{"id":356,"date":"2025-02-15T20:48:33","date_gmt":"2025-02-15T19:48:33","guid":{"rendered":"https:\/\/chcisvojiporodniasistentku.cz\/?page_id=356"},"modified":"2025-02-15T20:48:33","modified_gmt":"2025-02-15T19:48:33","slug":"otevreny-dopis-ke-stanovisku-cgps-cls-jep","status":"publish","type":"page","link":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/otevreny-dopis-ke-stanovisku-cgps-cls-jep\/","title":{"rendered":"Otev\u0159en\u00fd dopis ke stanovisku \u010cGPS \u010cLS JEP"},"content":{"rendered":"\n

Prof. PhDr. Petr Fiala, Ph.D., LL.M. – p\u0159edseda vl\u00e1dy
prof. MUDr. Vlastimil V\u00e1lek, CSc., MBA, EBIR – ministr zdravotnictv\u00ed
Mgr. Kl\u00e1ra \u0160im\u00e1\u010dkov\u00e1 Lauren\u010d\u00edkov\u00e1 – vl\u00e1dn\u00ed zmocn\u011bnkyn\u011b pro lidsk\u00e1 pr\u00e1va<\/em><\/p>\n\n\n\n

V\u00e1\u017een\u00fd pane premi\u00e9re, v\u00e1\u017een\u00fd pane minist\u0159e zdravotnictv\u00ed, v\u00e1\u017een\u00e1 pan\u00ed zmocn\u011bnkyn\u011b vl\u00e1dy pro lidsk\u00e1 pr\u00e1va,<\/p>\n\n\n\n

obrac\u00edme se na V\u00e1s kv\u016fli stanovisku \u010cesk\u00e9 gynekologick\u00e9 a porodnick\u00e9 spole\u010dnosti \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti Jana E. Purkyn\u011b k odborn\u00e9 p\u00e9\u010di porodn\u00edch asistentek, a to zejm\u00e9na k dom\u00e1c\u00ed p\u00e9\u010di v \u0161estined\u011bl\u00ed. Toto stanovisko obsahuje mnoho nepravd, ke kter\u00fdm se mus\u00edme vyj\u00e1d\u0159it jak za profesn\u00ed  organizace porodn\u00edch asistentek, tak za lidskopr\u00e1vn\u00ed organizace, dal\u0161\u00ed odborn\u00edky zab\u00fdvaj\u00edc\u00ed se porodnictv\u00edm i p\u0159\u00edjemkyn\u011b p\u00e9\u010de.<\/p>\n\n\n\n

V prv\u00e9 \u0159ad\u011b se mus\u00edme vymezit proti tomu, \u017ee p\u00e9\u010de porodn\u00edch asistentek v dom\u00e1c\u00edm prost\u0159ed\u00ed do dne\u0161n\u00ed doby nepat\u0159\u00ed. Opak je pravdou. Sta\u010d\u00ed se pod\u00edvat do z\u00e1padn\u00edch zem\u00ed jako je Rakousko, N\u011bmecko, Nizozem\u00ed \u010di Velk\u00e1 Brit\u00e1nie, kde je tato p\u00e9\u010de standardem hrazen\u00fdm z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Naopak v \u010cesk\u00e9 republice \u017eena po propu\u0161t\u011bn\u00ed z porodnice nem\u00e1 k dispozici automaticky \u017e\u00e1dnou p\u00e9\u010di a\u017e do konce \u0161estined\u011bl\u00ed.<\/strong> Jedn\u00e1 se p\u0159itom o citliv\u00e9 a mnohdy n\u00e1ro\u010dn\u00e9 obdob\u00ed a p\u00e9\u010de porodn\u00ed asistentky v dom\u00e1c\u00edm prost\u0159ed\u00ed \u017eeny m\u016f\u017ee pomoci \u017een\u00e1m po str\u00e1nce fyzick\u00e9, tak i v oblasti psychiky. Z\u00e1rove\u0148 jde o p\u00e9\u010di preventivn\u00edho charakteru, kter\u00e1 m\u016f\u017ee v\u010das zachytit za\u010d\u00ednaj\u00edc\u00ed zdravotn\u00ed probl\u00e9my.<\/p>\n\n\n\n

Zadruh\u00e9, v\u00fdhodou p\u00e9\u010de poskytovan\u00e9 v dom\u00e1c\u00edm prost\u0159ed\u00ed je pr\u00e1v\u011b to, \u017ee \u017eena nemus\u00ed nikam cestovat a p\u00e9\u010de je j\u00ed poskytnuta v jej\u00edm vlastn\u00edm prost\u0159ed\u00ed. P\u0159edstava, \u017ee \u017eena nap\u0159\u00edklad po c\u00edsa\u0159sk\u00e9m \u0159ezu, tedy rozs\u00e1hl\u00e9 b\u0159i\u0161n\u00ed operaci, bude absolvovat cestu do ambulance, kdy\u017e j\u00ed odborn\u00e1 p\u00e9\u010de m\u016f\u017ee b\u00fdt poskytnuta doma, je absurdn\u00ed. Kontinu\u00e1ln\u00ed p\u00e9\u010de porodn\u00ed asistentky, a to v\u010detn\u011b pr\u00e1v\u011b takov\u00fdchto n\u00e1v\u0161t\u011bv, je naopak v\u00fdhodn\u00e1 nejen pro \u017eeny, ale i pro syst\u00e9m ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/a><\/strong><\/p>\n\n\n\n

Tvrzen\u00ed, \u017ee by p\u00e9\u010de porodn\u00edch asistentek zhor\u0161ila sou\u010dasnou \u0161pi\u010dkovou \u00farove\u0148 \u010desk\u00e9ho porodnictv\u00ed, je devalvuj\u00edc\u00ed  pro v\u0161echny porodn\u00ed asistentky a zneva\u017euje odbornost jejich kompetenc\u00ed. Porodn\u00ed asistentky maj\u00ed v syst\u00e9mu p\u00e9\u010de o t\u011bhotn\u00e9 a rod\u00edc\u00ed \u017eeny a \u017eeny po porodu sv\u00e9 nezastupiteln\u00e9 m\u00edsto. Kompetence porodn\u00edch asistentek jsou d\u00e1ny platnou legislativou, jejich p\u00e9\u010de je nav\u00edc zakotvena i v syst\u00e9mu ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. I ve stanovisku zmi\u0148ovan\u00e1 samostatn\u00e1 pracovi\u0161t\u011b porodn\u00edch asistentek mohou leg\u00e1ln\u011b existovat a existuj\u00ed (pro dom\u00e1c\u00ed n\u00e1v\u0161t\u011bvy jde o tzv. kontaktn\u00ed pracovi\u0161t\u011b), jeliko\u017e porodn\u00ed asistentka m\u016f\u017ee svou p\u00e9\u010di poskytovat i bez odborn\u00e9ho dohledu. Tato p\u00e9\u010de je ale pro mnoho \u017een nedostupn\u00e1 pr\u00e1v\u011b i z finan\u010dn\u00edho d\u016fvodu, jeliko\u017e si p\u00e9\u010di mus\u00ed hradit jako samopl\u00e1tkyn\u011b. N\u011bkte\u0159\u00ed poskytovatel\u00e9 p\u00e9\u010de v\u010detn\u011b porodnic se sna\u017e\u00ed \u017een\u00e1m poporodn\u00ed p\u00e9\u010di zp\u0159\u00edstupnit, nebo\u0165 si uv\u011bdomuj\u00ed jej\u00ed d\u016fle\u017eitost, a tak p\u0159\u00edmo n\u00e1v\u0161t\u011bvn\u00ed slu\u017ebu porodn\u00ed asistentkou nab\u00edzej\u00ed.<\/a> V ojedin\u011bl\u00fdch p\u0159\u00edpadech zaji\u0161\u0165uje poporodn\u00ed n\u00e1v\u0161t\u011bvu porodn\u00ed asistentka z ordinace gynekologa, ale jedn\u00e1 se opravdu o raritn\u00ed praxi. Mimo jin\u00e9 i proto, \u017ee odborn\u00e1 spole\u010dnost \u010cGPS \u010di konkr\u00e9tn\u00ed l\u00e9ka\u0159i t\u00e9to p\u00e9\u010di kladou do cesty v n\u011bkter\u00fdch p\u0159\u00edpadech p\u0159ek\u00e1\u017eky.<\/p>\n\n\n\n

Nakonec, nen\u00ed pravdou, \u017ee l\u00e9ka\u0159 nen\u00ed povinen vystavit \u017e\u00e1danku pro indikaci p\u00e9\u010de porodn\u00ed asistentky. V\u00fdkon \u010d\u00edslo 06211 (n\u00e1v\u0161t\u011bva t\u011bhotn\u00e9 nebo matky v \u0161estined\u011bl\u00ed) nen\u00ed podm\u00edn\u011bn \u017e\u00e1dn\u00fdm specifick\u00fdm zdravotn\u00edm stavem krom\u011b toho, \u017ee je \u017eena t\u011bhotn\u00e1 nebo v obdob\u00ed \u0161estined\u011bl\u00ed, a tato p\u00e9\u010de tak m\u00e1 b\u00fdt p\u0159\u00edstupn\u00e1 v\u0161em \u017een\u00e1m.<\/a> Tak se ostatn\u011b vyj\u00e1d\u0159il ji\u017e v roce 2018 ve\u0159ejn\u00fd ochr\u00e1nce pr\u00e1v<\/a>, podle kter\u00e9ho je n\u00e1v\u0161t\u011bvn\u00ed slu\u017eba porodn\u00ed asistentky prosp\u011b\u0161n\u00e1 a m\u011bla by b\u00fdt dostupn\u00e1 v\u0161em \u017een\u00e1m, kter\u00e9 o ni maj\u00ed z\u00e1jem, nebo\u0165 \u017eeny maj\u00ed pr\u00e1vo si samy ur\u010dit, jakou p\u00e9\u010di z nab\u00edzen\u00fdch mo\u017enost\u00ed cht\u011bj\u00ed \u010derpat. D\u00e1le si dovol\u00edme p\u0159ipomenout programov\u00e9 prohl\u00e1\u0161en\u00ed Va\u0161\u00ed sou\u010dasn\u00e9 vl\u00e1dy<\/a> ze dne 6. 1. 2022, kde uv\u00e1d\u00ed, \u017ee podpo\u0159\u00ed \u017eeny v jejich volb\u011b poskytovatele p\u00e9\u010de v t\u011bhotenstv\u00ed, p\u0159i porodu i po n\u011bm t\u00edm, \u017ee zp\u0159\u00edstupn\u00ed p\u00e9\u010di porodn\u00edch asistentek s d\u016frazem na kontinu\u00e1lnost p\u00e9\u010de poskytovan\u00e9 jednou osobou.<\/p>\n\n\n\n

Apelujeme na V\u00e1s, aby do\u0161lo co nejd\u0159\u00edve k vytvo\u0159en\u00ed Koncepce p\u00e9\u010de o matku a d\u00edt\u011b, kde by byla role porodn\u00ed asistentky v syst\u00e9mu poskytovan\u00e9 p\u00e9\u010de jasn\u011b ustanovena mezi ostatn\u00edmi poskytovateli prim\u00e1rn\u00ed zdravotn\u00ed p\u00e9\u010de. <\/p>\n\n\n\n

Z\u00e1rove\u0148 apelujeme na to, aby do doby vzniku Koncepce p\u00e9\u010de o matku a d\u00edt\u011b, Ministerstvo zdravotnictv\u00ed zajistilo ve spolupr\u00e1ci s odborn\u00fdmi spole\u010dnostmi sjednocen\u00ed postupu v p\u0159\u00edpad\u011b, \u017ee \u017eena \u017e\u00e1d\u00e1 sv\u00e9ho registruj\u00edc\u00edho gynekologa o indikaci p\u00e9\u010de porodn\u00ed asistentky, a t\u00edm p\u0159ede\u0161lo z\u00e1m\u011brn\u00e9mu bojkotov\u00e1n\u00ed prokazateln\u011b prosp\u011b\u0161n\u00e9 p\u00e9\u010de v\u0161em \u017een\u00e1m.<\/p>\n\n\n\n

Podpisy za organizace:<\/strong><\/p>\n\n\n

\"\" \"\" \"\" \"\"\"\"\"\"\"\"\"Aperio\"Porodn\u00ed  \"Dom\u016f\"<\/p>\n\n\n

Podpisy za jednotlivce:<\/strong><\/p>\n\n\n\n

MUDr. Anton\u00edn \u0160ebela, Ph.D., vedouc\u00ed Centra perinat\u00e1ln\u00edho du\u0161evn\u00edho zdrav\u00ed N\u00e1rodni \u00fastav du\u0161evn\u00edho zdrav\u00ed<\/p>\n\n\n\n

Mgr. V\u011bra Jedli\u010dkov\u00e1, advok\u00e1tka<\/p>\n\n\n\n

PhDr. Miloslava Kamen\u00edkov\u00e1, porodn\u00ed asistentka, Centrum porodn\u00ed asistence FN Brno<\/p>\n\n\n\n

JUDr. Barbora Steinlauf, advok\u00e1tka<\/p>\n\n\n\n

Mgr. Monika \u0160im\u016fnkov\u00e1, \u010dlenka Rady vl\u00e1dy pro lidsk\u00e1 pr\u00e1va<\/p>\n\n\n\n

\n\n\n\n

Origin\u00e1ln\u00ed stanovisko jak bylo doru\u010den\u00e9 emailem o\u0161et\u0159uj\u00edc\u00edmu gynekologovi na z\u00e1klad\u011b jeho dotazu k indikaci p\u00e9\u010de porodn\u00ed asistentky: <\/em><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

<\/p>\n\n\n\n

Pokud se chcete p\u0159ipojit k v\u00fdzv\u011b na zaji\u0161t\u011bn\u00ed dostupn\u011bj\u0161\u00ed p\u00e9\u010de porodn\u00edch asistentek, m\u016f\u017eete p\u0159ipojit sv\u016fj podpis k v\u00edce ne\u017e 9500 dal\u0161\u00edch lid\u00ed zde: <\/em><\/p>\n\n\n\n

\n
Podepsat dopis<\/a><\/div>\n<\/div>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Prof. PhDr. Petr Fiala, Ph.D., LL.M. – p\u0159edseda vl\u00e1dyprof. MUDr. Vlastimil V\u00e1lek, CSc., MBA, EBIR – ministr zdravotnictv\u00edMgr. Kl\u00e1ra \u0160im\u00e1\u010dkov\u00e1 Lauren\u010d\u00edkov\u00e1 – vl\u00e1dn\u00ed zmocn\u011bnkyn\u011b pro lidsk\u00e1 pr\u00e1va V\u00e1\u017een\u00fd pane premi\u00e9re, v\u00e1\u017een\u00fd pane minist\u0159e zdravotnictv\u00ed, v\u00e1\u017een\u00e1 pan\u00ed zmocn\u011bnkyn\u011b vl\u00e1dy pro lidsk\u00e1 pr\u00e1va, obrac\u00edme se na V\u00e1s kv\u016fli stanovisku \u010cesk\u00e9 gynekologick\u00e9 a porodnick\u00e9 spole\u010dnosti \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti …<\/p>\n

Otev\u0159en\u00fd dopis ke stanovisku \u010cGPS \u010cLS JEP<\/span> Pokra\u010dovat ve \u010dten\u00ed »<\/a><\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"class_list":["post-356","page","type-page","status-publish","hentry"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"Monika Ka\u0161parov\u00e1","author_link":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/author\/monika\/"},"uagb_comment_info":0,"uagb_excerpt":"Prof. PhDr. Petr Fiala, Ph.D., LL.M. – p\u0159edseda vl\u00e1dyprof. MUDr. Vlastimil V\u00e1lek, CSc., MBA, EBIR – ministr zdravotnictv\u00edMgr. Kl\u00e1ra \u0160im\u00e1\u010dkov\u00e1 Lauren\u010d\u00edkov\u00e1 – vl\u00e1dn\u00ed zmocn\u011bnkyn\u011b pro lidsk\u00e1 pr\u00e1va V\u00e1\u017een\u00fd pane premi\u00e9re, v\u00e1\u017een\u00fd pane minist\u0159e zdravotnictv\u00ed, v\u00e1\u017een\u00e1 pan\u00ed zmocn\u011bnkyn\u011b vl\u00e1dy pro lidsk\u00e1 pr\u00e1va, obrac\u00edme se na V\u00e1s kv\u016fli stanovisku \u010cesk\u00e9 gynekologick\u00e9 a porodnick\u00e9 spole\u010dnosti \u010cesk\u00e9 l\u00e9ka\u0159sk\u00e9 spole\u010dnosti…","_links":{"self":[{"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/pages\/356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/comments?post=356"}],"version-history":[{"count":7,"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/pages\/356\/revisions"}],"predecessor-version":[{"id":363,"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/pages\/356\/revisions\/363"}],"wp:attachment":[{"href":"https:\/\/chcisvojiporodniasistentku.cz\/index.php\/wp-json\/wp\/v2\/media?parent=356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}