Our midwives circle has been in operation since 2003 with the aim of training independent midwives, who can:
• Support self care by providing a constant information-based opportunity for consultation (possessing the appropriate knowledge)
• Carry out routine tests within the current Hungarian antenatal care system (e.g. cancer screening)
• Recognise when a pregnancy is coupled with some abnormal phenomenon, in which case they are able to refer the person in need to the appropriate place and request a consultation
• Demonstrate awareness of the purpose, effectiveness, disadvantages, advantages and risks of all routine tests during pregnancy, with the ability also of teaching them to others
• Distinguish uncomplicated births from those in which a larger percentage of complications can be anticipated
• Independently accompanying births in which no complications are expected (regardless of whether the birth takes place outside or inside an institution), and in cases where there are complications, of recognising those complications early on, and of initiating in-situ professional attendance, meanwhile invoking an appropriate level of professional help or, in cases of birth outside an institution, of managing the transport
• Cooperate in research and/or independent research
• Present their research results orally (in education and lectures) and express them or other things (e.g., what they have experienced during the birth, etc) in writing
• Offer congruence, empathy, intuition, and unconditional positive attention to others (in line with C. Rogers ideas)
• Demonstrate at least basic knowledge of at least one foreign language
Neither obstetricians nor independent midwives can be educated without practical training. The practice of conducting births in institutions within obstetrics differs radically from accompanying births outside institutions. These are two separate specialities, so practice of them should be obtained in the appropriate places. The role of nurses involved in antenatal care is also different from the role of independent midwives.
Although the state training of obstetricians in Hungary is appropriate for the training of independent midwives with regard to its curriculum, it is not capable of training independent midwives given that, in practice, neither the so-called antenatal care nor the obstetrician-led births in hospitals can be carried out independently by obstetricians. As for births outside institutions that are supported by professional help, these are directly opposed by the official professional college, thus they are unable to provide proper practical training.
The midwives circle educates only 2-3 midwife apprentices per year, as it is not able to provide adequate practical training for more apprentices. The education functions in a tutorial system. The midwife apprentices are not always released within a year of practice.
A native English translator living in Hungary selected the equivalent English terms ‘midwives circle’ for ‘bábatanoda‘, ‘apprentice’ for ‘bábainas‘ and ‘master midwife’ for ‘oktató bába‘.
The term midwives circle indicates that midwives being educated here are learning a profession that differs from hospital obstetrics, and also that their learning method is a tutorial system based on personal responsibility.
The Napvilág Születésház team