watching datable to news coming up next labor pains midwives in crisis we'll have more news for you at the top top of the hour with. i'm rebecca writs in bell and thanks for watching. some time in the twenty six. my great granddaughter of. the world be like in your own life time in around half a century. your world will be around two degrees one. inevitably sea level rise by at least one century. we're going to have some climate impacts to turn greater than me. it's really frightening

. why are people more concerned. little yellow. shorts may thirty first w. catarina pereira is a freelance midwife in berlin for seventeen years she helped women give birth but she's no longer willing to put up with the working conditions hospitals are closing their delivery rooms and midwives are quitting those who remain are overworked. as midwives we no longer want to work in delivery rooms and can't afford five women at once because we come to show the well being of mother and child back in the business. could be in the business not exist.

as it is. so. this prenatal class in berlin is for parents expecting their second child. here catalina pereira imitates contractions. the five b. in ok three contractions. the last for the fall and i was it for the women. brings back memories. kind of the album of my

hair and i think you could hear that the contractions are very different and the same ways ah no one contraction is the same as another i end of year is who. i in a stock of the midwife knows that such classes are more important than ever in germany because many children come into the world in difficult conditions in many places there's a shortage of midwives. yet it's freelance midwives like katarina who care for women and their babies before and after childbirth. and midwives employed in hospitals work in a high stress environment. that's why catarina has changed her courses in recent years. not only does she help expectant parents prepare for the birth of their child both physically and mentally but also i tell them about was a situation in the hospital in the car that one midwife must often can for three or four women at once and i'm trying to strengthen the women give them

a good sense of physical awareness sort of right now so they'll get through the birth ok. pushed in can last busted so much about how the board muffled and for example is a very good if we want to trigger contractions optimizes the child's position then i tell a woman often i like this only. catarina help to deliver children for seventeen years. but recently she decided to only do pre and ante natal care and to give classes just like it wasn't an easy decision to make. as she knows how hard it is for parents to find a midwife we have and i know. many rejections were always the same we have no capacity no place is free of the summit and we started looking quite early. to be ambushed and we looked for two or three months when my first child was born eight years ago it wasn't such

a problem but now it really is the start of this improving and hope. and the most telling. pain to one last time he was so active let's see if you react to my hands that way again. let them out i can still hit on the side. samantha mckenna is expecting her third child and katherina is caring for her during her pregnancy. she'll also be present at the birth but only to provide emotional support as a friend by albert who i think adding i'd only return to assisting with deliveries if i had a really good idea of how i could work in a team outside the hospital and not be on constant cool. but i took this. babies come into the world at any time of the day or night so these midwives are on call twenty four seven but having to be available all the time we tap on her family life wonderful good trait just as it should be. freelance

midwives pay high liability insurance premiums that's also another thing preventing cut to rina from returning to delivering babies eleven would be the best hurdle i would face if i went back to delivering babies next year it would be where would i get the six or seven thousand what i already has to pay for liability insurance and what a ha ha because i need that before i could return and i think that's also the biggest problem facing the young midwives have just finished training. off their income. freelance midwives who assisted births face skyrocketing costs for liability insurance. they can now expect to pay over eight thousand euros a year and katherina says even if they are partly reimbursed midwives aren't paid enough for their work. yes well no ball. i think it makes me really angry because we simply aren't paying for the responsibility that we have that's what i

think is so awful i think it's also a matter of appreciation of hobby batch that song samantha thinks her midwife is irreplaceable. you just close it to you. should have put it that you closer to her than to your gynecologist you can talk to her about things you wouldn't with a gynecologist because she doesn't have the time of a third of catarina says that midwives take the time even if they're not always paid for it. that's a situation country is no longer willing to accept so she's organized to protest but i don't i'm one of the many midwives who aren't willing to accept the status quo any more we founded a group called midwife rebels one thing the midwife rebels criticized hospitals often closed the delivery rooms do to a lack of personnel and turn away women in labor. a sign of

something you know i'm not frustrating enough then when a woman in labor has finally found a hospital to take any may have to live with the fact that her midwife is looking after three or four other women of the same time so she won't receive adequate care that can lead to lots of medical interventions a high rate of says they are infections and women who want traumatised by the birth when no longer willing to accept that is what is needed and i wish you lots of children lots of strength and don't put up with anything. and i'd like to protest it to alexanderplatz or two or three big swezey but the soundtrack good music can just read off the things with a life stream on facebook facebook. the things are postcards from the midwife rebels latest protest campaign people across germany send postcards to germany's

health minister complaining about the lack of midwives clothes delivery rooms and overworked birth attendants my school safety nets. her yet arena and her freelance colleagues are also suffering from the crisis in the hospitals. it's just that. if women don't receive good care in hospitals has freed us midwives almost always have to make up for this at home. but this is not that didn't used to be the case i'm not bashing the hospitals the midwives they do what they can get. to listen to them but often it's just not enough just so this is a sin considering how important this is we're not talking about removing it was we talking about the birth of a child outside her and in this shift the midwife rebels demands are clear they want a political solution to fix germany's catastrophic birthing system. we

don't need high tech we need well rested midwives we like that working and enough of them in the places babies are born and that's it. isn't the. only person in the book you call someone and. samantha mccann off is about to give birth and she's lucky to have a well rested midwife at her side oh oh oh oh oh katherina can't do much more than help her get through the contractions. one of the hospital midwives bears all of the medical responsibility. here. a short while later and marley is born both mother and child are well. eight days later catarina visit samantha mcconnell and her baby each day. she checks on them both and answers any questions the new mother might have i will.

not. have the two thousand seven hundred twenty cannons. today catarina has brought an apprentice along so euro sadowski wants to become a midwife. she wants to get an impression of what the jobs like and here how and marley's birth went. for the visitors come to my absolutely wanted kids arenas to be that i knew someone i trusted was that that we could do it that i didn't need to be afraid because that had problems with the best of my first child and i had no reason to be afraid all kind of things and she was there to really help me relax clinton was one. of you know and marley's birth also made it clear to cut to reno what she's been missing. you know what my want to do best again because i love to go to misrata so. it was

a real gift for me to be present at one again after one and half is it was like it just rounded everything off. but first she has to find out how to better reconcile her own family life with her chosen profession. until then she'll be dedicating much of her time to the fight for better obstetrical care in germany. as most of the triggers that we have must ensure that women in hospitals get one to one care they have a right to it but i think midwives also have a right to work solely on a one to one basis and if we midwives join forces with the colleagues in the hospitals who do incredible work and the freelance midwives and i think we can do it both of us never had a better standing in society than we do now and now is the right time to say stop this can't go on. we want this these around to moms and we simply won't work under

any other conditions and i think that's possible because. all of that doesn't frighten say heiress i don't ski she sees it as a challenge. because it's so difficult right now and they are so many problems you have to consciously choose to do it. we won't get far if we always take another path when a problem arises why some really looking forward to being active in taking. some point brings tears to my eyes come his way or yes we know people like labor. say or sadowski desire to become a midwife gives caterina pereira hope that her fight for better of step trickle care in germany will succeed. because. he would. he doesn't do this.

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