English Translation

Husslein, On the question of home or institutional birth logical births belong to the clinic, which should be done spontaneously but at home, the birth aid experience. The clinic is prepared for all dangers and can provide much faster, more comprehensive and more useful help than is possible at home. For the critical assessment, "whether home or institution birth", it is just as important as the mortality and morbidity of mothers also child mortality. I do not need to explain why, in the case of the great vulnerability of infants in the first days of life, the clinic with its comprehensive furnishing and care system ensures the greatest safety for them; therefore, mortality is also a correspondingly low one. Table VI 1935 1936 1937 1938 1939 Average mortality over the period of 5 years 2.7% 3.6% 2.2% 2.6% 2.9% 2.8% If I compare it with the mortality rate as published by the Municipal Health Office in Düsseldorf for the birth of the house there (E. Theisen, Düsseldorf), which reached an average mortality of 4.3% in the period 1927-1937, makes the superiority of the institutional birth all the more evident in terms of child mortality. I do not have the relevant figures at home birth in this country, but it is well known that in Bohemia and Moravia, especially, early childhood is particularly high at birth. After all this, then, it can be claimed that the objection raised against clinical obstetrics, that by it the woman is more endangered than by the birth of the house, is wrong. It can also be noted that the development so far, which shows an ever-increasing increase in institutional births, is the result of the scientific rise of German obstetrics. The publications of the Federal Statistical Office also provide information on this development. Table VII -300 1936 1935 200 1931 1933 1934 1932 1924 163,2000 0 0 176,0%/0 251,2°/00 —100 269.9°/ 00 0 151,9o 157,1o 90o% In the major cities, the births of institutions (E. Theisen, Düsseldorf) account for up to 80% of all births. This development was not a random one, but inevitably took place. And again, it was not the institutions that forced this development, but they merely co-operated with the cranes.