title: [Changes in the situation in out-of-hospital birth and the role of midwives in Hungary].
abstract: The rate of homebirth decreased significantly by the 20th century, however, the practice has never disappeared. The Hungarian government issued a regulation of out-of-hospital birth in 2011, then allowed midwives to provide prenatal care for low-risk mothers in 2014. These were great steps toward the midwifery model of care. In this study the authors gathered the statistics of three licensed Hungarian out-of-hospital service providers. Despite the low number of cases, the data confirm that the rate of hospital transports in Hungary is quite similar to those found in other countries. The authors present five different studies to demonstrate that home births are just as safe as hospital births. Finally, the authors summarize a study in which hospital transports based on several criteria were analyzed. The authors conclude that in these events, fear and prejudice influences the participants on either side, harming interprofessional relationships. To improve the care given, mutually respectful communication and education of families about the option of hospital transport are key issues.
authors.affiliation: Klinikai Orvostudományi Doktori Iskola, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.
authors.forename: Felícia
authors.initials: F
authors.lastname: Vincze
authors.affiliation: Szülészeti és Nőgyógyászati Klinikai Ismeretek Tanszék, Semmelweis Egyetem, Egészségtudományi Kar Budapest.
authors.forename: Ibolya
authors.initials: I
authors.lastname: Lipienné Krémer
mesh_terms: D001291:Attitude of Health Personnel; D036861:Delivery, Obstetric; D005260:Female; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006700:Home Childbirth / Q000266:history / Q000706:statistics & numerical data / Q000639:trends; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D006814:Hungary; D007400:Interprofessional Relations; D008880:Midwifery / Q000193:education / Q000266:history / Q000706:statistics & numerical data / Q000639:trends; D024802:Nurse's Role; D009774:Obstetrics / Q000193:education / Q000266:history; D057240:Patient Preference / Q000523:psychology; D010819:Physician's Role; D011247:Pregnancy; D011295:Prenatal Care; D018570:Risk Assessment
keywords: beszállítás; biztonság; homebirth; hospital; hospital transfer; kórház; midwife; otthon szülés; safety; szülésznő