Birth as an expensive hobby for midwives

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Birth as an expensive hobby for midwives

Parents who do not want their child to be born conventionally in a clinic are increasingly opting for a home birth or childbirth in the home. But lately it has become more and more difficult to find a freelance midwife, because the exorbitant rise in liability premiums has ensured that many self-employed obstetricians can no longer carry out their work because the already low wages are getting lower every year and that Working conditions are getting worse. If politics does not act quickly, birth in the birthing center will soon only be available to wealthy mothers.

International Midwifery Day Today, on the International Midwifery Day, obstetricians across Germany take to the streets and demonstrate for the free choice of the place of delivery, a legally anchored obstetrics for every woman and for better working conditions in the clinics. Not only all obstetricians are invited to the campaign, but also parents and friends who support the issue of advanced maternity and child-friendly delivery.

The German Midwifery Association has put together the five most important demands that are referred to as the “German Big Five” based on the global health policy development goals. The appeal is aimed at the health politicians of the black and yellow coalition and at the health insurance companies.

Politics does not act The criticism is directed primarily at the Federal Minister of Health Philipp Rösler (FDP): “The German Midwifery Association has been waiting for months to implement the commitments that Minister Rösler has given the midwives. Apart from the invitation to tender for data collection on the income and cost situation of freelance midwives, nothing recognizable has been launched in the past few months. ”Apparently, a result is far from expected, especially if you look at the past time. This is extremely unsatisfactory, as a spokeswoman for the protest day in Hanover told, even though "the midwives no longer have time because many are barely able to carry out the profession due to the financial difficulties". "What has become of the Minister's pledge to take into account the rising costs of exercising the profession, such as liability fees, on the revenue side? “Ask the midwives who fear for their existence.

Birth as an expensive hobby for midwives On average, a freelance midwife earns around 7.50 euros gross per hour. In many cases, the costs already exceed the revenues, as Uschi Fietz, chairman of the Lower Saxony Association of Midwives on NDR 1 Radio Niedersachsen warned. The main reason for the burden is the newly introduced liability insurance for obstetricians. Liability premiums were raised from EUR 1,000 to EUR 3,700 a year last year. The premium has almost quadrupled. The occupational liability should cover personal injuries up to six million euros. In contrast, the premiums for childbirth were only increased by eight euros gross. Midwives who only look after mothers during the care and aftercare only pay an annual contribution of 340 euros. "In the past, a midwife had to accompany three and a half births, then she had paid her annual insurance sum. Today, almost 17 births are required to pay the liability." For this reason, obstetricians and parents are now taking to the streets in Hanover. The motto of the protest is "Birth as an expensive hobby for midwives". The protest procession starts at 3:00 p.m. on Lister Platz and then leads to the city center on Kröpcke Platz.

Midwives demand better working conditions In addition to the low remuneration, the midwives association complains about the high workload of obstetricians in the clinics. According to the association, around 120 births per midwife occur each year. Midwives often have to look after three women giving birth in one day. Here too, action must be taken quickly. However, the health insurance companies and clinics apparently rely on delay tactics and only want to negotiate better remuneration and changes in working conditions in the next few years. Although exactly 186,356 people voted in an online petition to the German Bundestag in the summer of 2010 to receive care for midwives close to home, nothing has changed since then regarding the situation of obstetricians. Incidentally, the petition submitted was the most successful in terms of signatures ever submitted in Germany. (sb)

Read about obstetrics and midwife protests:
Midwifery profession is under threat
Midwives went on strike for four days
Cesarean birth rate reaches record high
Midwives went on strike for four days
Warning of lack of midwives

Image: Hartmut910 /

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