APODAC

WHO WE ARE

Association for Birth Houses & Centers, (APODAC) brings together and connects professionals and the public, organizations and individuals who support or promote the creation of birth houses and centers in the Czech Republic. Development of a network of highly professional birth houses and centers is a logical step following models of good care in developed countries.

While abroad, a pregnant woman can choose the type of care she prefers, in the Czech republic, the only legal option available to her is birth in a hospital - regardless of her individual needs and needs of the child. Therefore, families for whom this avenue is not suitable  are forced into childbirth outside of the hospital system where adequate medical care is not guaranteed. This situation is of course not without risks. Our goal is to offer wider range of obstetric care and procedures recommended by prestigious world health organizations in order to eliminate or minimize these risks.

We start from the positive aspect of care that are available here and offer and promote most up-to-date modern approaches of "Evidence Based Medicine" which have proved successful in other countries.

OUR GOALS

We strive to add other ways of providing maternity care that are still unavailable in our country, even though the WHO (World Health Organization) statistics clearly show that there is more than one safe way to manage the birth process. The healthcare systems in Western countries offer multiple ways to support women in childbirth, without compromising the quality or safety of the care. On the contrary, the results of many studies as well as practical experiences of the medical staff speak clearly in favor of individualized care, for example in the form of a continuous care.

That is why, we strive for transformation of obstetric care into a more humane and individualized care. And we would also like to contribute to the transformation of  the Czech health care system so that it can provide mothers and children with the best care available based on the recommendations of the WHO (World Health Organization), ICM (International Confederation of Midwives) and other world renowned organizations (eg. FIGO, UNICEF, NICE, RCM).  

This is our way of supporting the sustainability of quality and safety in the Czech obstetric care, while responding to the increasing demand of families who are unable to choose other ways of safe childbirth which costs them the possibility to have this unique life experience consistent with their lifestyle and preferences.

HOW WE WANT TO REACH OUR GOALS

We bring together organizations and professionals who respect the modern scientific research and Evidence Based Medicine both locally and internationally.

Based on the best practices of developed countries we promote practices that support health and safety of both women and children according to the best professional care available, by spreading the standards of WHO and ICM throughout the whole maternity care system.

We support the creation of birth houses and centers in the Czech Republic, as well as provide consulting on the establishment and development of these as recommended by WHO and ICM.

We organize trainings for midwives and birth assistants in the Czech Republic, offered by top international lecturers based on the WHO and ICM guidelines.

OUR PROJECTS

We believe providing good information may help to improve the quality of obstetric care in the Czech Republic so we provide seminars for midwives, doulas and obstetricians. These seminars provide the participants with a unique opportunity to acquire the know-how of foreign experts, without having to participate in an official internship program abroad.

See Weekend seminars APODAC http://apodac-vpa.cz/.

We are preparing a unique news website www.faktaoporodu.cz. This website will present the unbiased facts on midwifery here in the Czech republic and abroad.

For our midwives/ birth assistants (and others) to be able the to learn from the latest training materials, we are preparing a Czech translation of the so called Bible for Midwives- Myles Textbook for Midwives - which is considered the best midwifery textbook of all times and which has been translated into many languages.

More information at Myles Textbook for Midwives.

Only well informed and conscious parent can chose the right option among ever growing numbers of health care options which is why we co-organize various lectures for general public and raise awareness.

Examples:
Meeting of men – Jak Jinak rodí muži (“Another Way” – how men participate in the birth process) April 2016 meeting.
Lecture - Jak (ne)rodí muži (“Another Way” – how men (do not) participate in the birth process).

We also produce or co-produce documents and videos.

Interviews with experts on Congress ICM 2014 in Prague Rozhovory s odborníky na kongresu ICM 2014 v Praze.

HOW WE STARTED

HOW WE STARTED - “Another Way” Initiative

In early 2014, Natálie Sedlická (a midwife with experience with midwifery from other countries) called another meeting of a group of people with the same intention - to support and create a birthing house in the Czech republic. Synchroniously, Martin Nemrava, a former executive in the automotive industry was approached, to help make that possible, and he became the project manager. Another founding member of Apodac was Lenka Kočí, a psychotherapist focused on group processes.

The first meeting of the newly formed group took place on 17. 3. 2014 at the “A center”(Center for support of expecting and new parents) in Prague. In the following regular meetings we began to analyze the steps we need to take to create the birthing house in the Czech republic. The participants formed the initiative “Another Way”and used the “A Center” as their base. The “A Center” has become the main partner of this initiative and participated in its activities, including participation of the “A Center” founder - Katarina Zatovičová and the director Hany Perglerová.
The group quickly defined the path to reaching the goal in specifying 15 areas to focus on in order to create the first birth house in the Czech republic. It was clear that this is a very complex project requiring a change in consciousness of the whole society. We divided the 15 areas into three successive phases based on priority and importance for the development of the birth house.

Our initiative “Another Way”was first officially introduced to the public at the ICM International Congress in May 2014 in Prague. We also started many other activities and supportive measures. More information about the initiative “Another Way”can be found on www.jakjinak.info or www.facebook.com/jakjinak..

In the first half of 2015 it became obvious that this demanding complex project will be a very long term one. But we wanted to see changes quickly! So we had to start looking at it differently – in line with our motto “Another Way”.

We had to go back to our original goal- building a birth house- and look for ways to do it as fast as possible. Finally, we decided to set up a birth house under the current laws, rules and regulations, although the current Czech legislation is not at all friendly to the idea, and does not offer the possibilities available in developed countries. We chose a path where we will still continue to strive for change the societal mindset, but instead of waiting to create the birth house once this change happens, we decided to  first set up a birth house under existing regulations and begin to demonstrate the advantages by example. We want to prove that care provided in a birthing house provides low-risk women with the (so far missing) continuity of care and comprehensive and holistic approach. We are convinced that if the birth houses become part of the standard obstetric care, the the number of home births chosen by women for whom the hospital environment is unacceptable will be reduced dramatically. The existing system does not provide any safe support to these women and they are left without the assistance of a skilled healthcare worker.

And so, after careful preparation, on March 10th. 2016 , the Association for Birth Houses & Centers  was founded with the goal to provide professional support for all emerging birth houses and centers. This association focuses only on three areas:

  1. Creation of (the network of) birth houses and centers in the Czech Republic
  2. Training of midwives to work in a birth house
  3. Communications of facts about obstetric care: www.faktaoporodu.cz

The original project "Another Way" remains an initiative -a community of active people who continue to support the societal changes in obstetric care, changes that have been supported over the years by other organziation like such as the Union of Midwives, Czech Confederation of Midwives, Czech Association of Doulas, Movement for Active Motherhood.

The initiative "Another Way" and "APODAC" are very closely linked on both a personal and professional levels.