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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
 

Home-like Hospital Birth Conference

International conference

 

  • Invitation
  • Basic informations
  • Program
  • Lecturers
  • Registration fee
  • Registration form
  • Exhibitors

The invitation to the event „Home-like Hospital Birth”

Dear friends,

we would like to invite you to the event called Home-like Hospital Birth. This event includes professional conference for healthcare professionals and maternity hospital fair for the general public.

Many hospitals in our country have undergone in recent years a great progress especially in technical equipmernt and improvement of the physical environment quality for mothers and healthcare professionals. There is various care approach to the giving birth women, their children and accompanying persons, and also the atmosphere in the hospitals is different. This can be demonstrated on statistical data concerning Czech obstetrics, but there is also the important phenomenon called birth tourism. Women are travelling for better obstetric care appropriate to their individual needs across the whole country and even abroad. To reflect combined needs of the laboring woman and her newborn baby (in the form of so-called patient values) is one of the key principles of the evidence based care and the International Federation of Gynaecology and Obstetrics (FIGO) declares this principle in its latest recommendations. We decided to organize the conference also because of the gradually increasing number of women giving birth to their children in home environment rather than in the hospital. Part of mothers and healthcare professionals call for long time such conditions, in which the laboring woman, their relatives and newborn babies can feel like at home.

Expert conference for health professionals

One part of the events will be professional conference targeted to doctors, midwives, nurses, medical students and midwifery. Professional conference will be an unique opportunity to meet with many foreign lecturers, both physicians and midwives. This is an unique possibility to hear information that are usually discussed neither at medical meetings, nor at conferences or midwives. The conference program is aimed at promoting healthy natural childbirth in hospitals and possibilities for expansion of obstetric care provided by hospitals. The program is designed to inspire health professionals to develop a "hospital like a home", or show them different ways to enrich and enhance the current offering obstetrical care. Although the conditions for the provision of obstetric care naturally varies in the hospitals of various sizes and levels, all of them can encourage a woman in experiencing of natural childbirth as healthy life process and strengthening enjoyment. Any maternity hospital can today buys a bathtub and offers it to the laboring women for relaxing during childbirth.

Globally recognized experts Dianne Garland from the UK and Barbara Harper from the USA will describe how it is possible to use the tub for the water birth, what are the foreign experience with this methods, which are research results and what rules must be followed during this process.

In every hospital, health professionals meet with women who carry the baby via breech. After publication of the study Term Breech Trial in 2000 the number of caesarean sections significantly increased because of breech position of the baby. Although subsequent study has contested the initial findings, the resulting trend has not reversed, and so the knowledge and practical skills of vaginal breech birth is diminished. Prof. dr. Frank Louwen works at the Goethe University Hospital in Frankfurt. One of his medical interests is both scientific and practical support of natural breech birth.

Many countries also offer the other options for childbirth than just a hospital one. In the United Kingdom there are separate birthing centers led by midwives. These centers work closely with local maternity hospitals. Hannah McCauley leads such center in Lisburn, in Northern Ireland. At the conference she will talk about the working methods in such center and about promoting of natural birth. But especially she will speak about effective collaboration with a large hospital, leading to increased comfort and safety of women giving birth.

We invited Zoe Boreland, director of the birthing center Home from Home in Northern Ireland especially for paramedics form large perinatal centers. The center is part of the perinatal center of a large hospital trust and is led by midwives. The lecture will focus on reasons which inspired the decision to set up and run the birthing center. Together with the Director of Home from Home one of the local midwives, Katherine Robinson, will come to talk about respective methods supported natural childbirth in their hospital birth center.

German midwife, teacher and counselor Barbara Kosfeld will surely take not only midwives attention. She will deliver either a lecture or the workshop "Up to the roots of midwifery".

Microbiologist Dr. Jarmila Hnilicová will demonstrates on his research data how the births are proceeding in the Czech hospitals. It is surprising how the Czech hospitals at the same level of care and the size often dramatically vary in especially routine interventions in childbirth. This way of process can be interpreted like the degree of friendly approach to the laboring women.

Psychologist and psychotherapist Dr. Eliška Kodyšová from Czech Republic will talk about a major impact of social support laboring women from biological and psychological perspective toward the parturition.

Dr. Jaromír Matějek, from the Ethics department at the Prague III. Faculty of Medicine, will outline the ethical dimension of free and informed choice of the obstetric care. He will advise how to take into account a birth plan/the women desire, so the paramedics have not lead the woman, baby or even themselves in a difficult situation.

Dr. Ivana Kušnierová from Slovakia will present an unusual approach to the newborn child in maternity hospital. Her fascinating lecture on "holy hour" after giving birth is a great inspiration for the expansion of postpartum care in hospitals and beyond them.

The purpose of the conference is also the professional exchange of experiences in promoting the normal, natural birth among the participating hospitals. To share this information will be possible in a separate conference block.

Workshops

The expert program will be enriched by practically oriented workshops of foreign teachers with long experience in the area of the natural breech birth (Frank Louwen) and a water birth (Dianne Garland and Barbara Harper).

The maternity hospitals fair

In parallel with the professional conference there will be a maternity hospitals fair aimed for the general public, which should introduce single hospital in their best light. We therefore welcome all hospitals from the Czech Republic, they to introduce and offer women the best of their work. The maternity hospitals can present to the public the positive changes, which were achieved for physiological mothers with healthy newborns in recent years. They can also demonstrate how women can in their facility take advantage of the possibility of free and informed choice at the time of birth and the postpartum period. Each hospital so can share successes and experiences with the others and inspire them.

Exhibition

The event will be complemented by the exhibition stalls, in which the companies will offer the products enable to create the delivery room as a cozy and pleasant place, not only for mothers, their accompanying persons and newly born children, but also for health professionals.

Logo MZP  The event is held under the patronage of Jiří Dienstbier,
the minister of human rights, equal opportunities and legislation.

Logo MHMP  The event is financially supported by the City of Prague from the grant program EVENTS 2016.


Mgr. Jitka Charvátová
Birthing House "By the Stork", NGO, Prague
Chairman of the Board


Zuzana Štromerová, BSc.
Birthing House "By the Stork", NGO, Prague
Executive director

Basic informations

Date 2th and 3th December 2016
Venue Hotel Don Giovanni, Vinohradská 157a, Praha 3, Czech Republic, Europe
Organizer Stork Birth House, NGO, Prague (www.pdcap.cz)
Type of event International conference for
   - midwives
   - medical doctors
   - midwifery and medical students
Working languages Czech and English. Simultaneous translation will be arranged in the Conference Hall. Consecutive translation will be arranged in other rooms.

Program

  • First day
  • Second day

First Day Program
Friday 2.12.

   Lectures

  9,00 –   9,15  Welcome
  9,15 –   9,30 Giving Birth in the Czech Republic, Jarmila Hnilicová, CR
  9,30 –   9,45 The Influence of Oxytocin on Emotions Associated with Birth, Eliška Kodyšová, CR
  9,45 – 10,00 Birth Wish, etical aspect, Jaromír Matějek, CR
10,00 – 10,15 Good Practice Example: Maternity hospital Rakovník, Petra Galiová, CR
10,15 – 10,30 Discusion
10,30 – 11,00 Přestávka
11,00 – 11,30 Home from Home – midwifery lead unit in Ulster, Zoe Boreland, UK
11,30 – 12,00 Support of Normal, Natural Birth in Hospital, Katherine Robinson, UK
12,00 – 12,30 Lisburn – free standing birth midwifery lead birth centre, Hannah McCauley, UK
12,30 – 13,00 Discusion
13,00 – 14,00 Lunch
14,00 – 14,45 Natural Birth Support in the Czech Hospitals I., free communications by the maternity hospitals:
14,00 – 14,15 University Hospital Brno, Mgr. Miloslava Kameníková
14,15 – 14,30 Karviná Hospital, MUDr. Klára Jandzíková
14,30 – 14,45 Pribram Hospital, MUDr. Táňa Glosová

 

   Workshops

15,00 - 19,00  Watherbirth, Dianne Garland, UK and Barbara Harper, USA
15,00 - 19,00  Natural birth support in hospitals, Katherine Robinson a Hannah McCauley, both UK

Second Day Program
Saturday 3.12.

   Lectures

  9,00 –   9,10  Welcome
  9,10 –   9,40 Childbirth through Babys'Eyes, MUDr. Ivana Kušnierová, Slovakia
  9,40 – 10,10 Up to the roots of midwifery, history based rules for safe care in normal birth, Barbara Kosfeld, Germany
10,10 – 10,40 Natural breech birth, Frank Louwen, Germany
10,40 – 11,00 Discusion
11,00 – 11,30 Break
11,30 – 12,00 Natural birth support in the Czech hospitals II, free communications by the maternity hospitals:
11,30 – 11,45  •  Associated Healthcare Facility Krnov, Bc. Lenka Petřeková, CR
11,45 – 12,00  •  Tomas Bata Regional Hospital, Zlin, Bc. Bc. Kateřina Slováčková, CR
12,00 – 12,15 Importance of networking, Zuzana Štromerová, BSc.
12,15 – 12,45 Physiotherapy for new-born babies, PaedDr. Dana Herbichová, CR
12,30 – 13,00 How does the effort to open a birth house influence the obstetric care in hospitals?
 Zuzana Štromerová, BSc., CR
12,30 – 14,00 Lunch

 

   Workshops

14,00 – 18,00  Natural breech birth, Frank Louwen, Germany, and Jane Evans, UK
14,00 – 18,00  Up to the roots of midwifery, history based rules for safe care in normal birth, Barbara Kosfeld, Germany

Lecturers

D. Ridout Dianne Garland, SRN, RM, ADM, PGCEA, MSc

Great Britain

Midwife, Watherbirth expert.

Professional profile
B. Harper Barbara Harper, RN, CKC, CCCE, CLD

United States of America

Founder and director of Watherbirth International.

Professional profile
B. Kosfeld Barbara Kosfeld, MA, MSc, MgA, MBA

Germany

Midwife, adviser, consultant, lecturer.

Professional profile
F. Louwen Prof. Dr. Frank Louwen, Dr. med., Dr.h.c.

Germany

Physician, obstetrician.

Professional profile
H. McCauley Hannah McCauley

Great Britain – Northern Ireland

Head of the free standing midwifery lead birth centre in hospital.

Professional profile
K. Robinson Katherine Robinson

Great Britain – Northern Ireland

Midwife from the Home frome Home, midwifery lead birth centre in hospital.

Professional profile
Z. Boreland Zoe Boreland

Great Britain – Northern Ireland

Head of Midwifery in South Eastern HSC Trust in Northern Ireland.

Professional profile
J. Evans Jane Evans

Great Britain

Nurse and midwife.

Professional profile
E. Kodyšová PhDr. Eliška Kodyšová, Ph.D.

Czech Republic

Psychologist, psychoterapist.

Professional profile
J. Hnilicová Mgr. Jarmila Hnilicová, Ph.D.

Czech Republic

Researcher.

Professional profile
J. Matějek MUDr. ThLic. Jaromír Matějek, Ph.D, Th.D.

Czech Republic

Physician, doctor of theology.

Professional profile
I. Kušnierová MUDr. Ivana Kušnierová

Slovakia

Pediatrician.

Professional profile
P. Galiová Bc. Petra Galiová

Czech Republic

Midwife.

Professional profile
P. Vaněčková MUDr. Táňa Glosová

Czech Republic

Medical doctor.

Professional profile
Z. Štromerová Zuzana Štromerová, BSc.

Czech Republic

Midwife, NGO Birthouse Stork, founder and manager.

Professional profile

Registration fee

  payment by bank transfer cash on spot
conference workshop conference workshop
both days one day
medical doctors 75 50 57 100
for each day
75
for each
workshop
midwives 57 38 38

The amounts are in EUROS

 

Payment instructions:
Bank: Fio banka, a.s., Praha, Czech Republic
Account number: 2000486409 / 2010
Account holder: Porodní dům U čápa, o.p.s., Praha, Czech republic
IBAN: CZ6320100000002000486409
SWIFT/BIC: FIOBCZPPXXX

Registration

Frequent deviations from normal physiological development of the new-born and the risk factors, which present clear indication for physiotherapy of the new-born baby.
Early diagnosis, early and appropriate physiotherapy leading to quicker and more effective motor development of the child.
Functional engagement of muscles has formative influence on development of bone structure and locomotor system, but also on optimal psyche development of the child, especially in the first year of life.
Examples from practice of physiotherapists from the Centre of Healing Physiotherapy.
In her presentation doctor Kusnierova will try to introduce prenatal and a new-born baby as fully perceiving, observing, intensively communicating being, learning from experience. Close attachment between the mother and the baby, but also self-relationship and the relationship with the environment is strongly formed by the experience the mother and the baby comes across in specific situations in perinatal time. What can we do to make this special time the most beautiful and enjoyable for both – the mother and the baby? The presentation may help the healthcare providers from delivery suits understand why some women fear the hospital birth. In the same time this presentation can positively contribute to improvement of approach to the mother and the new-born baby.
The lecturer of this workshop is permanent and very popular lecturer of the seminars and courses organized by NGO Birth House Stork for midwives.
The lecturer will speak about the roots of midwifery and the necessity to know the ancient rules of midwifery for reflexion of own midwifery work, to gain the ability to anticipate or even predict the course of pregnancy and birth and to prevent the burn-out syndrome. Barbara will explain how important i tis to use the professionally correct language so that the midwife would not miss any important information when talking to the woman. This way the midwife will be able to provide the woman and her baby with the best possible care. The workshop will be supported by a big number of pictures.
The workshop is intended specially for midwives, but the obstetricians are very welcome.
Prof. Louwen and Jane Evans will make you more familiar with the benefits and possible risks of natural breech birth. They will explain birth mechanism and will point out signs of arising irregularity or complication. They will support the presentation with reference to research and with sharing their personal experience with the breech births in their own practice.
This workshop is intended mainly for the medical doctors, but midwives are cordially welcome.
Midwifery support of natural hospital breech birth – personal experience
The NGO Birth House Stork has been struggling to open a birth house since 2003. The idea has appeared inspiring, but we have discovered that the journey to reach the goal is more beneficial and conductive than the goal itself. It helps to direct the midwives towards the roots of midwifery, to teach the pregnant women to trust their ability to give birth, to talk about other options of obstetric care, to show examples of good practice in abroad, to invite expert speakers for seminars and conferences. This way the NGO Birth House Stork contributes to positive changes in obstetrics in the Czech Republic.
The issue will speak founder and director of the first birth house in the Czech Republic Zuzana Stromerova.
Frequent deviations from normal physiological development of the new-born and the risk factors, which present clear indication for physiotherapy of the new-born baby. Early diagnosis, early and appropriate physiotherapy leading to quicker and more effective motor development of the child.
Functional engagement of muscles has formative influence on development of bone structure and locomotor system, but also on optimal psyche development of the child, especially in the first year of life.
Examples from practice of physiotherapists from the Centre of Healing Physiotherapy.
Professor Louwen is the chief consultant of gyn-obs ward of Goethe University Hospital in Frankfurt, Germany. For several years he has been looking into the natural breech birth and conducting research. The presentation of prof. Louwen and following afternoon workshop are intended mainly for the obstetricians, as breech birth belongs to their competency.
In general, breech presentation is very often a reason for primary C. section. But C. section is associated with a very high risk for healthy women as any other big abdominal operation would be. Natural breech birth can be an elegant solution for many healthy birthing women with a baby in breech presentation and a nice solution of an awkward situation.
The presentation given by prof. Louwen and following workshop are a unique possibility how to get familiar with the natural breech birth practiced at the moment by only one hospital in the Czech Republic.
Barbara Kosfeld is an exceptional midwife in Europe. Her advantage and strength is association of knowledge from the field of comparative literature, profound knowledge of normal birth process, long practice and good practical experience in primary midwifery care with the ability to hand the information over to the listeners in a comprehensive and clear way. Her ability to explain the continuity, succession and combination of facts and to include the combination of cause and effect in the whole scope of discussed topic is substantial for teaching safe midwifery care. Due to combination of facts, cause and effects i tis possible to „read” the expected birth process already in pregnancy.
The practically led workshop will be a follow up of morning presentation and will go in details of the art of midwifery.
The midwife has an indispensable role in support of natural childbirth. She is a guide of the woman through the birthing process. She should be a wise person a woman can rely on, can get an advice from, a woman can consult, who will lead the woman in such a way through the birthing process that at the end the woman would have an indisputable positive feeling she has managed all that on her own. The hospital midwives have much more difficult situation in this respect as the procedures and practices in the hospitals are subdued to strict protocols designed for care of many women at a time and provide only little space for individual care.
The lecturers will suggest different ways how to support a woman on her way to normal, natural birth even in the hospital environment.
Dianne and Barbara are globally recognized experts in using water for making birthing process easier. They have not only practical experience with this type of care, but are also active in research and have gathered piles of scientific data regarding water birth.
During the workshop Barbara and Dianne will refer to research dealing with safety of water birth, criteria of safety will be mentioned, the participants will see many photographs topping up to life-long experience of the speakers.
The workshop will be specially useful for participants from those maternity hospitals where the bath-tub or pool are already in use and where women use water for relaxation during labour, but babies are not allowed to be born in water because of lack of experience or information the midwives and obstetricians have.
Hannah is an expert manager of the autonomous midwifery lead birthing centre. This centre with four birthing rooms offers complete midwifery services. About 200 women give birth in this centre every year.
Hannah will talk about her experience with midwifery care provided in community and in hospital environment and about practical problems of development of midwifery lead care in prevailing medical model of obstetric care. She will also introduce long-term activities of her team to enable more women to experience natural childbirth with appropriate support and at a place of their choice.
Kantherine has been working at a midwifery lead unit called „Home from Home” in the Ulster hospital in Belfast since its very beginning in 2007. In 2011 she has become a director of this unit, which operates in 7 delivery rooms with water pools. Since 2015 more than 1000 women have given birth here.
Katherine will talk about the differences in work at different places – midwifery lead and normal obstetric one, about the benefits and disadvantages, about the cooperation with the obstetricians from the normal obstetric ward in the same hospital.
Zoe Boreland works as a chief midwife in a network of state governed healthcare facilities in Eastern region of Northern Ireland (South Eastern Health and Social Care Trust). For a long time she has been pushing forward midwifery lead primary health care in motherhood and research in this field.
She has been the leading person in promoting and starting the first midwifery lead unit in Northern Ireland in 2010 and the second one in 2011. In these two facilities plus in Home from Home midwifery lead unit 1200 babies are born per year, which represents 30% of babies born in the whole region.
Zoe will talk about her motivation for promoting primary midwifery lead obstetric care and about the way of harmonization this type of care with normal system of obstetric care, currently offered by the NHS of UK. The presentation may be a big inspiration for perinatal centres or stage holding institutions in the Czech Republic.
It was important to initiate the whole team of delivery department, postpartum ward and the neonatology ward in mutual cooperation in respecting the birth wish of women and to improve the empathetic approach and behaviour. It was not an easy task, often complicated with insufficient experience with new attitudes and unwillingness to leave the old routine methods. The legal environment and insecure legal protection of hospital employees present sometimes insurmountable barrier in the whole process. But important is that step by step the improvement in approach and behaviour to birthing women became visible.
Nowadays the major part of our team respects the natural birthing process, which, alongside the empathetic care for birthing women, resulted in 100% birth rate rise in past six months. The satisfaction of our clients is apparently very high, reflected in thanksgiving letters, mails, newspaper articles and recommendations of our maternity hospital to other women. On base of obtained data (more details in presentation), we dare to say that he approach to birthing women we have chosen in our maternity hospital, is the right one hand in hand with assuring certain safety boarders and ideal communication with pregnant women.
„A Birth Wish” is a term recently very often used in association with hospital birth. The women would write such a document with the hope that the birth will be conducted „in their way”, according to their wish and all the healthcare providers will treat them according their wish. Doctor Matejek will look at this document from the ethical perspective, not only the obstetric one.
Respecting and supportive interaction of healthcare providers with the birthing woman is an important factor influencing the satisfaction with birth. The birthing woman's perception of this interaction is influenced by her previous birthing experience and the uniqueness of the birthing process. The presentation summarizes the recent findings of biologic psychology about influence of neuro hormone oxytocin on social perception. We will show that it is the influence of oxytocin, which can result in risen suggestibility of birthing woman and her sensitivity to tension experienced by the healthcare providers. Subjective unsafe feeling may be potentiated by oxytocin and may lead to woman' lower satisfaction with birth, worse cooperation with the healthcare providers and worse contractibility of uterus. Especially the women with higher psychologic risk would need the sensitive, empathetic approach of healthcare providers and to assure the safety feeling. Supervision of healthcare providers, continual improvement of soft skills and one-to-one care in pregnancy and birth can be a way to improve the quality of maternity care.
Doctor Hnilicova will introduce her findings about frequency of interventions in birth in different maternity hospitals in the Czech Republic and about difficulties with obtaining the data showing the quality of obstetric care. What criteria set the bases for evaluation the quality of care in different maternity hospitals? Who sets these criteria, how are they investigated and gathered together and is it possible to reach them and make own opinion? And do the institutions proceeding statistical data take in consideration the satisfaction of birthing women?