70) Frédéric Dolt (tel: + 33 3 90 21 53 39) Nina Salomon (tel: + 33 3 90 21 49 79) 2 The European Court of Human Rights was set up in Strasbourg by the Council of Europe Member States in 1959 to deal with alleged violations of the 1950 European Convention on Human Rights.

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