Complaints, procedure and composition of the Court
Relying on Article 8 (right to respect for private and family life) and Article 13 (right to an effective
remedy), Ms Pojatina complained that Croatian law had dissuaded health professionals from
assisting her when giving birth at home. She alleged in particular that, although the law allowed
home births, women such as her could not make this choice in practice because they were not able
to get professional help. She also alleged that, because she had chosen to give birth at home, she
and her child had been denied postnatal care and that it had been difficult to register her child and
obtain a birth certificate.
The application was lodged with the European Court of Human Rights on 9 February 2012.
Judgment was given by a Chamber of seven judges, composed as follows:
Linos-Alexandre Sicilianos (Greece), President,
Kristina Pardalos (San Marino),
Krzysztof Wojtyczek (Poland),
Ksenija Turković (Croatia),
Armen Harutyunyan (Armenia),
Pauliine Koskelo (Finland),
Jovan Ilievski (“the former Yugoslav Republic of Macedonia”),
and also Abel Campos, Section Registrar.
Decision of the Court
The Court found that the Croatian legislation had had a serious impact on Ms Pojatina’s freedom of
choice when giving birth. She had either had to give birth in a hospital, or if she wished to give birth
at home, it had to be without the assistance of a midwife, and therefore with risks to herself and her
baby. In the end, she had given birth at home with the assistance of a midwife from abroad.
The Court held that that interference with the applicant’s right to respect for her private life had
been “in accordance with the law”. Indeed, although at first there might have been some doubt as
to whether a system for assisted home births was set up in Croatia, she had received letters from
the Croatian Chamber of Midwives and the Ministry of Health while she had still been pregnant with
her fourth child, explaining that the law did not allow assisted home births. However, the Court
called on the Croatian authorities to consolidate the relevant legislation so that the matter was
expressly and clearly regulated.
Moreover, the interference with Ms Pojatina’s right to respect for her private life had not been
disproportionate to the State’s legitimate aim of encouraging hospital births to protect the health
and safety of mothers and children. In particular, while it would be possible for Croatia to allow
planned home births, it was not currently required to so under the Convention. The Court was
sensitive to the fact that the law developed gradually in this area, there still being a great disparity
between the legal systems of the Contracting States. The Court could not disregard remarks that
wishes of women during childbirth did not seem to be fully respected in Croatian maternity wards.
However, it noted that in recent years initiatives had been taken in order to improve the situation.
The Court invited the Croatian authorities to make further progress by keeping the legal provisions
on the issue under constant review in order to reflect medical and scientific developments while
fully respecting women’s rights, in particular by ensuring adequate conditions for both patients and
medical staff in maternity hospitals across the country.
The Court also noted that there were no provisions under Croatian law criminalising home births and
no woman or health professional had ever been prosecuted or punished in the country for a home
birth.
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