Much was gained with the introduction of the medical approach into pregnancy and childbirth: the use of antibiotics and transfusion, safe Caesarean techniques, important diagnostic procedures, interventions and drugs aimed at resolving complications and health problems for mother and baby. When combined with better living standards, access to health care and women's greater autonomy in terms of making the decision about motherhood, it has led to a decrease in mortality and morbidity in both women and babies. According to some indicators, Slovenia is among the countries with good perinatal results. However, expectant women and families face some key problems:
A suitable attitude is guaranteed from all the medical experts and others who take part in maternity care. Every medical expert is personally responsible to the mother, family, community and the health system for the quality of his/her care.
The implementation of all the practices based on modern scientific findings about the pros and cons of interventions, procedures and medicines which are proven to be effective and support the normal physiology of pregnancy, labour, birth and post-natal period, are guaranteed in maternity care. Appropriate, high quality and safe medical care of the mother and baby is provided.
Routine or frequent use of certain interventions, procedures or drugs during a normal labour and birth is not justified by scientific findings and can be potentially dangerous or harmful for the mother and/or the baby. A considered and well-grounded decision to use such interventions, procedures or drugs is required.
A model of maternity care is implemented which in a considered and justified manner combines two approaches: midwifery – ensuring care in terms of the physiological course of pregnancy, labour, birth and the postpartum period; and the approach used by medical practitioners when there are (potential) illness, risks and/or complications involved. The two approaches complement each other and women are transferred between the two approaches according to the condition of their health in order to ensure safe and effective care for mother and baby. Midwifery and obstetrics are independent professions, each with specific competences and responsibilities.
At check-ups during pregnancy, labour, birth and the postpartum period women are accompanied by their family or friends or anyone else of their choice, one person or more; women are informed about the advantages of uninterrupted support from those close to them during labour.
Women’s participation in making decisions on their care is guaranteed. Parents’ participation in making decisions regarding the care of their baby is guaranteed. Medical experts wait for consent to, acceptance of and agreement with or rejection of the suggested procedure, intervention or medication. The common goal is safe and effective care of baby and mother.
Women are guaranteed the right whether or not to participate in a study about which they have been fully informed.
Protection of privacy and of personal data during all procedures, such as taking medical history, examinations, interventions and treatment are guaranteed.
Women are guaranteed the right to accept or reject a suggestion that other people (in addition to the medical expert involved and his/her colleagues) should carry out a procedure or an intervention.
Women are guaranteed the right to see and receive a copy of the documentation regarding their case, and parents the right to see and receive a copy a copy of the documentation regarding their child.
The realisation of the right to deal with a violation of patient's right and the use of the services of the Patients Rights Ombudsman are guaranteed.
* All the paragraphs under this title are based on the Patients Rights Act.
Prior to every procedure or intervention medical experts ensure a fully informed choice; for this, they use language that is understandable and adapted to the individual woman or parents.
The choice of various types of places of birth and birth settings with suitable expert help is ensured. For low-risk pregnancies, women can choose between maternity hospitals and independent birth centres or opt for a home birth on the basis of objective information about the advantages and risks involved.
Maternity care helps create the conditions for the excellent physical and mental health of the baby and its parents within the family and community.
The consultation team includes decision-makers and policy shapers, service users, associations, experts from different fields, representatives from educational and research institutions, and care providers; their work is based on cooperation and the recognition of competences.
Educational and research institutions involved in maternity care are committed to the development of science and professionalism and the education of experts. The organisations involved in the provision of care are committed to the realisation of maternity care. The decision makers and policy shapers are committed to ensuring suitable conditions and the realisation of the functioning of an excellent maternity care system.
Personal data protection: Your personal data will be held by Natural Beginnings. When we present the initiative to the Ministry for Health, your data will be included. It will not be used for any other purposes or shared with others. In order to prevent any misuse, Natural Beginnings will send you an e-mail. We will count your agreement with the initiative only after you have confirmed it by clicking on the link in the e-mail.