issued by the Registrar of the Court  
ECHR 328 (2018)  
04.10.2018  
No breach of woman’s rights in home birth case, but Court calls on Croatia  
to regulate legislation more clearly  
In today’s Chamber judgment1 in the case of Pojatina v. Croatia (application no. 18568/12) the  
European Court of Human Rights held, unanimously, that there had been:  
no violation of Article 8 (right to respect for private life) of the European Convention on Human  
Rights.  
The case concerned Croatian legislation on home births. The applicant in the case is a mother who  
gave birth to her fourth child at home with the help of a midwife from abroad. She alleged in  
particular that, although Croatian law allowed home births, women such as her could not make this  
choice in practice because they were not able to get professional help.  
The Court accepted that at first there might have been some doubt as to whether a system for  
assisted home births had been set up in Croatia. It therefore called on the authorities to consolidate  
the relevant legislation so that the matter is expressly and clearly regulated.  
However, it found that the applicant had clearly been made aware, through the letters from the  
Croatian Chamber of Midwives and the Ministry of Health which she had received while she had still  
been pregnant with her fourth child, that the domestic law did not allow assisted home births. It  
further found that the authorities had struck the right balance between the applicant’s right to  
respect for her private life and the State’s interest in protecting the health and safety of mothers  
and children. It pointed out in particular that Croatia was not currently required under the  
Convention to allow planned home births. There was still a great disparity between the legal systems  
of the Contracting States on home births and the Court was sensitive to the fact that the law  
developed gradually in this area.  
Principal facts  
The applicant, Ivana Pojatina, is a Croatian national who was born in 1976 and lives in Zagreb.  
She gave birth to her first three children in hospital. In 2011 she became pregnant with her fourth  
child and had a due date in February 2012. During her pregnancy she wrote to the Croatian Chamber  
of Midwives to enquire whether she could have professional help with a home birth.  
The Chamber told her that under Croatian law, health professionals, including midwives, were  
unable to assist with home births. In particular, the setting up of private practices by midwives was  
not clearly regulated and thus no midwife officially assisted with home births. The Chamber also  
cited a statement by the Ministry of Health showing that there was no system for assisting home  
births in Croatia.  
On 15 February 2012 the applicant gave birth to her fourth child at home, assisted by a midwife  
from abroad.  
1. Under Articles 43 and 44 of the Convention, this Chamber judgment is not final. During the three-month period following its delivery,  
any party may request that the case be referred to the Grand Chamber of the Court. If such a request is made, a panel of five judges  
considers whether the case deserves further examination. In that event, the Grand Chamber will hear the case and deliver a final  
judgment. If the referral request is refused, the Chamber judgment will become final on that day.  
Once a judgment becomes final, it is transmitted to the Committee of Ministers of the Council of Europe for supervision of its execution.  
Further information about the execution process can be found here: www.coe.int/t/dghl/monitoring/execution.  
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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As concerned Ms Pojatina’s complaint that she and her child had been denied postnatal care, the  
Court noted that she had never actually reported this to any relevant authority, and, in any case, it  
was not in dispute that she and her child had eventually received post-delivery medical care. Nor  
could the Court accept her complaint that women giving birth at home experienced difficulties in  
registering their children as the law obliged them to submit medical documents to prove their  
motherhood. Such a requirement was directed at avoiding abuse in situations where there was no  
official information on a child or its biological parents.  
Bearing in mind those circumstances, the Court held that there had been no violation of Article 8.  
Separate opinions  
Judge Koskelo expressed a concurring opinion, while Judge Wojtyczek expressed a dissenting  
opinion. These opinions are annexed to the judgment.  
The judgment is available only in English.  
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The European Court of Human Rights was set up in Strasbourg by the Council of Europe Member  
States in 1959 to deal with alleged violations of the 1950 European Convention on Human Rights.  
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