With one of the lowest maternal mortality rates in the world, the Czech Republic ranks among the top EU countries for prenatal care. However, those committed to a patient-directed childbirth—in a less clinical setting—may need to venture outside of Prague (hospitals Vrchlabí and Neratovice offer alternative birthing options) or stay home: In 2012, the EU ruled that women have the right to choose where they deliver and that the state is obligated to help them carry out home births.
Another current development related to giving birth in Prague is the recent waiving of the fee for fathers who wish to attend the delivery. Prior to April 2012, many hospitals were charging up to 1,000 CZK; currently fathers should be allowed into delivery rooms free of charge or for a nominal fee.
Faced with overcrowding, Czech hospitals have, for some time, required in-person pre-registration for childbirth, with expecting mothers often facing long waits. The majority of Prague hospitals have recently switched to an online registery system, which has somewhat helped to alleviate this bureaucratic burden.
The following breakdown of maternity wards was compiled using as its primary source information from Prague-based healthy parenting association Aperio. Though in Czech, the group’s website can easily be read via Google translate for further information on rates of induction, episiotomy, C-section, and other childbirth-related statistics and services. Aperio also offers prenatal classes in English.
Note that to achieve the “Baby-Friendly” title, hospitals must adhere to the 10 specific steps to support breastfeeding. Despite the fact that only two Prague hospitals listed have been assigned this title, it should not be implied that the remaining hospitals do not provide lactation support or encourage breastfeeding.
Many foreigners from Western countries who give birth in Czech hospitals often cite the clinical furnishings, poor food, and staff’s cold bedside manner as top complaints. And yet improved services and more comfortable settings have become the norm in Prague; women planning on giving birth here shouldn’t let such concerns add to their anxieties.
Prague’s maternity hospitals are:
Hospital Na Bulovce Clinic of Obstetrics and Gynecology Budínova 2, Prague 8 266 081 111 www.bulovka.cz REGISTRY: Register in person from Tuesday until Thursday from 13:00–14:30 or on-line at week 14.
The maternity ward at Bulovka was recently renovated. According to the hospital’s website, it has one of the shortest postpartum periods of hospitalization on average in the entire country. Tours of the hospital are given every Monday and Wednesday at 13:00.
No. of beds in maternity ward 9 single premium, 2 double, 6 triple
Family members allowed in delivery Max. 2 people plus doula
Alternative pain management Massage, birthing ball, showers
Separate birthing room Yes
Selection of maternal position No
Water birth No
Mother has active control over process No
Constant contact with baby after birth Yes
At-home visit from midwife Yes
Collection of cord blood Yes
Perinatal center No
Baby-friendly hospital No
Possibility of VBAC Yes
Possibility of spontaneous breech Yes
Services for disabled patients No
Outpatient childbirth No
Psychological services Yes
Avg. length of stay following normal birth 3–4 days
U Apolinář Obstetrics & Gynecology Clinic Apolinářská 18, Prague 2 224 967 407 www.apolinar.cz REGISTRY: Register in person or on-line at week 14.
U Apolináře is one of the oldest hospitals in Prague; an orphanage and clinic was established here in 1789. Considered one of the best hospitals in Prague for accommodating pre-term labor and women with circulatory problems. Visiting hours are somewhat restrictive, ending at 22:00. (No visitors allowed in triple rooms).
Births per year 4,986 (2008)
Pre-natal classes Yes
Cost of upgraded room 500–1,000 CZK/day
Family rooming-in Yes (1 room)
Rooming-in Yes (and partial rooming-in)
No. of beds in maternity ward 4 single, 9 double, 13 triple
No. of family allowed in delivery room Max. 1 person plus doula
Alternative pain management Aromatherapy, ball, showers, hammock
Separate birthing room Yes
Selection of maternal position Yes
Water birth No
Mother has active control over birthing process No
Constant contact with baby after birth Yes
At-home visit from midwife Yes
Collection of cord blood Yes
Perinatal center Yes
Baby-friendly hospital No
Possibility of VBAC No
Possibility of spontaneous breech No
Services for disabled patients Yes
Outpatient childbirth No
Psychological services No
Avg. length of stay following normal birth 3–4 days
Thomayerova “Krč” University Hospital Vídeňská 800, Prague 4 261 082 258 www.ftn.cz REGISTRY: Register in person or via telephone at week 32.
One of two hospitals in Prague to have earned the WHO/UNICEF “Baby-Friendly” hospital designation and therefore no surprise that it is also home to the Czech Lactation League (Laktační Liga). Visiting hours are restricted and no one besides family may enter the shared rooms during the designated afternoon time.
Births per year 1,822 (2008)
Pre-natal classes Yes
Cost of upgraded room 700 CZK/day
Family rooming-in Yes (8 rooms)
Rooming-in Yes
No. of beds in maternity ward 9 double, 4 triple
No. of family members allowed in delivery room 1–2 people max. including doula
Alternative pain management Showers, music
Separate birthing room Yes
Selection of maternal position Yes
Water birth No
Mother has active control over birthing process No
Continuous contact with baby after birth No
At-home visit from midwife No
Collection of cord blood Yes
Perinatal center Yes
Baby-friendly hospital Yes
Possibility of VBACNo
Possibility of spontaneous breech No
Services for disabled patients No
Outpatient childbirth No
Psychological services No
Avg. length of stay following normal birth 3–4 days
Podolí Institute for the Care of Mother and Child Podolské nábřeží, Prague 10 296 511 111 www.upmd.cz REGISTRY: Register electronically at week 14.
One of the most popular places to deliver in Prague, Podolí excels in high-risk pregnancies, caring for low birth-weight infants, and is one of the few hospitals in Prague with nurses on staff who can communicate in sign-language. Visitors are allowed in the rooms of mothers daily from 15:00 to 19:00.
Births per year 1,313 (2013)
Pre-natal classes Yes
Cost of upgraded room 500–1,700 CZK/day
Family rooming-in Yes (12 rooms)
Rooming-in Yes (in all rooms and partial rooming-in)
No. of beds on maternity ward 13 single, 10 double, 7 triple
No. of family members allowed in deliveryroom 2 people max.
Alternative pain management Showers, music, massage
Separate birthing room Yes
Selection of maternal position Yes
Water birth No
Mother has active control over birthing process No
Constant contact with babies after birth Yes
At-home visit from midwife No
Collection of cord blood Yes
Perinatal center Yes
Baby-friendly Hospital No
Possibility of VBAC No
Possibility of spontaneous breech No
Services for disabled No
Outpatient childbirth No
Psychological services No
Avg. length of stay following normal birth 4 days
Faculty Hospital Motol V Úvalu 84, Prague 5 224 431 111 www.fnmotol.cz Registry: Register in person only at week 14.
Motol Teaching Hospital is preferred by a number of expat moms for its English-speaking staff; well-known for its infant-trauma unit. Visitors are allowed in the rooms daily from 15:00 to 20:00.
Births per year 3,427 (2009)
Pre-natal classes No
Cost of upgraded room 1,000 CZK/day
Family rooming-in Yes (12 rooms)
Rooming-in Yes (in all rooms and partial rooming-in)
No. of beds on maternity ward 2 single, 15 double, and 3 triple
No. of family members allowed in delivery room 1 person plus doula
Alternative pain management Ball, shower, bath, aromatherapy
Separate birthing room Yes
Selection of maternal position Yes
Water birth No
Mother has active control over birthing process No
Constant contact with baby after birth No
At-home visit from midwife Yes
Collection of cord blood Yes
Perinatal center Yes
Baby-friendly hospital Yes
Possibility of VBAC No
Possibility of spontaneous breech No
Services for disabled Yes
Outpatient childbirth No
Psychological services Yes
Avg. length of stay following normal birth 3 days
Faculty Hospital Královské Vinohrady Šrobárova 50, 100 34 Praha 10 267 161 111 www.fnkv.cz REGISTRY: In person or via e-mail after week 14.
This smaller hospital has been known to accommodate birth plans and is repeatedly hailed as a good alternative when the busier hospitals are full. Visitors are allowed in rooms at any time.
Births per year 1,368 (2008)
Pre-natal classes Yes
Cost of upgraded room 300–500 CZK/day
Family rooming-in Yes (2 singles, 1 double)
Rooming-in Yes (and partial rooming-in)
No. of beds on maternity ward 2 singles, 1 double, 2 triples, 1 shared room
No. of family members in delivery room Max. 2 people
Alternative pain management Showers and massage
Separately birthing room No
Selection of maternal position Yes
Water birth No
Mother has active control over birthing process No
Continuous contact with baby after birth Yes
At-home visit from midwife No
Collection of cord blood Yes
Perinatal center No
Baby-friendly hospital No
Possibility of VBAC No
Possibility of spontaneous breech No
Services for disabled Yes
Outpatient childbirth No
Psychological services No
Avg. length of stay following normal birth 4–5 days
To discuss your experience giving birth in Prague hospitals or read about the experiences of other expat women, visit www.bumpsbabiesandtots.cz or www.kidsinprague.com and join each site’s Facebook group.
Did you deliver in a Czech hospital? How did you find the maternity ward? What advice would you give other women who plan on giving birth in a Prague hospital?