In the field of obstetrics, the Netherlands are unique in the world. In the Netherlands, all pregnant women register with a midwife. She makes the difference between pregnant women with an enlarged risk of complications and pregnant women without the extra risk. This counts for pregnancy, delivery and childbed. All women without enlarged risks of complications stay under surveillance of the midwife and will deliver with her supervision, either at home, or in the hospital. The midwife will direct the women with enlarged risks to a gynaecologist. At any moment during the process of pregnancy, giving birth or in childbed, situations can occur in which the midwife will have to discuss with a gynaecologist, or even assign care to him or her. If we mention enlarged risks you could think of a blood pressure that’s too high, reduced growth of the baby, or a delivery that carries on for too long. During pregnancy you’ll probably go to the consulting hour eight to ten times. During these check-ups we check on how you and the baby are doing.
The first pregnancy check, 45 minutes
During this check we will take a full medical history. We will ask questions about your medical history, the health of your family. It is wise to investigate if there are any heritable diseases in your family. Based on the first day of your latest period of menstruation, we will estimate when you’ll be giving birth. Furthermore, we will brief you on the first term scan or a combination test. We’ll also arrange childbed care and a blood test. From the blood we can determine blood group, rhesus factor, iron and sugar level of the blood, and we’ll check if you possess antibodies against certain diseases (rubella, syphilis, HIV and hepatitis B).
Following check-ups, 15 minutes
The tests we’ll run at every visit are:
- Measuring the blood pressure;
- Checking the growth of the baby;
- Listening to the baby’s heart, starting from twelve weeks of pregnancy.
Check-ups will take place in increasing frequency (see below) . Partners, family and friends are welcome during consulting-hours. Please take into account that consulting-hours can sometimes overrun their time, in cases of emergency. So make sure you don’t plan any appointments right after your consulting-hours. During consulting-hours you will get to know us all. The operating midwife will guide you through delivery. We also use substitute midwifes for our holidays.