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Hungary has one of the highest rates of C-sections among OECD states: compared to the 5-15% recommended by the WHO, in 2014 we had 35,7%, which is more than double the recommended number – and the rate has been rising ever since. This procedure is normally done to avoid perineal rupture – which, in fact, is most commonly caused by the lithotomic, horizontally lying position.

This position is difficult to defend, as in most cases it makes labour harder, increases pain, disturbs circulation, and puts more pressure on all of the organs involved in birth, most of all the perineum, which separates the vagina from the rectum.

As we will see, this is often not only the fault of the doctors. Gratuity is the alpha and omega of Hungarian obstetrics, its basic principle of power: a system within the system.

Finished with a buttoned fastening under a placket. Lightweight shirt with shirt collar and contrasting pussy bow-style tie. Internet fora on childrearing have developed a whole separate genre of delivery horror stories, which leave the readers in no doubt that if you don’t prepare for your birth very carefully, you will be treated badly. Young adults have already learned how many tens or hundreds of thousands of forints [10 thousand HUF is around €30] they should pay for a birth, and that for prenatal care they should go to a private doctor.Gratuity payments are such an integral part of the system, that many hospitals and clinics sell small envelopes in their cafes.At the core of gratuity is the patients’ complete defencelessness.It’s a grey zone, where the paying party has no rights, cannot hold the doctor accountable for their promises and promises are often left unsaid: by handing over the envelope we offer ourselves into the graces of the authority.

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