Logo Porodního domu U čápa
Porodní dům U čápa, o.p.s.
nestátní nezisková organizace založená ve formě obecně prospěšné společnosti, která
usiluje o návrat přirozených porodů do českého porodnictví
 

Speakers at our conference...

The list is not yet final, we are gradually updating it and adding information as more speakers apply. We are still waiting for some of them to provide the requested information (photo, something about themselves, lecture abstract).

The list is sorted alphabetically by last name.

Kamila BItalová Mgr. Kamila Bitalová

midwife, teaching midwifery at the Faculty of Health Studies, J.E. Purkyně University in Ústí nad Labem, Czech Republic  

I see working with women and their families as a mission - we become part of the most important moment in their lives, and so the care we provide should be done with love, respect and esteem. Even during my studies, I felt the difference in how some colleagues provide this care from others. The difference became even more pronounced when I was on an internship abroad in Estonia, and I had the chance to see "how they do it in the north". That is why I have devoted my entire professional life to educating myself (and later also students, future midwives) and subsequently practicing methods and procedures that lead to improving the care and experience of women and families during pregnancy, childbirth and the postpartum period. I succeed in this thanks to the combination of working as a midwife in the delivery room of the perinatology center and at the same time as an academic at the Faculty of Midwifery and Childbirth, UJEP.

Abstract:

Topic: Birth simulation – an integral part of midwifery education
Simulations are now an integral part of the education of future healthcare professionals. This is a safe educational process during which students learn to apply the acquired knowledge practically, they also focus on communication with the patient and the team, they practice managing stressful situations and prioritizing actions. All procedures are taught with an emphasis on safe execution.
One of the key points of midwifery education is the care of a woman during childbirth, including the management of childbirth. This education has changed over, and today, thanks to modern technologies, we can teach students the entire childbirth process in the simulation centre with the SimMom and SimNewB simulators – from admission, through all stages of labor, to caring of a newborn (even a premature baby). It is important to simulate the environment and procedures as realistically as possible, which is why it is necessary to focus on simulations of childbirth in positions other than lithotomy. At the FZS UJEP, we also conduct simulations in vertical positions so that students are as well prepared as possible.
The aim of this article is to present the methodology for conducting such a simulation, its positives and limits, and how the students themselves evaluate these simulations.

 

 

Natalie Dippong

Midwife, Germany  

Natalie holds a Magister degree in Philosophy and Sociology from the University of Potsdam and trained as a midwife in Berlin. For 14 years she has worked as a self-employed midwife in the district of Zwickau, Saxony. For ten of those years she practised as a home birth and caseload midwife, accompanying women through labour at home and in hospital. Her current focus is on pregnancy care, postnatal support, and nutrition. Her interest in artificial intelligence grows from everyday practice: the question of where digital tools can genuinely support midwives – and where they reach their limits.

Abstract:

Topic: Between Algorithm and Intuition – Artificial Intelligence in Midwifery
Artificial intelligence is no longer a vision of the future – it is the present. In medicine, in everyday life, and increasingly in midwifery. Those who close their eyes to this development risk missing a shift that is already changing professional practice.
This talk asks: Where does AI stand today – and what might be possible tomorrow? It deliberately allows for speculation, because we live in an age where visions of the future become reality faster than expected.
The starting point is evidence-based applications in medicine: in dermatology and mammography, AI already delivers demonstrably high-quality results. In obstetrics, early systems show strengths in CTG analysis, assessment of fetal growth restriction, and clinical decision support.
From this, concrete areas of application for midwifery practice are explored: documentation, counselling, translations, knowledge sharing, and organisation. Particularly in low-threshold, multilingual support – including in underserved regions – AI opens up new possibilities.
The talk closes with a speculative look ahead: AI as anamnesis support, findings analysis, personal knowledge assistant – or as a bridge between traditional experiential knowledge and current evidence.
The goal is neither enthusiasm for technology nor resistance, but an informed, confident engagement with a tool that can free up time for what midwifery truly is.

 

 

Radmila Dorazilová Mgr. Radmila Dorazilová, Ph.D.

private midwife, university assistant professor, lecturer and consultant, Czech Republic  

1977–1983 Gynecology and Obstetrics Department of the T.Bati Regional Hospital in Zlín
1984–1993 Gynecology outpatient clinic and home visits by midwife.
since 1994 Independent private practice of a community midwife.
since 2014 Assistant Professor at the Institute of Midwifery, Faculty of Health Sciences, Palacký University in Olomouc.
since 2019 Assistant Professor at the St. Elizabeth University of Health Sciences, Slovakia.
since 2022 Lecturer and consultant at the NCONZO in Brno.

Abstract:

Topic: Where is midwifery in the Czech Republic heading?
It is high time to end the hostile attitudes of midwives and gynaecologists and return to understanding and cooperation between our professions. This is the main goal of my presentation.
It is impossible to think about the future of Czech midwifery without understanding its development until now. Changes began in the 1990s and took place mainly on 4 levels: The first one was to increase the level of entry qualification studies to bachelor's degree. The second was to expand the scope of Midwifery competencies by restoring care for newborns and infants. The third one was to strengthen the independence and responsibility of our profession. And the fourth one is the possibility of independent/autonomous private practice. In addition to social and legislative changes, not only midwives themselves play a role, but also the attitudes of cooperating professions, i.e. primarily gynaecologists and obstetricians.
For entry-level bachelor's degree university education, it is necessary to reduce the number of schools for midwives and increase the quality of their education.
Midwifery practice is developing differently in 4 types of midwifery workplaces:
The work of midwives in obstetric departments of our hospitals. Here, thanks to the supportive approach of the perinatology section of the Czech Medical Society, the greatest progress is evident not only for the benefit of midwives, but also for Czech women, their children and families.
The work of midwives in gynaecological departments of our hospitals is influenced by the rapid development of diagnostic and treatment methods. However, midwives’ autonomy is naturally lower in gynaecology than in obstetrics.
For work in gynaecological outpatient clinics, midwifery qualification is required only when performing autonomous midwifery activities without the presence of a doctor (examination of pregnant women, visits to women in childbed with newborns or preparation for childbirth, parenthood and baby care).
The greatest problems have persisted in the long term in primary and community care provided by autonomous midwives. It is high time to put this issue in order. After the changes on board of the Czech Gyn-obs. Society, I expect a more helpful attitude towards midwives and the possibility of serious negotiations on all problems.
First, it is necessary to establish clear requirements for the practice and qualifications of midwives for the independent practice in primary and community care. To assure the follow up postpartum care by midwives at homes, I consider it necessary to revise the midwifery network in each area.
The professional organization of midwives should work on creating rules and guarantee them. The problem is the current fragmentation, lack of clarity and inconsistency of midwives. The best solution to this situation would be the establishment of the Czech Chamber of Midwives by law. This should strictly defend the professional interests of midwives, but at the same time have correct relations with the Czech Gyn-obs Society. A new proposal about possible establishment of Non-medical Health Workers Chamber is under discussion. Or another possibility – a Nurse and Midwives Chamber. This may be possible, but the autonomy of the midwifery profession must be ensured.

 

 

Alena Dudová Mgr. Alena Dudová, LL.M.

midwife, head nurse of the Institute for Mother and Child Care Prague,
Czech Republic  

Alena Dudová’s professional journey is proof of where hard work, love for the field, joy of learning and a human approach can lead a person.
She has been working in the Podolí maternity hospital for 31 years. She started as an ordinary midwife, gradually worked her way through a number of departments and today, as the head nurse, she leads the non-medical staff of the entire institute for Care of Mother and Child. She sees her role as an opportunity to connect people, have a positive impact, motivate and bring not only common sense, but above all heart and humanity to her work.
You sees midwives and nurses as full-fledged partners of doctors and has long supported the expansion of their competencies, which must go hand in hand with responsibility and lifelong learning.
In the field of obstetric care, she strives to ensure that midwives can perform their work fully and that this care is available to all women, because she sees enormous importance and benefit in it.
She speaks openly about the lack of quality medical personnel, the challenges of communication in women's collectives, and the need for greater systemic support for non-medical professions.
For the future of the entire profession, she would like to see a strong professional chamber that can defend rights, interests, expertise, and connect all non-medical health professions for a common goal - quality and humane patient care.
In 2015, she became a finalist in the prestigious Nurse of the Year competition.
Her life motto is “With love in my heart... Caring for patients brings me joy.“

Abstract:

Topic: Transformations of the Podolí maternity hospital: Yesterday, Today, and Tomorrow, or My Podolí Maternity Hospital. From historical roots and tradition, through tope modern medicine, to an empathetic approach and care of the future with postpartum care at home.
Yesterday: The era of rigid medical routine.
Approach to people: A woman in the role of a passive patient who must submit to strict hospital rules. The father's role in childbirth was taboo.
Practical procedures: After birth, babies were universally taken to shared neonatal rooms. Breastfeeding was strictly "by the clock" every three hours, regardless of the individual needs of the child and mother. Routine medical interventions were the standard for every birth.
Today: Top science hand in hand with respect.
Approach to people: Respect for the birthing family. The partner is a natural support right in the delivery room. The staff listens to the woman's wishes (birth plans).
Practical procedures: Podolí operates as the largest perinatology center in the Czech Republic. It can save extremely premature babies thanks to cutting-edge technology, but at the same time supports naturalness, immediate uninterrupted bonding and the rooming-in system in physiological births (the baby is always with the mother from the first second).
Tomorrow: Care that does not end with a discharge notice.
safety of home and community. Continuous support for a woman not only in the critical period of the postpartum period, but in all stages of her life.

 

 

Ann-Kathrin Eber Ann-Kathrin Eber

midwifery student, Germany  

Ann-Kathrin is a midwifery student from Karlsruhe. She works there in a local hospital and studies at the Duale Hochschule Baden-Württemberg Karlsruhe. She is in the fourth of seven semesters of her course of study.

 

 

 

Abstract:

Topic: Becoming a midwife in Germany – a behind the scenes report
Historically, becoming a midwife has always been a practical apprenticeship. In an effort to align it with other medical professions and to introduce knowledge gathered over centuries, the European community of nations declared that there must be a university degree for midwifery science.
Since 2023 it is only possible to become a midwife through a dual course of study. It will be explained how the course of the study is organized in Germany. We will explore the up- and downsides of this change in the teaching of the profession. As well as some personal insights of midwifery students. We will focus especially on how well-prepared students feel for working in out of hospital settings and what issues need to be addressed to make midwifery an attractive career choice.

 

 

Daianne Garland Dianne Garland, FRCM, SRN, RM, ADM, PGCEA, MSc

Midwife, Great Britain  

My career as a midwife began in 1983. Through my practice, I found a special energy within me to develop and expand a new practice, specifically water birth. Despite initial resistance, my unwavering commitment to spreading the word about the practice led me to become a pioneer in teaching water birth to midwifery professionals. My goal was simple: to educate, inform, and dispel misconceptions through research and data. Over the decades, my work in midwifery has taken me in many directions, but my mission to share experiences and expertise remains at the core of everything I do.

 

 

Abstract:

Topic: Waterbirth for the 21st century – Love, Skills and Knowledge
This session will explore the three aspects which have been raised throughout the content of my new book.

Love is shaped not only by the hormonal effects of labour and birth—most notably oxytocin—but also by the influence of other hormones involved in waterbirth.
Love explores the impact of this fine interplay of hormones on health professionals, parents and of course the baby.

Skills focuses on the psychological and physiological use of water during birth.
  • Criteria for using water across all four stages of birth and recovery
  • Care for both mother and baby
  • How to respond to any emergencies that may arise
Knowledge explores how and where we build our understanding of waterbirth, and how we apply evidence, guidance, and professional insight in practice.
  • Using data, research, and clinical guidelines to inform safe and effective care
  • Drawing on publications, presentations, and both national and international expertise
  • Valuing the traditional history of waterbirth while remaining open to new thinking and broader perspectives

Waterbirth for the 21st Century – Love, Skills and Knowledge is the latest work from internationally respected waterbirth pioneer Dianne Garland. Drawing on decades of clinical expertise, Garland offers an invaluable blend of history, global research and practical guidance for supporting mothers, babies and midwifery professionals through labour and birth in water. From antenatal preparation to professional education, the book equips birth companions, midwives, doulas and maternity teams with the confidence and evidence they need. Featuring inspiring stories from families and practitioners worldwide, this is an essential resource for anyone committed to safe, compassionate and informed waterbirth practice.
The book will be available for purchase during the conference.

 

 

Tanja Keil Tanja Keil

Independent midwife, Switzerland  

Tanja Keil is a midwife with many years of experience in both hospital-based and out-of-hospital maternity care in Germany and Switzerland. After completing her training in Freiburg, Germany, she worked in leading positions at hospitals and birth centers before becoming an independent midwife with full professional responsibility, supporting families throughout pregnancy, birth, and the postpartum period.
She is the founder of Hebammen Lenzburg and a founding member of the Nordstern Birth Center at Aarau Cantonal Hospital. Another important focus of her work is craniosacral therapy for babies, children, and adults. In addition, she serves as an auditor for midwife-led maternity care on behalf of the Swiss Midwives Association.

Abstract:

Topic: We are waiting for the abstract to be delivered...

 

 

MUDr. Petr Kolek

gynecologist and head of the Department of Gynecology and Obstetrics at Hospital, Czech Republic  

Dr. Petr Kolek is a gynecologist and head of the Department of Gynecology and Obstetrics at the Thomayer University Hospital in Prague. He graduated from the 3rd Faculty of Medicine at Charles University. He specializes in urogynecology and robotic surgery.
In addition to his clinical work, he is actively involved in public education and training. He regularly appears in the media, where he popularizes topics related to modern gynecological care. His professional career and professional focus make him one of the respected specialists in the field of urogynecology and obstetrics in the Czech Republic.

Abstract:

Topic: The transformation of obstetrics in Thomayer University Hospital or a healthy mother and a healthy child is not enough
We believe that the hospital is still the safest place to give birth in the Czech context. Nevertheless, we are aware of the limits and reserves of hospital birth – and this is what drives us forward. We strive to ensure that a woman in the hospital gets everything that home birth brings: intimacy, respect and naturalness – in an environment that can ensure the unsurpassed minimum: a healthy mother and a healthy child to the maximum extent possible – and that is in the conditions of the Czech healthcare system.
Over the past ten years, we have learned a lot as a team – from data, from experience, but also from midwives and doulas, who often inspire and push us forward. We believe that mutual cooperation and trust are not just nice words – they are the basis of good care. After all, we are on the same side.
And if anyone still says today that all that matters is a healthy mother and a healthy baby – it's time to rethink that. For us, this is just the beginning.

 

 

Barbara Kosfeld Barbara Kosfeld, MA, MSc, MgA, MBA

Midwife, advisor, consultant and lecturer, Germany  

Ms. Kosfeld studied comparative literature in her master's degree. She was trained by midwives who were still working during the Second World War. She thus gained knowledge from a time when obstetric technology had not yet been introduced. Ms. Kosfeld is thus able to combine the knowledge of traditional midwives with the knowledge of contemporary modern science. After four years of study and three years of training in a hospital, she became a midwife (1989). In 1994, she founded the first midwifery practice in Aachen (Aachen) and three years later the PEGASUS maternity hospital. The following year, she expanded the maternity hospital to include the Zentrum Akademy, a training center for midwives. In 2000, she organized the first European Congress of Midwives on Out-of-Hospital Obstetrics, which was also held in Aachen. In the same year, she received the Vision Entrepreneurship Prize from the Aachen Region for her entrepreneurial activities as founder and manager of the first maternity center in Aachen. In order to develop a systematic education for community midwives, she became a founding member of the German Association for Home Midwifery. She is the founder and first teacher of the Traditional Art of Midwifery and Childbirth in Europe, and publishes the magazine LUCINA, a professional magazine for doctors, midwives and anyone interested in gynecology and obstetrics.
She studied Healthcare Management at the University of Krems and obtained an MSc (Master of Science) degree, and studied Business Administration and obtained an MBA (Master of Business Administration).
She works as an advisor, consultant and lecturer in Germany, Belgium and other European countries. She advises gynecology and obstetrics departments in hospitals on restructuring their work teams, implementing new systems and renovating delivery rooms. She advises midwives on setting up private practice. She conducts her training seminars in Germany, Austria and Switzerland. Since 2002, she has also been working in the Czech Republic, where she actively cooperates with the Prague Maternity Hospital U Čápa: since the beginning, she has been conducting extremely successful professional courses and seminars for Czech and Slovak midwives there every year. She dedicates her seminars to reflecting historically proven practice with the results of modern research. She emphasizes the responsibility of midwives for their own work and their important role in supporting the health of women, their children and entire families.
She has worked in the community environment within primary obstetric care for over 25 years. During her time outside the hospital, she has assisted in the birth of more than 1,500 children, including breech births and twins.
Since 2012, she has been studying old literature for midwives (textbooks from the 17th to 19th centuries). By applying the ancient wisdom of midwives, she tries to revive and spread the art of midwifery. Her linguistic studies allow us to process and use "old" knowledge of midwifery and childbirth in today's obstetric practice.

She is a mother of three children.

Lecture abstract:

Topic: ABC of safe support on normal/natural birth
This workshop will deal with basic rules every midwife should stick to when taking care of the birthing woman to provide a safe care to the woman and her baby and to protect herself, anywhere the midwife works.
  1. Learning is a never-ending life process. We can learn from the books, one from the other, from the women we care for, from everyday life.
  2. Examine and combine.
  3. Never do anything without considering consequences.
  4. Document carefully your steps.
  5. The better you know the woman before the birth starts, the better.
  6. Be sure with what you do and where you are in birthing process. To get lost in birthing process is a very dangerous situation.
  7. Become an expert in physiology of pregnancy, birth and postpartum time.
  8. Start your independent practice with simple cases.
These and more rules will be discussed during the workshop.

 

 

Lenka Laubrová Žirovnická Lenka Laubrová Žirovnická

Director of the Association for Maternity Homes and Centers (APODAC), Prague, Czech Republic  

I am an experienced and enthusiastic creator and manager with many years of experience in managing my own project. I create concepts, develop visions, lead a team, manage processes in creation and change. I lead people around me to find personal maxims that are in balance with their talents. I find shortcomings and reserves in processes and come up with unconventional solutions. I bring reliability, communication, resilience, determination, motivation and a burning desire to bring about much-needed social change in the area of ​​expanding maternity care to maternity homes and birthing centers to the Association for Freestanding Birth Centres and Alongside Midwifery Units. I am a proud mother of three children and a loyal wife to my husband, by whose side I have stood for twenty-nine years.

Abstract:

Topic: European standards for maternity homes and centers as a compass for the development of respectful and safe maternity care in the Czech Republic
The paper will present the European standards for maternity homes and centers as an important framework for the development of safe, respectful and sustainable models of care in the Czech Republic. It will focus on the current development of new forms of care, including the hybrid model of Midwifery Centers, and will raise the issue of their compliance with internationally recognized principles of midwifery-led care. It will also include a reflection on the Strategy for Equality between Women and Men, which formulated the goal of establishing 14 maternity centers according to European standards, and the fate of the Strategy for the Development of Respectful Care for Mothers and Children. The activities of the Midwifery Alliance, which creates a safe professional space for the joint creation of indicators of quality of maternity care and recommended practices, will also be presented.

 

 

Eva-Maria Müller-Markfort Eva-Maria Müller-Markfort

Midwife, Germany  

Mrs. Eva-Maria Müller-Markfort is a German midwife. She has been working in the field since 1981, since 1988 as an independent midwife, and since 1991 as a midwife for home births. Given the bad memories of women about childbirth associated with mental problems, she developed a program called "Dreamtime..." focusing on the care of pregnant mothers (healing traumatic experiences from the first birth, alleviating fears and uncertainties about the birth of another child, etc.)
Mrs. Eva-Maria is known for her intensive care for women during pregnancy and after childbirth, support for natural childbirth and holistic care during pregnancy. She focuses on psychotherapy, supports the bond between mother and child using daydreaming techniques. She is known for her active participation in international conferences focused on obstetrics, home birth and breastfeeding protection.

Abstract:

Topic: Looking back, facing the Future
The theme of this conference places us in a position, where we are invited to remember the past with all its excitement of the possibility of starting somehing new, be engaged in developing a brighter future for mothers and their little Ones, sharing hopes and achievements as well disappointments, and learning to accept the limitations of the possible.
On the other hand we are invited to face a bright future. There is so much enthusiasm, energy, good will and hope in this one sentence, that we may for a moment forget hot difficult and arduous the way up to this stage hs been. This will hopefully encourage us to join hands and hearts and achieve the impossible: seeing mothers  carrying their children without harm and fear during the 9 months of pregnancy, supported by the fathers, having access to a natural confinement at home when wanted and well educated midwives at their side, and for the little Ones a healthy and loving environment.
Now, as our daily ircumstances are still far from being well adapted to the needs  I want to point out in my presentation to one gift that has been given to mankind „free of charge,“since the dawn of time, through darkness and dangers,  laughters and tears, sommer and winters, hunger and abundance. This gift is this wonderful unique bond that grows from the first moment of baby's existence between him or her and it's mother. It gets stronger with time to the benefit of both. But for a quite a while it is in danger to get damaged, it is loosing its inherent real and spiritual value and cannot be replaced by anything material, it is:
The Love of a Mother for her little Child

 

 

Jennifer Oberbossel Jennifer Oberbossel

Midwife in the delivery room + Independent Midwife, Germany  

Experienced midwife and healthcare professional with academic background in pharmaceutical sciences and midwifery science. Skilled in leadership and team management, clinical supervision, education, and project management within maternity care. Mother of two daughters with a passion for supporting women and families throughout pregnancy, childbirth, and postpartum care.

 

Abstract:

Topic: We are waiting for the abstract to be delivered...

 

 

Katarzyna Oleś Katarzyna Oleś

independend midwife, Poland  

Katarzyna Oleś has worked as a midwife for 40 years and has been attending home births since 1992. In 2006, she co-founded the Independent Parents and Midwives Initiative “Well Born” and served as its president for 16 years.
Her current interests focus on the philosophy of birth and the significance of birth for parents, families, and society as a whole. She is the author of numerous articles and books on natural pregnancy and childbirth. Her latest book, Pepek (= belly button), was written for children.

Abstract:

Topic: Quo vadis, midwifery?
I have been working as a midwife for 40 years, a period that has brought major changes in Poland, including significant developments in midwifery. My colleagues and I have been both participants in and witnesses to this process.
Midwives have worked in many different areas. One of them has been education for parents and their families, as well as for midwives and other healthcare professionals, often in cooperation with organizations interested in improving pregnancy, birth, and postpartum care. We helped make home birth a recognized alternative to hospital birth. We established a professional self-governing body and worked with public authorities to develop legislation. We achieved a high professional status for midwives, who became independent practitioners. Many of our colleagues now work at universities, teaching at different levels of education, and some have become professors of midwifery. We are proud to be midwives.
It sounds like a great success story. Unfortunately, the picture cannot be painted only in bright colours. Difficult times seem to be coming for midwives and for the people they care for. In Poland, the situation is changing rapidly, and I can see many similarities to developments taking place around the world.
I would like to take a closer look at this process and share some reflections and questions.

 

 

Nicile Rohne

Nicole Rohne

Midwife in the delivery room, Germany  

In 1998, after my high school graduation, I completed training as a midwife at the University Hospital in Freiburg.
After that, I began working in the delivery room with 1,200 births. Since 1998, I have accompanied women and couples in prenatal care, partly during childbirth, and in postpartum care.
Through the births of my sons, I was also able to gain practical experience. In the last 6 years, I have focused on childbirth preparation for multiparous women and counseling after difficult birth experiences. Therefore, in 2024 I began training in pastoral care, which I will complete in August.

Abstract:

Topic: We are waiting for the abstract to be delivered...

 

 

MUDr. Nora Romsauerová

gynecologist at Thomayer Hospital in Prague, Czech Republic  

Dr. Nora Romsauerová is a gynecologist working at the Department of Gynecology and Obstetrics at the Thomayer University Hospital in Prague since 2015. She graduated from the First Faculty of Medicine of Charles University and specializes in robotic-assisted surgery. Thanks to her expertise in the field of minimally invasive surgery, she is one of the leading specialists in robotic gynecology in the Czech Republic. Even though her professional focus has led her in a different direction, obstetrics remains a matter of the heart for her.

 

Abstract:

Topic: Breech birth: the hospital as an ally, not an enemy — the reality of Prague maternity hospitals
Breech birth represents one of the biggest topics in contemporary obstetrics at the interface of safety, women's autonomy and professional courage. In the Czech Republic, the vast majority of these births end in a cesarean section – and Prague is no exception. Nevertheless, the Thomayer University Hospital is one of the hospitals that tries not only to offer, but also to actively practice vaginal breech birth.
Our approach is based on respect for the woman and her wishes, mutual trust between all involved and is based on professional data and experience. We believe that doctors, midwives and doulas are not opposed to each other – but can enrich and strengthen each other, because their goal is the same. But this respect and trust must be mutual – because we all have the same thing in mind: the health and life of the child – in all its dimensions.
So what is the real reality of breech birth in a hospital, where are our reserves, and what should be our goal? Let's find out in a joint debate.

 

 

Kerstin RuppKerstin Rupp

Midwife in the delivery room + Independent Midwife, Germany  

Experienced registered midwife based in Germany, with 28 years of clinical practice across primary, secondary, and tertiary care settings. Trained in Freiburg in 1998, I have worked in both employed and independent midwifery roles, providing high-quality care during pregnancy, birth, and the postnatal period.
My professional experience includes hospital and community-based practice in Germany and New Zealand. In New Zealand, I worked within a predominantly midwifery-led maternity system and later as a Lead Maternity Carer, providing continuity of care throughout pregnancy, birth, and the postnatal period, including extensive home birth experience.
Since returning to Germany in 2008, I have continued working in hospital settings alongside independent midwifery practice, supporting women during pregnancy and the postnatal period. I have also completed numerous continuing education and professional development courses across a broad range of clinical areas.

Abstract:

Topic: We are waiting for the abstract to be delivered...

 

 

Simone Seeburger Simone Seeburger

We are waiting for the photo to be delivered...

Midwife in the delivery room, Germany  

For over 30 years, I have been supporting women and families as a midwife with great passion and extensive experience – from pregnancy and birth to the postpartum period. After completing my midwifery training at the University Hospital in Olomouc (1992), I gained my first professional experience at the Prostejov District Hospital in the Czech Republic. Since 1997, I have worked in various hospitals, including in the affiliated hospital system in Germany. I gained further experience working on a postpartum ward at a hospital in Switzerland.
Since 2001, I have also worked freelance, supporting families with prenatal care, postpartum care, breastfeeding support, and in-person and online courses on postpartum recovery and introducing solids. Since 2006, I have also worked in a gynecological practice.
In addition to my many years of experience working in the delivery room and obstetrics department at the Evangelical Deaconess Hospital in Freiburg, I have also been actively involved in the pilot phase of the midwife-led delivery unit for the past year.
Numerous training courses and continuing education programs including acupuncture, breastfeeding support, postpartum recovery, nutrition, and quality development shape my work. Holistic care, professional expertise, and individualized support for families are particularly important to me.
I am married and my husband and I have two adult children.

Abstract:

Topic: We are waiting for the abstract to be delivered...

 

 

Heike Schäfer Heike Schäfer

Midwife, Buggingen, Germany  

Heike Schäfer is an independent and employed midwife based in Baden-Württemberg, Germany. She completed her midwifery training in 1997 at the University Women's Hospital in Freiburg and has since built nearly three decades of hands-on experience across a wide spectrum of clinical settings from tertiary hospital care to intimate home births.
Early in her career she combined employed hospital positions with independent practice, providing antenatal and postnatal care in parallel. After relocating to the Cologne area in 2001, she worked as a lead midwife for supported hospital births and home births, taking full responsibility for continuity of care through pregnancy, labour, and the postpartum period.
Even while raising four children, Heike maintained an unbroken clinical practice working independently through parental leave periods and returning to employed midwifery at several hospitals. She has continued to develop her skills through extensive continuing professional development, with a particular focus on integrative and holistic approaches to maternity care.

Abstract:

Topic: We are waiting for the abstract to be delivered...

 

 

Silke Schmid Silke Schmid

Freelance Midwife, Clinical Instructor, Germany  

After completing her training as a nurse, Silke went on to qualify as a midwife 26 years ago. From the very beginning, she worked independently with pregnant women and new mothers, while also spending many years employed in hospital-based obstetrics. Concurrently, she raised four children of her own. For the past ten years, she has worked exclusively in private practice-serving as an attending midwife in hospitals and assisting with home births.
Over the years, her professional focus has increasingly centered on strengthening and maintaining the deep musculature, the pelvic floor, and the body's core.
Given her rural location, it was clear to her from the outset that her role entailed providing comprehensive, holistic care to pregnant women. Through her training at the TLHE, she became increasingly aware of just how vital authentic, core midwifery practice is both for midwives themselves and for the pregnant women entrusted to their care. Safe midwifery practice and the preservation of women's health are invaluable assets that must be passed on to the next generation.

Abstract:

Topic: AI Has No Hands – What Defines Original Midwifery and Why It Must Not Be Lost in Education
The increasing use of digital technologies in healthcare raises a fundamental question: What is at the core of midwifery – and what part of it cannot be digitalised?
This presentation describes what is meant by original midwifery practice. At its centre there are two inseparable forms of knowledge: tactile experiential knowledge – the knowledge held in the hands, developed through repeated practice with real people – and physiological contextual knowledge, which connects a physical finding to a complaint and explains relationships that no checklist can capture.
The Traditional Teaching of Midwifery and Obstetric Art (TLHE) developed by Barbara Kosfeld serves as a reference framework. It systematically preserves centuries of embodied experiential knowledge: tissue assessment, pelvic measurement, optimalisation of fetal positioning, and clinical examination throughout pregnancy, birth, and the postnatal period.
Scientific studies play an important role in midwifery – as a corrective and a guide. However, they do not replace the foundational physiological understanding that is a prerequisite for their correct application, and they cannot provide answers for the individual case.
This presentation advocates for preserving the competencies of traditional midwifery practice – individual, transmitted experiential knowledge, tactile clinical assessment, and physiological contextual understanding as essential components of midwifery education.
For the true challenge in the age of AI lies not in technology replacing midwives – but in an education that prioritizes scientific competence while neglecting individual, traditional experiential knowledge, thereby producing midwives who actually become replaceable.

 

 

Ewa Smuk-Stratenwerth Ewa Smuk-Stratenwerth

anthropologist, Poland  

Ewa Smuk-Stratenwerth, a graduate of biology and anthropology and postgraduate studies in philosophy with a focus on “Religion and Science.” Since the 1990s, she has been involved in work with non-governmental organizations, first in Warsaw at the EKO-OKO Center, where she initiated the nationwide campaign “Human Birth.” In 1993, she moved to the Mazovian countryside, to the farm of her husband, Peter Stratenwerth. In 1995, she co-founded the ZIARNO Ecological and Cultural Association, and in 2015 the Ecological People’s University Foundation and the Cor et Manus Social Cooperative.
She is a member of the global organization Ashoka – Innovators for the Public Good.
She is the mother of five daughters.

Abstract:

Topic: Revolutionary change in the attitude towards childbirth in 90-ties in Poland
The twentieth century was a period of subjective treatment of the woman giving birth in many countries. This style was present in hospitals in communistic Poland at the end of 80ties last century. It deprived the woman of her dignity, she was part of some 'organisation' to which she was expected to submit, which actually hindered the course of the birth. In many countries, grassroots movements initiated mostly by women and midwives led to the "empowerment" of the woman. In 1985, the World Health Organisation (WHO) released a report, which made a number of recommendations. These recommendations, entitled 'Childbirth is not a disease', were intended to guarantee women's right to choose the appropriate form of perinatal care. Unless there is a risk to the woman or her baby, childbirth should take place naturally, without medical intervention, only with the discreet involvement of medical personnel.
Providing dignified birthing conditions for the woman influences an "easier" birth, these conditions are: the possibility of a vertical position in the first phase of birth instead of a horizontal one, support from the community, uninterrupted contact with the newborn child. More precisely, these dignified conditions were translated into: "freedom to give birth", i.e. the possibility to behave freely in the first phase of childbirth (e.g. to walk, to take a shower, to use the various equipment available to make it easier to cope with the pains of labor, the presence of a close, supportive person, direct, close contact with the baby immediately after the birth and to be in a common room afterwards, next to the newborn baby (so-called "rooming-in").
The change in Polish perinatal procedures happened in the 90-ties as a result of a succesful campaigne, led by the influential Polish newspaper „Gazeta Wyborcza” but initiated and co-created by Polish mothers. The author, a mother of 5 and anthropologist by education, was seriously involved in this campagne, called „Rodzić po ludzku”, "To give birth humanely”, as well as in the earlier movements and initiatives, which directly led to the campagne.
These earlier initiatives include popularisation activities and first birthing schools initiated by Włodzimierz Fijałkowski, the work of the Association for Natural Childbirth and Feeding, the initiative of the EKO-OKO Environmental Education Centre: "Quality of Birth - Quality of Life", the experience of mothers giving birth in the natural, warm environment of their own home, and midwives ready to receive home births. Also helpful were the many contacts with other countries, where both Birth Centres run by midwives were established and home births were not unusual.

 

 

Martina Suchardová Bc. Martina Suchardová

midwife, Czech Republic  

She accompanies women through pregnancy, childbirth and the early postpartum period. In her work, she uses knowledge of the physiology of natural childbirth. She uses aromatherapy, herbs and various massage, touch and rebozo techniques. She supports natural and non-interventional childbirth. She encourages women to trust themselves and hold their baby in their arms for the first time. She supports uninterrupted bonding with the newborn. She is currently actively involved in the issue of midwife visiting services and the reimbursement of these services from public health insurance.

Abstrakt přednášky:

Téma: Specifics of midwifery care in the community focused on postpartum care
The two-part workshop for midwives, midwifery teachers and midwifery students addresses the specifics of midwifery work in the community.
  • Pitfalls of postpartum care for women and newborns in the context of health care 06211.
    The first part will deal with the peculiarities of communication with a woman in her own social environment, the specifics of care and organizing a visit in the context of an indicated health care procedure with an emphasis on the needs of the woman and care for the woman and the newborn as a dyad. A large part will be devoted to the midwife's skills in recognizing risks and initial pathologies in both the woman and the newborn in the postpartum period in the independent practice of a midwife with several case reports.
  • Midwife in the community, health insurance coverage.
    The second, follow-up part of the workshop will focus primarily on the practical part of obtaining a certificate, Business ID, and working as an independent midwife or in cooperation with healthcare facilities. It will touch on the skills that a midwife should master so that her work is prosperous and effective. The second part of the lecture will deal with obtaining contracts with health insurance companies, reporting care and the overall issue of midwifery care as a provider of care for health insurance companies.

 

 

Rebeka Švecová Rebeka Švecová

midwife, Czech Republic  

I care for pregnant women, I provide prenatal care and, above all, postpartum care within the framework of community practice. I have been accompanying some of my clients continuously since the prenatal period.
When I studied midwifery, I considered pregnancy and childbirth to be the most interesting. Postpartum care was rather on the edge of my interest. Gradually, however, personal and professional experiences, my own motherhood and meetings with women after childbirth led me to fundamental re-evaluation of my priorities.
Today, I devote most of my professional time to postpartum care. I try to make the quality care provided to women in postpartum time in their home environment as much accessible and available, especially to those insured by the General Health Insurance Office and other health insurance offices too. I have a contract with those insurance offices, and they cover the care I provide to women. In my work, I combine professional healthcare with individual support, education and the creation of a safe space for women and their families.
I believe that the postpartum time is one of the most sensitive and at the same time most neglected time when women need help and a good midwifery care. Quality support during this time can significantly affect a woman's health, self-confidence, and parenting experience, as well as the functioning of the entire family. That is why I see postpartum care not only as an important part of a midwife's work, but also as a topic with significant societal impact.

Abstract:

Topic: Postpartum care in community practice: between system, reality and women's needs
Postpartum care in community practice is a complex area that connects clinical care for postpartum women with the public health insurance system and its administrative and economic requirements. The paper focuses on three levels of this issue: systemic, clinical-practical and casuistic.
The first part describes the experience of obtaining a contractual relationship with health insurance companies and the subsequent provision of paid care in the home environment. In particular, the time and administrative complexity of performance reporting and its impact on the real sustainability of community postpartum care are discussed.
The second part is devoted to the content of postpartum visits in practice. The dominant theme is breastfeeding, which represents a key area of care where education, support and early identification of complications are combined. Furthermore, the most common needs of postpartum women are reflected, including the healing of birth injuries and psychosomatic adaptation.
The third part consists of a case study of a woman after giving birth who entered care without subjectively perceived difficulties, but in whom a significant complication in the healing of a birth injury requiring professional intervention was detected during the visits.
The aim of the contribution is to show postpartum care as a multidimensional area that connects the systemic setting of health services, daily clinical practice and the individual needs of women after six months of pregnancy.

 

 

Cathrine Trulsvik Cathrine Trulsvik

Midwife, Norway  

My name is Cathrine Trulsvik, and I have worked as a midwife for 26 years. From 2011 to 2016, I worked in private practice, attending planned home births in Norway. During this period, I received a restricted authorization after supporting women’s informed choices in births that were professionally sound, but outside prevailing national guidelines. This experience strengthened my engagement in questions of women’s rights, informed consent, and midwives’ professional autonomy.
In 2014, I founded and began organizing the annual Norwegian midwifery conference The BirthFestival, creating a platform for dialogue on birth, ethics, women’s rights, and midwifery care. In 2021, I founded BirthRights Norge, an independent advocacy organization working to strengthen women’s rights in pregnancy, birth, and the postpartum period.
I am now also the author of the book Fødesviket – når jordmorfaget taper, svikter vi kvinnene (“The Betrayal of Birth – When Midwifery Loses, Women are Failed”), which explores the relationship between midwives’ professional autonomy, women’s rights, and the structural development of modern maternity care.

Abstract:

Topic: When midwifery loses, women are failed
In this presentation, Norwegian midwife and author, Cathrine Trulsvik, reflects on the relationship between midwives’ professional autonomy and women’s rights in childbirth. Drawing on clinical experience, health law and current developments in maternity care, she explores how increasing standardisation, medicalisation and organisational pressures may affect both women and the midwives who care for them. The presentation is inspired by themes from her upcoming book The Birth Betrayal and aims to encourage reflection, dialogue and renewed engagement with the core values of midwife

 

 

Věra Vránová Mgr. Věra Vránová, Ph.D.

midwife, assistant professor at the university,
Czech Republic  

She graduated from the Secondary Medical School in Olomouc in 1973 with a degree in midwifery (female nurse).
From 1973 to 1989 she worked in the field of care for women, mothers and children in primary - outpatient, community and hospital settings.
From 1989 she has been working in education. At the secondary medical school from 1989 to 1998, and from 1998 until now at the university, where she is involved in the education of midwives.
In 1997 she completed the master's degree program in Teaching Professional Subjects for Medical Schools and in 2004 the doctoral degree program in Anthropology.

She has held several leadership positions in academia.
She worked in the Accreditation Commission of the Ministry of Health of the Czech Republic as an evaluator of educational programs for lifelong education in non-medical fields.
She was a member of the Czech Association of Midwives (later the Czech Confederation of Midwives).
She has published many professional articles, written a textbook and a monograph.
She has participated in many Czech and international conferences as a lecturer.
She has led and defended many bachelor's and master's theses.
She is still educating herself in midwifery, because education is a lifelong process.
She sees her profession as a midwife as a lifelong mission.

Abstract:

Topic: The presentation will focus on an overview of the development of midwifery education in the Czechoslovak Socialist Republic and later in the Czech Republic from the 1950s to the present. It will also present the job description – the activities of a midwife in the healthcare system during this period.

 

 

Mary Zwart Mary Zwart

Midwife, Niederlands  

Mary Zwart is a Dutch midwife and international human rights activist in obstetrics. Her main contribution lies in supporting and educating pregnant women in the areas of autonomy, natural births and expanding the competences of midwives. She is a prominent member of the European Network of Midwifery Associations (ENCA), where she actively promotes standards of maternity care.
After 2000, she came to the Czech Republic to train Czech and Slovak midwives and health professionals, and was at the origin of seminars and educational events for midwives in the Czech Republic.

 

Abstract:

Topic: A future for midwifery
The first time I came to the Czech republic was in 1967,the first time behind the iron curtin.
I visited a hospital to see how perinatal care was provided and I was shocked.
So different of what I was used to in the Netherlands.
No visits, no flowers, separation of mother and child, the sterility.
In 1968 I was back with friends in Prague celebrating democracy which turned in into a nightmare.
The coming years were horrible and I stopped in 1972 because it was too painful but with a promise whenever I can help I will do so.
That happened at the ICM conference in Oslo 1996.
I met Zuzana Stromerova when I was presenting the Dutch Model of care and she asked me for my help.
Thats how it started. Without money we started to make plans for change. A trip to the Netherlands with a old bus, sleeping by colleagues.
Aweness in the Czech republic, conferences, workshops.
Looking back we did a lot and looking forward we have still a lot to do.
Human rights in childbirth.
Possibility of choice of the place of birth.
Technology,when to use it and when not.
Team work a treat or a blessing.
Midwives turning into medwives.
We also face the fact that women are more emancipated.
The planning of lives are now so different, so much more ruled by economy.
This raises the question where we too romantic or are we now lost in a society that sees us as consumers.
Is there still space to claim time to give birth in stead of delivering a baby.
Do we think that manmade milk is better in stead of breastfeeding.
The focus on securety outside our bodies, ultrasounds in stead of trust.
What about bonding when you do not want to feel the baby kicking before the ultrasound of 20 weeks to know your baby is ok and you do not need to abort it beause of insurance policy.
Fear as business model.

This trip to Prague will be different.
I look forward to it, to meet friends again after a long time.
To see that there is a future for midwifery.