The Dutch Approach the Childbirth

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The Dutch philosophy about childbirth is that it’s a natural, physical process, not a medical condition. Prenatal care is usually provided by midwives and unless there are complications the role of the doctor or gynecologist is minimal if any. More than 60% of Dutch women get pregnant, have a baby and go home without ever seeing a gynecologist or a doctor. Home births are also fairly common practices with the Dutch, they account for approximately 30% of all births. There are fewer preventative screenings and test as well. (Buitendijk , de Jonge & Gravenhorst , 2007) They also rarely use pain medicine during labor; instead the emphasis is placed on natural methods of pain management such as yoga. In general, they believe in a non-interventionist approach to medical and maternity care in the Dutch culture (DeVries, 1998) When a Dutch women becomes pregnant in the Netherlands the care she receives there is much different from the care she would receive in the United States. Prenatal care is usually provided by midwives. The Dutch women only see a doctor or a gynecologist if there are complications with the pregnancy. Much different from the United States is the screenings and prenatal testing that are done with the Dutch. Typically they will only have prenatal tests done when you have a medical history indicating that there may be a complication, such as a previous complication or the mother is over the age of 35. Ultrasounds are sometimes offered around 20 weeks but are usually only covered by insurance if medically required. (Walsh, 2012) If a complication arises or the patient or baby is at risk for developing a complication the midwife will refer the women to a gynecologist. In the Netherlands home births account for ... ... middle of paper ... ...d to know that if the pregnancy is uncomplicated she will see her provider beginning at week 12 followed by monthly visits until 7 months when she will go every week. In the final month of the pregnancy she will need to be seen weekly up until the delivery. It would also be beneficial to educate the family on the use of pain meds, when they are needed and what to expect. Parenting classes would also benefit the family since they won’t have the assistance of the kraamverzorgende. Another teaching need would be for the different vaccines that children receive here and when they are given, these would include polio which is usually given at 15 months of age, Hepatitis A that is usually given around 12 months of age and the influenza vaccine which is given after 6 months of age. These vaccines are given to protect the baby from the specific diseases. (Walsh, 2012)

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