All healthy women who have a normal pregnancy may give birth under the direction of their own midwife. This can be at home or in the hospital. Under our guidance you can give birth in the Diakonessenhuis Utrecht (birth house), Meander Amersfoort or Tergooi Blaricum.
When to call us
Always call us directly on the emergency line 06-53448288 in the following situations:
You can also call us on the emergency line in the following situations:
In 9 out of 10 women, labor starts with contractions. This is usually a constructive process. When the contractions come every 4 minutes for an hour and last for about a minute, it's time to call us. If you are not going to give birth to your first child, we often tell us to call us a little earlier, namely with contractions every 5-6 minutes. This is because childbirth can go faster and we do want to give you time, rest and attention.
Break of membranes
If the waters break, you don't actually have to call us immediately, unless you are not yet 37 weeks pregnant, your baby has not descended well enough or if the amniotic fluid is not clear in color. Try to collect some amniotic fluid. Look closely at the color of the moisture and if it is clear, call us in the morning. If in doubt or you can clearly see that it is greenish or brownish in color, please call us immediately.
Fortunately, a little (slimy) blood loss just before the delivery starts or during labor is not a problem. Because your cervix can be slightly irritated before or during delivery, you can get a little bit of blood loss. However, if you suffer from a lot of blood loss (more than with a period), please call us on the emergency number.
We will first visit you at home, even if you want to or have to give birth in hospital. When the delivery has started, we check the contractions: the frequency, strength and duration and listen to the heartbeat of your baby with a doptone. When the contractions come regularly (every 4 minutes with your 1st child and every 5-6 minutes with the next child), we will do an internal examination to feel how dilated you are.
Delivering the baby at home or in the hospital
Depending on how things are going, we will make a plan together with you on how to proceed. We may have to wait at home for a while, but it may also be that we go to the hospital. This of course also depends on where you would like to give birth. When the dilation progresses and the contractions continue well, we will go with you to the hospital for an outpatient delivery or we will stay at your home if you want to give birth at home.
Relieving contractions and pain relief
There are many different ways to cope with the contractions. Both at home and in the hospital. There is no one attitude that is right or wrong. You will find that one way works better for you than the other. This can also differ from birth to birth. Perhaps you have already thought about this during your pregnancy and described this in a birth plan. What you came up with may not work for you. Then together we will look for an attitude that works for you. For example, you can lie on your side in bed, walk around, take a shower or bath. Sometimes you may need a little more. For example, you can use a TENS under our guidance, in some hospitals (not all) you can use nitrous oxide and sometimes a medicinal form of pain relief is desired. We will give you more information about this during the pregnancy checks if you wish.
Checking the baby during the delivery
The maternity nurse assists us at home, and usually also during an outpatient birth. We regularly listen to your baby's heartbeat during dilation contractions and, if necessary, do an internal examination. How often this is necessary depends on the course of the delivery. While pushing, we listen after each contraction to hear how your baby is doing.
Postures during childbirth
Here too, there are different positions possible for your baby to be born. Varying the position usually works well and at that moment we look together at which position is most comfortable for you to be able to squeeze well. Sometimes this is in bed, but it can also be on a birthing stool, standing next to bed, on hands and knees on bed (All Fours) or in the bath.
Placenta, sutures and the first hour
After the birth of your baby, the placenta is born. This usually happens within 15 minutes, but up to an hour after delivery is normal, provided the blood loss is okay too. We always check if you need to be stitched and will do so if necessary. We also give you the time and space to relax and get to know each other with your baby. You can also call family if you wish. We do the first check-up of your baby approximately one hour after birth. Until then, your child will stay comfortably with you and we will do nothing except dry it and put on a hat, so that your child stays nice and warm. Did you give birth in the hospital and everything is going well? Then you go home a few hours after the birth.