Suze Returns


The Dutch Midwife Mafia
July 9, 2007, 9:26 am
Filed under: Pregnant

You may have already gathered we are going to Australia to have the baby….? 

Given the fact I’ll be 32 weeks pregnant (i.e. a mammoth), it’s a 24 hour flight and we have no house or jobs many people are assuming I’ve finally gone off the deep end.   They could be right.   Yet when faced with the alternative of delivering in Holland, it’s a no brainer.  Here are some lessons I’ve learned about the Dutch approach to childbirth 

  • When I asked my GP about the option of epidural he told me “In Holland we do not offer this as women must suffer to appreciate being mothers”.  I felt a strong physical urge to make him understand suffering right there and then but restrained myself and settled for a verbal onslaught.  I told him his outdated, sexist attitude might explain why Holland has the highest infant mortality rate in Europe. He replied in dead seriousness that the real reason for the high rate was all the immigrants moving to Holland.  I got up and left. 
  • After switching to an American GP I asked for a referral to an obstetrician to take care of my prenatal care and the delivery.  She told me OBs don’t exist in Holland.  High risk pregnancies are handled by gynecologists but the majority of pregnancies go through midwife practices.   I told her given my family history of complications I wanted a qualified doctor.  She valiantly called every gynecologist in the state, but they all refused to take me on, even if I paid out of my own pocket.   So I pay 200AUD a month for private health insurance and can’t see a doctor while I’m pregnant.
  • My GP researched the most “progressive” midwife practice in Utrecht and sent me to the WKZ hospital.  I have to admit my midwife, Rita, is really nice.  She sees quite a few foreigners who are accustomed to a higher standard of health care so she’s heard all the outrage before.  She told me the standard is to deliver at home, I could try and get into a hospital but my insurance wouldn’t cover it unless there are complications.  In addition to this a hospital delivery is midwife assisted and I can’t choose the midwife.  That’s probably the scariest part as all other midwives I’ve met are bullying, moralistic and full of misinformation (e.g. at my first birth class the midwife told me delivering in hospital is “bad” for the baby…..)  

If this weren’t enough every time I speak to somebody about their birth experience it’s a nightmare.   

  • One colleague at Canon called up the midwife when his wife’s contractions were 3 minutes apart and intense.  The midwife told him she was busy having a coffee with friends and would stop by later to check in, the midwife didn’t show for hours, didn’t answer his calls and he ended up delivering his wife’s baby himself
  • Another colleague was in labour for 48 hours.  She was in agony and wanted to go to hospital.   Her midwife told her to stop being so childish and forced her husband downstairs where they watched TV while she was screaming upstairs alone.  Eventually the husband called an ambulance; she had an emergency c-section and was told the baby almost died
  • An Australian colleague who thought she could outsmart the midwife mafia made her midwife promise to organize an epidural if she asked for one.  When labour started the midwife kept stalling her when she requested they leave for the hospital.  By the time they arrived it was too late for pain relief.  The midwife told her smugly that it was her plan all along

Is it crazy in this country or is it just me?   If I hear one more time that the rest of the world “medicalises” the natural process of childbirth I’ll scream. 100 years ago 1 in 10 women died during childbirth.  Things can go wrong, even in low risk pregnancies.   I’m not advocating that all women get drugged up and have a medical army on call.  But it is 2007, shouldn’t we be able to choose the type of healthcare we feel most comfortable with?   


30 Comments so far
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OH. MY. GOD. SUZE.

Very glad you are coming home. Why on earth would homebirth be so popular…? All the studies prove it’s too risky. It’s as if you moved to a developing country (no offence to developing countries intended). I almost choked on my tea reading this.

p.s I recommend the epidural, it got me through both times! Why say no to modern medicine?

Comment by Kazza

Yadda yadda yadda.
Infant mortality per 1000 births:
US 6,37
New Zealand 5,67
UK 5,01
Netherlands 4,88
EU 4,8
Australia 4,57

Comment by Josdfj

Hi Suze,

I came across your website via Expatica and have thoroughly enjoyed reading your impressions of the Lowlands.

As a Canadian who came here for a Dutch partner, I can totally relate to the frustrations, quirks and disappointments you’ve written about on your blog.

The Netherlands can indeed be a truly infuriating place to live, and I have sensed it getting worse over the last few years (as the Dutch themselves have, with record numbers emigrating to other countries).

When you are abroad, the Dutch sell you a beautiful picture of freedom, friendliness and respect, but when you actually live here, you quickly realize that the place is a complete contradiction to how it’s being marketed to the rest of the world.

Comment by lola granola

Jos – Are you a Dutch midwife!!?? You can’t escape the MAFIA, they even manage to find your blog…

All I can say is check out the PERINATAL MORTALITY statistics. That’s death between 28 weeks pregnant and 7 days after birth.

My main point is the lack of choice and huge trauma many women have to go through. Not to mention how barbaric the system is.

Lola granola – there are so many of us here in the same boat… you are right, I moved here thinking it was such an open progressive country but that’s an illusion. On the plus side I appreciate Australia so much more than I did before I left.

Any chance of moving back to Canada?

Comment by supasuze

Hi Suze,

After 10+ years of duking it out in NL, we’re actually moving on to Australia at the end of the year. Of course, now that we’re leaving, all the Cloggies whom I’ve met through out my time here are coming out of the woodwork trying to wrangle an invite to come visit us. *rolls eyes*

BTW, I think it’s an absolute scandal that women have effectively no choice to give birth with effective painkillers in the Netherlands. A friend of mine is expecting a child in October, and her midwife simply refuses to give her objective information about pain relief. When she asked about the pain relief available at the hospital, the midwife’s response was, “There is a shower available”.

Comment by lola granola

Hey that’s great news!! Which city are you going to? We will be in Melbourne from September. We could meet up for a coffee and let our Dutchies ramble on in het Nederlands….

A shower? What an insult.

Comment by supasuze

We’ll be neighbors Suze… My partner’s new employer is situated in Geelong, and we’d like to buy a place somewhere along the Great Ocean Road (maybe Torquay, Lorne or Apollo Bay).

It’d be lovely to meet up with you in the future. :)

Anyway, I don’t want to get down on all mid-wives; I’m sure many of them do just as good a job, (if not better) as many OB’s. But the profession seems to select for people (women) who think that childbirth should be the most magical mystical meaningful moment in a woman’s life.

Well, actually, for a lot of women it’s utter agony that could have been avoided. And there’s no way that men would put up with being told some equivalent horse-hooey about the wonders of having a vasectomy without effective pain relief.

Furthermore, I think many mid-wives approach childbirth with the view that it has been “medicalized” by the MD profession – treated to much like a disease. There’s probably some truth to that. But I suspect that the taboo against pain meds in labor is connected to the idea that the medical profession has to treat labor as something totally different to a medical/disease condition.

That’s just a mistake, and one that IMHO causes a lot of unnecessary misery for women.

Comment by lola granola

I agree. Jarno would want to be knocked out if he had to give birth!! At the hospital I’m going to I have both a midwife and OB. The OB will check in on me every now and then but the midwife does the hard work… but it’s good to know if things go wrong the OB is there to handle it.

Great Ocean Road is just beautiful. Keep me updated with your plans. A few tips if you haven’t got them already.

The biggest real estate site:

http://www.realestate.com.au

The best shippers (we have 2m3 for 500 euro!):

http://www.excessbaggage.nl

The best job site – the market is really good at the moment

http://www.seek.com.au

Cars: http://www.carpoint.com.au

Fun things to do

http://www.lastminute.com.au

if you need any help with the red tape (tax file numbers, medicare, insurance, setting up bank accounts etc) just let me know….

my mail is supasuze@hotmail.com

good luck

Suze

Comment by supasuze

Thanks for the links Suze. :) I’ll let you know how our progress goes…

LOL! My husband would demand every known drug known to man if he had to give birth. Personally, I find withholding pain medication to people in pain a rather barbaric practice.

Of course it’s wise for a woman to be informed of the risks and benefits of various options available to her, and to be aware of non-medical things she can do to cope with the pain (anesthetic doesn’t always work, or work properly). That’s quite different than using scare tactics to suggest that not only is pain relief going to doom the baby, but it’s a sign of unwomanly weakness.

Good luck with the rest of your pregnancy. :) If you have cravings for Aussie treats, you can buy Tim Tams, Violet Crumble Bars, Iced Vovos, Twisties and a multitude of other yummy stuff here: http://www.tuckerbox.nl

ACCESS organizes English-speaking childbirth preparation workshops: http://www.access-nl.org/

Excellent place for Australian cuisine:
http://www.southern-cross.nl/
They have a truly impressive wine list and a sinfully delicious pavlova topped with rosewater-infused cream. :D

Comment by lola granola

Three words and another three. It’s your body and it’s your decision. Nobody else has the right to make decisions for you, especially about this.

Wishhing you all the best.
Marianne Lloyd Blaxland NSW Australia

Comment by Marianne Lloyd

Well said Marianne. It’s so difficult to make an objective decision with the brainwashing coming from both sides….

Comment by supasuze

So glad you’re taking charge of YOUR body, suze! The issue is choice…and the fact that each pregnancy is such an individual experience, you CAN’T assign a one-size-fits-all birth plan! Each woman has a different pain threshold, body, medical history…etc etc.

It was 20 years ago for me, but I can remember how sensitive and emotional I was during my pregnancy…and determined to remind the tummy-patting crowd that my body wasn’t public property just because I was sharing it with one other person. Don’t midwives get any training in psychology and bedside manners?

So glad I’m past my child-bearing years now!

I know my American friend had a horrid experience and ended up having a c-section. And an Australian colleague — an athletic, bungee-jumping, fearless woman — flew home for the birth of her first child; no WAY she was having it delivered here, she said.

Good luck in Australia, suze…and I hope you and lola hook up! She’s been a godsend to me while I’ve been getting used to this weird little country…

Comment by Beebs

Suze, sooooooo glad your coming home, even if you’ll be 32 weeks at the time. That last rendition of the GPs comments takes the cake I think of all the outrageous things you’ve had to encounter. Cant wait to see you in Melbourne! x

Comment by Leisha Jarrett

Gosh Suze, Can’t wait to have you home after reading that!

P.S. – My brother Paul delivered a baby yesterday! He’s a fireman and got called out to a medical assist when the ambo’s weren’t available. Everything went smoothly… although I don’t know how I’d feel about 2 giant firemen in bright yellow standing between my legs telling me when to push!
He was on the news and in the papers and we’re all really proud.

I’ll have him on stand-by for you :)

Comment by Helen

Leish – can’t wait to see you either. We will be in the Berra for Christmas so I’m thinking about having my 30th party in December. What are you doing for yours? Any more news on the plans for Melbourne?

Hel, that’s crazy! I can’t believe Paul knew what to do!? I’m hoping I don’t go into labour in the plane….

Thanks Beebs. I hope that your road to “integration” is less bumpy than mine. It is those amazing friends you meet abroad that make the experience worth it. Good luck here.

Comment by supasuze

Hi Suze,

Well I bet I’m one of the few lucky ones who had a good midwife her in NL. She informed me about all risks and the epidural also that it’s better to have an appointment in advance with the gyneacologist and anestheist as when labour starts at midnight there is no anestheis at teh hospital, but if they know about you in advance (s)he’ll come. It is because anestheists are not paid after working hours that’s why. When you arrange that beforehand it’s ok (s)he’ll come.
If google you’ll find also hospitals who do have anesthist during midnight available for women who are in labor. The writer: Kluun, he wrote: Help ik heb mijn vrouw zwanger gemaakt.’started a website with all this kind of information as he finds it very barbaric practice that here in NL not always an epidural is given.

After 12 hours my son, Lars, was born and it’s not bad from the beginning it’s like having periodpain to which your ‘used’ to. The last centimetres are the hardest, but it all comes down to how can you relax best. in a bath, warm shower, massages of your back. And believe me your so turned/tuned into yourself really your much stronger than you can ever imagine. As said before the pushing part is like pooping pooh.
I never thought I would say it, but I rather give birth again than going to dentist for refilling my teeth (the drilling part aches much more).

CHeers,
Izzy

Comment by i_sigmond@hotmail.com

Hi Suze,
I’ve just come across your blog! I wish I had found it earlier.

I’m an Australian also pregnant (currently almost 22 weeks) and also returning back to Australia for the birth (and NEVER coming back….)
We have a blog but mine isn’t as funny as yours. I wish it was but when I write I know that my husband’s colleagues read it!

I totally agree with your comments on birth & prenatal care. I don’t bother criticising the Dutchies to their faces – they think they are right because they don’t know how the rest of the world lives.

I’m in a small village and am going through the village midwives I was also horrified that … nothing else is available. The midwives are nice but there is no way in the world that I would give birth here.

Is this your first child? (I need to read the rest of your blog.) If I can offer advice for getting through the labour – get an epidural, get it early – don’t hold off thinking ‘can I cope with this just a bit more’.

I can’t wait to get back to Canberra where I have a lovely OB lined up and a great GP.
All the best for your flight home and I hope you have a happy and healthy rest of your pregnancy.

Dorothy

Comment by Dorothy Terwiel-Magee

Now you’ve all got me terrified! I’m moving to the Netherlands in December, and will be having my second baby in April. I’m American, and had my first in the States in a hospital (but with a midwife in attendance) with an epidural. Now I’m all freaked out about the idea of having my baby in the Netherlands! Does anyone know anything about giving birth in the UK? My mother lives there, and I might just take the Eurostar over when it’s time if the pickings are a little better. My mother in law (Dutch) and my partner’s friend’s wife have tried to be very reassuring, but the general thought seems to be that it’s not standard practice and they won’t just give any pregnant woman an epidural because she asks.

Comment by Kiki

Hi Kiki – Sorry for scaring you. There are lots of great places in Belgium that offer a more Western approach to childbirth. If you go to expatica.com there are generally discussions in the health part where women are talking about this issue. If you can’t find it let me know and I’ll look it up. Good luck in Holland. December is a really nice time of year over there! If you have any other questions about weird Dutch customs etc just let me know. I think I saw it all….

Comment by supasuze

oh boy!..I was thinking of moving to Holland for a year or two (have visited loads of times)..you’ve just reminded me what a bunch of moralistic, self-righteous prats the Dutch are! Think I’ll just stay put here in Cape Town and thank my lucky stars that I live in such a fantastic city…

Comment by pj

I’ve got some good news for you Suze… MCH Westeinde in The Hague is finally catching up with the modern world and is opening up a specialist childbirth clinic offering 24-hour care and different methods of delivery and pain relief.

The clinic is intended mainly for immigrant groups who prefer to give birth in a hospital and who are not comfortable with the Dutch cultural norms of home births.

You can read all about it here: http://www.ad.nl/denhaag/article1959411.ece

Apparently they already have a waiting list from women around the Hague and surrounding areas, and there are plans to open other clinics within the randstad.

Happy New Year to you and your gorgeous family!

Comment by lola granola

Wish I had the talent to write such posts.

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I am so glad someone is thinking the way I am!! I gave birth in Australia in 2006. My pregnancy was from 32 weeks at high risk so I ended up in hospital and had my own obstetrician. He delivered my premature baby at 35.5 weeks. She is now healthy and well. I am planning on a 2nd baby, but after the stories I’ve heard about Holland, it makes me want to fly back home just to give birth. My sister also lives here and she had a miscarriage last year. When she called the midwife to say she thinks she is having a miscarriage the midwife said, there is nothing I can do, just stay at home and eventually it will all come out by itself. My sister waited and waited and weeks passed with her having pains. She went again to see the midwife and she said she was spot bleeding and the midwife again said, there is nothing I can do, it will all come out by itself when the time comes. After 4 weeks of hell my sister finally had a full on miscarriage and found out that the baby was already dead in her for the past 4 weeks. I cannot believe the system over here and am having nightmares thinking about having a baby here. I am so thinking of flying back to Australia to get it done as for some reason there are no doctors here and midwifes do all the work. It is totally ridiculous!! They still live in the stone age over here and we get nothing for all that money we spend on insurance.

Comment by GM

You fucking pussys, dopeheads, just looking for a buzz, pillpoppers whining about givin birth the natural way, pffffff.
Did you ever give your pets painmeds when they have to give birth?
think about it you pussy..

Comment by dutchcourage

im sorry you feel this way. it seems you are very misinformed. though im guessing youve already had your baby in austrailia now i feel i must reply to a few of the points you have made above as i would hate for others to be mislead by what you have said.
the infant mortality rate is not the highest in the netherlands. the homebirth rates are also more favorable than hospital in holland. early administratioj of an epidural is shown in numorous clinical trials to increase the risk of instrumental delivery (forceps or vacume extraction) by up to 10 times and is shown to increase your risk of c section by 5 times. pain in childbirth is a way for your body to to prepear by getting into a safe supportive environment and sets of a cascade of hormones and natural opiates to assist your healthy active birthing and to encorouge bonding between you and your baby. im sorry so many women including yourself are so disempowered about your bodiesnatural ability to give birth and are so fearfull of such a natural beautiful process, it means you miss out on a very empowering experience and a right of passage that qualifies mothers and prepears them for the challanges ahead. the more you interfear with birth by using drugs and being treated like a patient as apose to a woman giving birth (which is A natural and not a new thing) the higher the risks of a traumatic birth for you and your baby. medicine is there to help when things need help. when used frivolously it causes more harm than good. i think you missed out on a very special experience by leaving holland to return to australia to have your baby. being reduced to a passive patient on your back with no sense of the power your body has in the process of giving birth is an incredible sad phenomenon. maybe with your next child you could take responsibilty and read and learn about your bodies own power and have a natural birth that will benifit you and your baby.

Comment by johanna

[...] away from 2003. I fully second her sometimes hilarious mutterings and especially her post about The Dutch Midwife Mafia, as we have been confronted ourselves by some grave errors in this area recently. It is not only [...]

Pingback by Happy Hotelier » Blog Archive » 10 Expat Blogs about The Netherlands

To Johanna,
In regards to your post about natural birth and it being safer for the baby without medication, I agree, but I think you misunderstand.

I’m an aussie and I gave birth in Australia 7 weeks before coming to the Netherlands. I’m glad I gave birth there first. I absolutely wanted a natural birth without painkillers, but I was glad to know and understand all the options. In pre-natal classes they explained the risks and advantages of all the pain killers. It made me feel secure knowing that although I didn’t want painkillers, I knew what they were about. I did end up having an epidural, but that is another story I won’t go into, and I kinda wish I didn’t. Turned out I was closer to giving birth than we realised, and if I had have known I would have gone natural.

But that said, since coming to the Netherlands the support network after you have a baby is very lacking. Sure, my son gets all his injections, and a check over by the doctor, but that’s it. In Australia the support for everything (if you want it) is tremendous. There is much more support for breastfeeding, looking after your baby, pre-natal depression. Having a baby in hospital is not just about the drugs…..I was in hospital for 4 days after a trouble free birth, but those 4 days were about teaching you how to look after the baby, breastfeeding, taking your baby from you for a couple of hours so you can get some sleep. Having that support does NOT make you wussy, despite what the Dutch people will make you think.

And on another note, for a country that so strongly advocates “natural child birth”, why do so many women bottle feed?

I agree that The Netherlands approach is very old fashioned, although I also understand why the Dutch “think” they are doing it the good “natural way”. To someone from aussie it feels more like: push it out, go home and deal with it.

I’ve been here over a year now, and hating it. Looking forward to going home soon hopefully.

Comment by Mel

oh to add to the lack of breastfeeding (which has been proven to be far better for the child’s health) in The Netherlands, what about smoking? Majority of Dutch people don’t think twice about lighting up a cigarette in front of a baby or child, yet get all upset about a mother considering an epidural?

Comment by Mel

this article is spot on. i had given birth to my son in 2001 without any pain relief, but it was in france, where 1) it was considered a brave choice, which means people were looking after me and telling me how good i was doing, 2) i knew if anything went wrong or i couldn’t stand it any longer something would be done.
then 6 months ago i gave birth to my little girl, in the netherlands. but it was an unassisted birth. in the hospital. alone with a bored daddy who couldn’t wait to go home because he was “tired” (he’s dutch, which implies selfish). i ended up in total panick , but remained alone until the end, when suddently someone popped up to give me an episiotomy (aparently everyone was getting bored and wanted to get this over with). i think if you give birth in holland, it’s safer to do it at home. less stressful. anyway i will never set foot in a hospital or doctor’s office here. they’re underqualified and scarily careless.

Comment by clarinette




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