1. What can you expect from prenatal care in the Netherlands?

In the Netherlands, pregnancy care is centred around midwives, known for their professional yet personal approach. Midwives play a crucial role in ensuring a smooth and healthy pregnancy, guiding you through every step of this incredible journey. From your first prenatal visit to postnatal care, Dutch midwives provide care and support tailored to your needs.

Differences with other countries

One of the key differences in the Netherlands is the emphasis on midwifery care over obstetricians for low-risk pregnancies. Unlike some countries where obstetricians are the primary caregivers, in the Netherlands, midwives manage most pregnancies and births. This approach reflects a belief in the natural process of childbirth and promotes a more intimate and supportive environment.

Dutch midwifery care is characterized by:

• Personalized Attention: You’ll have regular appointments with your midwife, allowing for personalized care and the opportunity to build a trusting relationship.
• Home Births: Home births are supported in the Netherlands, with midwives fully equipped to handle them safely.
• Natural Approach: There is a strong emphasis on natural childbirth, minimizing medical interventions unless necessary.

Role of the Midwife: What does a midwife do, and how can we support you?

Midwives in the Netherlands are highly trained professionals dedicated to providing holistic care throughout your pregnancy, birth, and postpartum period. Here’s how they can support you:

1. Prenatal Care: Midwives conduct regular check-ups, monitor your baby’s development, and provide essential health advice. They also refer you to prenatal classes to prepare you for childbirth and parenting.
2. Birth Preparation: They help you create a birth plan that reflects your preferences and provide guidance on pain management, relaxation techniques, and what to expect during labor.
3. Labor and Delivery: During labor, your midwife will be by your side, offering continuous support and reassurance. Whether you choose a home birth or a hospital birth, they will ensure you have a safe and positive experience.
4. Postnatal Care: After the birth, midwives provide essential postnatal care, including baby check-ups, breastfeeding support, and advice on recovery. They visit you at home to ensure both you and your baby are thriving.

When will you see your midwife during pregnancy? And what checks are performed?
To get an overview of all the contact moments you will have with you midwife please take a look at our timelime to get a detailed overview of all appointments you will have with your midwife and of all the checks and ultrasounds which will be made.

The role of the ultrasound specialist during pregnancy in the Netherlands

In the Netherlands, ultrasound specialists play a crucial role in monitoring the health and development of your baby throughout pregnancy. These highly trained professionals conduct routine scans at key stages of your pregnancy, such as the 12-week dating scan and the 20-week anomaly scan.

They work closely with your midwife to provide comprehensive care. Ultrasound specialists and midwives collaborate to ensure that any potential issues are detected early and addressed promptly. The ultrasound specialist's detailed assessments complement the midwife's continuous care, creating a seamless and supportive experience for expectant mothers. This teamwork ensures that you receive the best possible care, combining expert imaging with personalized midwifery support.

At Zwanger&Zo, we go beyond traditional midwifery care. Our team consists of both midwives and ultrasound specialist dedicated to making your experience extraordinary, offering a range of services to support your physical and emotional well-being.

 

2. Preparing for Childbirth

At Zwanger&Zo, we believe that preparation is key to a positive childbirth experience. This is not something that differs between the Netherlands and other countries.  That’s why we offer a variety of courses and workshops designed to equip you with the knowledge and skills you need.

How does preparation in the Netherlands differ from other countries?

In this article we want to help anybody who is not familiar with the dutch system. So what preparations do you need to take, that might differ in the Netherlands.

Courses and Workshops: What courses and workshops do we offer to help you prepare?

Dutch prenatal classes often include a strong focus on practical skills and knowledge, encouraging a proactive approach to birth and parenting. These classes are designed to empower you with the confidence and skills needed for childbirth and early parenting.

1. Prenatal Classes: Our comprehensive prenatal classes cover everything from the stages of labor to pain relief options. These classes are interactive and provide a platform for you to ask questions and share experiences with other expectant parents.
2. ‍Hypnobirthing: This workshop focuses on relaxation and breathing techniques to help you manage pain and anxiety during labor. Hypnobirthing empowers you with tools to remain calm and in control.
3. Breastfeeding Workshop: Learn the basics of breastfeeding, including latch techniques, feeding schedules, and common challenges. Our lactation consultants are here to support you every step of the way.
4. Partner Support Classes: These classes are designed to involve your partner in the birthing process. Learn how your partner can provide emotional and physical support during labor and delivery
5. ‍Specific expat classes: These classes are specific for expats who are expecting a baby and are unfamiliar wih the Dutch care system.

Practical Tips: What do you need to arrange for the birth?

 

1. ‍A midwife: after you get a positive pregnancy test, your first step would be to go to a midwife. In the Netherlands, you do not need a referral from your general practitioner, so it is your choice to choose a practice that suits your needs. See our article to help you choose a midwife. The best time to visit a midwife is as soon as you find out you're pregnant. From that moment, the midwife will guide you through your entire pregnancy, providing regular check-ups, ultrasounds, and personalized advice. You will receive not only medical care but also emotional support and practical tips.
   However, if your GP has referred you to a hospital because you have a medical condition that requires extra care, such as diabetes or high blood pressure, or if there were complications in previous pregnancies, you can directly make an appointment at the hospital with a gynaecologist. The gynaecologist is specialized in high-risk pregnancies and can offer the intensive care needed in those cases.
   But in essence a midwife is the first step, even if you have specific health concerns but you haven’t talked with your GP about it, the midwife will refer you if need be.
2. ‍Kraamzorg (Maternity Care): One of the most distinctive elements of Dutch postpartum care is kraamzorg. This service is uncommon in many other countries. A kraamverzorgster provides at-home care and support for you and your newborn during the first week after birth, helping with everything from breastfeeding to household tasks. This level of personalized postpartum care is a hallmark of the Dutch maternity system.
   It is important to arrange for Kraamzorg very early on in the pregnancy, because the more popular companies are always fully booked.
3. ‍Birth Plan: Create a detailed birth plan outlining your preferences for labor and delivery. Discuss this plan with your midwife to ensure everyone is on the same page. More on this in the further below.
4. Baby Essentials: Make sure you have all the necessary baby items, including a crib, diapers, clothing, and feeding supplies. Don’t forget a car seat if you plan to drive your baby home from the hospital.
5. ‍Hospital Bag: Pack a hospital bag with essentials such as comfortable clothing, toiletries, snacks, important documents, and items for the baby.
6. Childcare for Older Siblings: If you have other children, arrange childcare for them during your labor and delivery.
7. ‍Emotional Preparation - Build a Support System: as an expat in a foreign country, you will have to put in extra effort to build your support system. Probably your friends and family are not very near you, therefore it’s good to take some extra time to think how you can involve them. Maybe you can share frequent updates, videocall or if it’s important to you ask them to come visit.

3. The Birth Itself

Choice of Birth Location: Home birth or hospital birth? What are the options?

One of the key decisions you’ll make is where you want to give birth. In the Netherlands, you have several options, each with its own set of advantages:

1. Home Birth: Home births are common and well-supported in the Netherlands. Midwives are equipped to handle home births safely and can provide a familiar and comfortable environment for you. If you opt for a home birth, your midwife will bring all the necessary medical equipment and support to ensure everything goes smoothly.
2. Hospital Birth: If you prefer or require a hospital setting, you have two main types of hospital births to consider:some text
   • Poliklinische Bevalling (Outpatient Birth): This is a hospital birth where you are discharged within a few hours after delivery, provided both you and the baby are healthy.
   • Medische Indicatie (Medical Indication): If there are any complications or medical reasons that require a more controlled environment, you will give birth under the supervision of a hospital team, including obstetricians and midwives.
3. Birth Centers: Some hospitals have dedicated birth centers that offer a more home-like environment with the added security of being in a medical facility. These centers often provide midwife-led care and emphasize a natural birthing experience.

Read our detailed article on where you can give birth specifically in Rotterdam.

What to expect during childbirth: Step-by-step through the childbirth process in the Netherlands

Understanding the childbirth process can help reduce anxiety and prepare you for what lies ahead. Here’s a step-by-step guide to what you can expect:

1. Early Labor: As labor begins, you may experience regular contractions. If you’ve chosen a home birth, your midwife will come to your home to monitor your progress. If you’re having a hospital birth, you will head to the hospital once your contractions are strong and regular.
2. Active Labor: During this phase, contractions become more intense and closer together. Your midwife will provide support, monitor your baby’s heartbeat, and guide you through pain management techniques.
3. Transition: This is the most intense phase of labor, where contractions are at their peak. Your midwife will be by your side, helping you stay focused and calm.
4. Pushing and Delivery: When you’re fully dilated, you’ll begin to push. Your midwife will coach you on effective pushing techniques. Whether you’re at home or in a hospital, your midwife will ensure a safe delivery of your baby.
5. After the Birth: Once your baby is born, the midwife will place your newborn on your chest for skin-to-skin contact. They will also monitor you and your baby’s health, help with the delivery of the placenta, and address any immediate postpartum needs.

Your birth plan: How to create your own birth plan?

Creating a birth plan is a great way to communicate your preferences and ensure that your wishes are respected during labor and delivery.

You can download our format here, but you are free to use any format or document that you prefer.

Here are some tips on how to create a birth plan that suits you:

1. Start Early: Begin discussing your birth plan with your midwife early in your pregnancy. This allows time to address any questions or concerns you may have.
2. Be Flexible: While it’s important to have preferences, remember that childbirth can be unpredictable. Be open to changes if they are necessary for the health and safety of you and your baby.
3. Include Key Details: Your birth plan should cover your preferences for:some text
   • Birth location (home, hospital, birth center)
   • Pain management options (natural methods, epidural, etc.) - also see our article regarding pain management in the Netherlands
   • People you want present (partner, doula, family members)
   • Positions for labor and delivery
   • Interventions (use of medical tools, episiotomy, etc.)
   • Newborn care (immediate skin-to-skin contact, breastfeeding, delaying cord clamping)
4. Communicate Clearly: Make sure your birth plan is clear and concise. Share it with your midwife and any other caregivers involved in your birth.
5. Review and Revise: As your pregnancy progresses, revisit your birth plan and make any necessary adjustments. Your midwife can provide valuable insights and help refine your plan.

 

 

5. After giving Birth

Maternity Care: What is maternity care, and how does it work?

In the Netherlands, maternity care (kraamzorg) is an integral part of the postpartum experience. This unique service provides comprehensive support to new mothers and their babies during the first week after birth. Here’s how it works:

1. Kraamverzorgster (Maternity Nurse): A kraamverzorgster will visit your home daily for up to eight days following the birth. She is a trained professional who assists with baby care, monitors your recovery, and helps with household tasks.
2. Newborn Care: The kraamverzorgster will guide you through the essentials of newborn care, including feeding, bathing, and changing diapers. She will also monitor your baby’s health, checking for any signs of jaundice, weight gain, and overall well-being.
3. Mother’s Health: Your kraamverzorgster will check your recovery, ensuring that you are healing properly and offering advice on postpartum self-care. She will also provide breastfeeding support and help address any challenges you might encounter.
4. Household Support: In addition to baby and mother care, the kraamverzorgster helps with light household chores, allowing you to rest and bond with your baby.

This level of personalized care ensures that both you and your baby receive the best possible start.

Recovery and Support: What support do we offer after the birth?

At Zwanger&Zo, our commitment to your well-being extends beyond the delivery room. We offer a range of support services to help you recover and adjust to life with your newborn:

1. Postnatal Check-ups: Regular postnatal visits with your midwife to monitor your recovery and address any concerns. These visits ensure that both you and your baby are healthy and thriving.
2. Lactation Consulting: Our lactation consultants provide expert advice and support to help you with breastfeeding. Whether you’re facing challenges or just need reassurance, we are here to assist you.
3. Wor kshops and Classes: Continue your learning journey with our postnatal workshops and classes. Topics include baby care, sleep routines, and self-care for new mothers.
4. Home Visits: In addition to scheduled check-ups, we offer home visits to provide personalized care and support in the comfort of your own home.
5. Vaccinations: the Dutch government offers every child vaccinations against infectious diseases, with the first vaccination starting at week 9. Young parents automatically receive an invitation for their baby. You do not have to pay for these vaccinations. It’s your own choice to have your child protect to disease through vaccination.  Over 95% of parents choose to have their children vaccinated. See the official website here: https://rijksvaccinatieprogramma.nl/english

Handling Official Matters: What do you need to arrange after your child is born?

After the birth of your child, there are several important official matters to handle. Here’s a checklist to help you navigate these tasks:

1. Registering the Birth: Within three days of the birth, you must register your baby at the local municipality (gemeente). This will provide your child with a birth certificate and register them officially in the Dutch population register.
2. Health Insurance: Ensure your baby is added to your health insurance policy. Contact your insurer to complete this process, usually within the first few weeks after birth.
3. Consultatiebureau (Child Health Clinic): Register your baby with a consultatiebureau for regular health check-ups and vaccinations. These clinics provide ongoing health monitoring and support for children up to the age of four.
4. Child Benefit (Kinderbijslag): Apply for child benefit through the Sociale Verzekeringsbank (SVB). This financial support is provided to all families in the Netherlands to help with the costs of raising a child.
5. Parental Leave: If you or your partner plan to take parental leave, inform your employer and arrange the necessary paperwork to ensure you can take advantage of this time with your new baby.
6. Passport or ID: If you are an expat, you may need to apply for a passport or ID for your baby, depending on your country of origin. Check with your embassy for specific requirements.

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6. Frequently Asked Questions from Expats

What are the most asked questions from expats about giving birth in the Netherlands?

We understand that giving birth in a foreign country can come with many uncertainties and questions. Here are some of the most frequently asked questions we receive from expats about giving birth in the Netherlands together with detailed answers and practical tips for these common questions:

1. What are my options for locations where I can give birth?
   • You can choose between a home birth, hospital birth, or a birth center. Discuss your preferences with your midwife to determine the best option for you.
2. If I want to give birth at home, is it more dangerous than giving birth in the hospital?
   • Home births in the Netherlands are considered safe for low-risk pregnancies, and midwives are well-equipped to handle them. They carry medical equipment and have protocols in place to transfer to a hospital if needed. Studies have shown that planned home births in the Netherlands have similar safety outcomes to hospital births for low-risk pregnancies.
3. What are the key considerations and necessities for a home birth?
   • For a home birth, you will need a comfortable space where you can move around freely, a clean bed with plastic covers, towels, a bucket, and a baby care kit (often provided by kraamzorg). We will provide a detailed list and guide you in preparing your home for the birth.
4. What is the role of a midwife, and how does it differ from an obstetrician?
   • Midwives handle most low-risk pregnancies and births, providing personalized and continuous care. Obstetricians are typically involved in high-risk pregnancies or complications. The midwife will check if you’re pregnancy is high-risk and if need be, refer you to an obstetrician.
5. Are midwives trained to handle deliveries on their own (without a doctor)? Isn't it dangerous? And if something goes wrong, when do you call a doctor?
   • Yes, midwives in the Netherlands are highly trained to handle low-risk pregnancies and deliveries independently. It is not dangerous, as they are skilled in recognizing complications early. If any issues arise, they promptly consult with or refer you to an obstetrician or a hospital to ensure the safety of both mother and baby.
6. How do you know everything is going well without performing an ultrasound?
   • We use various methods to monitor your baby's health, such as measuring the size of your abdomen, checking the baby’s position, and listening to the baby's heartbeat. Routine ultrasounds are performed at specific stages of pregnancy to ensure everything is progressing normally and if need be we can always do make an ultrasounds to check on the baby’s health/.
7. What kind of pain relief options are available during labor?
   • Options include natural methods like breathing techniques and hypnobirthing, as well as medical options such as epidurals, which are available in hospitals. Please also see: https://www.zwanger-enzo.nl/en/kenniscentrum/pijnstilling
8. How do I arrange for kraamzorg (maternity care)?
   • You should register for kraamzorg early in your pregnancy, preferably by the 12th week. Your midwife can help you with this process, and your insurance typically covers most of the cost.
9. What are the costs associated with childbirth in the Netherlands, and what is covered by insurance?
   • Basic health insurance usually covers prenatal care, delivery, and postnatal care. Check with your insurance provider for specific details on coverage and any out-of-pocket costs.
10. Can I choose to have an epidural if I want one?
    • Yes, epidurals are available in hospitals. Discuss your preferences with your midwife and include this in your birth plan.
11. What should I include in my birth plan?
    • Your birth plan should outline your preferences for the birth location, pain relief options, who you want present, labor and delivery positions, and any specific wishes for after the birth, like immediate skin-to-skin contact.
12. How do I register the birth of my baby and handle official paperwork?
    • You must register the birth at your local municipality within three days. This will provide your child with a birth certificate. Additionally, make sure to update your health insurance and apply for child benefit.
13. What postnatal support is available for me and my baby?
    • Postnatal support includes kraamzorg, regular check-ups with your midwife, breastfeeding support, and access to consultatiebureaus for ongoing child health monitoring.

Giving birth in the Netherlands can be a wonderful experience. We are here to support you every step of the way.

Embarking on the journey of parenthood in a foreign country can be both exciting and challenging. At Zwanger&Zo, we believe that giving birth is a  truly wonderful and fulfilling experience.

Our team of dedicated midwives and support staff is committed to providing you with personalized, compassionate care tailored to your unique needs. From pregnancy through to postpartum, we are here to support you every step of the way, ensuring a safe, comfortable, and joyous birth experience.

Contact us and discover how we can make your pregnancy truly wonderful.

Contact Zwanger&Zo today and discover how our care and support can make your childbirth experience truly wonderful. Whether you have questions, need advice, or are ready to schedule an appointment, our team is here to help.

Reach out to us now and let’s start this incredible journey together!

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