0-5 weeks
0-5 weeks
5-11 weeks
5-11 weeks
11-16 weeks
11-16 weeks
32-37 weeks
32-37 weeks
37-42 weeks
37-42 weeks

37-42 weeks

The day of the birth is fast approaching! Between 37 and 42 weeks you are able to give birth using our services at a location of your choice. In the meantime, you have attended our information evening and we have discussed your birth plan with you. Maybe you have attended a pregnancy class as well to better prepare yourself for the birth, which is great! Good preparation will benefit a relaxed start of the birth process.

During the final trimester you will start to notice your body getting ready for giving birth. Every now and again you will experience ‘hard bellies’, this is your uterus contracting. Your baby will lower further and further into the birth canal, which can cause stabbing pains. These pains and hard bellies can be uncomfortable, but they don't mean you are ready to give birth yet.

The birth

A midwife is available 24/7

We believe that a positive birth experience is a birth which you remember with fondness, whether this was at home under our guidance, as an outpatient at the hospital or under the care of a obstetrician. It is important that your child gets the best possible start in life and you receive sufficient support and guidance. Childbirth has always been an unpredictable event but if you prepare well, a positive birth experience is more likely.

How to prepare well:

  • attend a pregnancy class
  • write a birth plan explaining your wishes and expectations for the birth
  • attend our information evening about childbirth
  • read the brochures on our page 32-37 weken
  • get plenty of rest during the last weeks before the birth
  • do not hesitate to ask us any questions you might have!

Always call us when

  • you feel anxious
  • feeling your baby move less
  • you experience heavy loss of bright red blood, like menstruation
  • During contractions: Is this your first baby? Ring us when you’ve been having regular contractions for at least an hour, every 3-5 minutes, lasting approx. 60 seconds. Have you given birth before? In that case please ring us when the contractions are very 5 minutes and last approx. 60 seconds. This is merely an estimate, each body and each pregnancy is different. Please know you can always check with us if labour has really started and you need our help!
  • If you are losing amniotic fluid and you are at 37 weeks or more, the following applies: Is your amniotic fluid clear or pink? That is good news! Take your time, get some more sleep and ring us the next day from 8 am. Unless the baby’s head has not lowered yet, in that case ring us immediately, day or night! Is your amniotic fluid green, yellow or brown? Ring us immediately because the baby may have defecated into the amniotic fluid.
  • If you are losing amniotic fluid but you are not yet 37 weeks pregnant, always ring us, even if in doubt.

Summary of the stages of labour

In 90% of cases the birth begins with contractions. In 10% of cases labour begins by the waters breaking.


Mucus plug

At the end of your pregnancy you may lose a mucus plug. This is usually brown/red in colour and mixed with mucus. Losing the mucus plug does not mean labour has started.  It can still be a while before contractions begin.


Contractions are strong muscle movements in your uterus, making dilation possible. They are usually not very strong in the beginning but when they occur regularly every 3-5 minutes and last approx. 60 seconds, that is a clear sign that labour has started. Pre-contractions (Braxton Hicks) are common during the last few weeks of your pregnancy but do not mean you are in labour. A contraction is usually experienced as pain in a wave- like motion, running through your abdomen and/or back. A characteristic of a contraction is that it starts slowly, tightens up and relaxes again. Apart from the contractions you should not feel pain.

Waters breaking

In 10% of cases, labour begins by the waters breaking. You lose amniotic fluid, varying from small amounts to large gushes. Amniotic fluid is cloudy, has the colour of diluted milk or bitter lemon and may contain white flakes. Unlike urine, amniotic fluid has a sweet smell. If you are not sure whether your waters have broken, you can ask us for advice. It is important that once your waters have broken but you are not yet having contractions, you should not have a bath, use tampons or have intercourse.  If your baby's head has not lowered into the birth canal since your most recent check-up but your waters have broken, lie down immediately and ring us, even at night. 

Have your waters broken at night and the amniotic fluid is clear in colour? If the baby’s head has lowered as well, use a thick sanitary pad, and try to get some more sleep (if it is the middle of the night) Most births (80%) start within 24 hours, so have some more rest while you still can.

A birth has different stages

The birth process does not have a clear starting point. Your pregnancy usually turns into the labour stage by alternating between hard bellies and contractions. So don’t think too quickly labour has started, because it can still take a while. Try to find a distraction during the beginning and contact us if you have any concerns or questions.

Latent stage

Your cervix is a ring consisting of strong connective tissue that should remain closed during the nine months of your pregnancy. And that is a good thing; otherwise your baby would be born prematurely. When you go into labour, the contractions cause your cervix to soften, shorten and open a little (up to 3-4cm). This latent stage is the most time consuming and you should experience contractions that are often still "manageable". During this stage, try to find a distraction for as long as possible, such as folding up the laundry, baking a cake, or watching a movie.

Active stage

Once you are at (approx) 4cm dilation, the active stage begins. You are now "actively" breathing the contractions away. The contractions follow each other quickly every 3 minutes and last on average 80 seconds. This is the time you should ring us. Dilation is now increasing by a 1cm every hour. During this stage you are concentrating on the contractions and trying to get comfortable. We will coach you through this and keep a close eye on how far you are dilated and the condition of the baby. This is also the time to make a definite decision whether you want to give birth in hospital or at home. To relax properly, a warm shower or a hot water bottle can bring comfort. Alternate your position regularly and eat/drink small amounts to keep your energy levels up.

Pushing stage

Gradually the dilation contractions turn into a strong urge to push. Previously you had to ‘tolerate’ the contractions but now you can do something about it. Most women are relieved at this point, you can finally start pushing, the baby is on its way! However, the pushing stage can last a while. When it is your first baby, it’s not unusual to push for 1 ½ hours. With a second or third baby it can go a lot quicker. Find a comfortable position, which can be a birthing stool, squatting in the bath or lie on your side. As long as we have a clear view of the baby being born.

The birth

The moment has arrived, your baby is here! We dry your baby and put her/him on your chest. The umbilical cord is cut as soon as the blood inside it has drained and then we wait for the placenta to be born. The first hour after the birth, your baby has a very strong sucking reflex and is very alert. If you have chosen to breastfeed, it is important to try and have your baby latch on during this period. After the first hour we will check, weigh and measure your child.

The placenta

To speed along the birth of the placenta and to limit blood loss, we give you an injection of oxytocin in your leg once the baby is born. This is the same hormone your body produces to induce contractions. Contractions are also needed for the placenta to be born, but these are generally not very strong. Sometimes we need to suture; we do this ourselves and will give you an anaesthetic. If you have given birth as a hospital outpatient and there are no further complications, you can go home after 3 to 4 hours. If you have given birth at home, enjoy the comfort of your own shower and the maternity nurse will get you ‘beschuit met muisjes’ while you rest.

Handling contractions

Giving birth is painful, it is unavoidable. It is impossible to predict how you will handle this pain; every birth is different. We will coach and support you during this time.

Pain relief options from the midwife

When in labour your body produces endorphins, which are pain-relieving hormones. Relaxation is important for the production of endorphins: the better you relax, the more endorphins you produce. A high level of endorphins helps your body to create its own pain relief. For many women, a warm shower, a hot water bottle and a calm warm environment will help them to relax. If needed, the following types of pain relief are available.


The birth-TENS (Transcutaneous Electrical Nerve Stimulation) or the stimulation of the nerves via / through the skin) is a device with which you give yourself small electrical impulses. They cause a stinging or tingling sensation, like warming up cold hands. This device can bring relief, especially when experiencing back contractions. You can operate the device yourself, which also gives you a sense of control.

The birth TENS can be used both at home and at the hospital and has no adverse effects on the mother or baby. Check with your health insurance provider if they will cover the cost for a birth TENS machine. In case your insurance does not reimburse the TENS, you can als rent it from us from 37 to 42 weeks for 50 euro. Then you are always assured of your own painkiller when labour starts. Ask our assistant about it.

Laughing gas (Nitrous Oxide)

If you are giving birth at hospital as an outpatient, we can administer laughing gas once you are in the active stage of labour. The gas will help you relax and has an anaesthetic effect. Laughing gas should not be administered during the pushing stage as your full concentration is needed. 

If a medical indication refers you to hospital to give birth, nitrous oxide gas is unfortunately not an option. Permitted pain relief methods are listed under "pain relief from the obstetrician ". Watch the video for more information.

Sterile water injections

If your contractions are mainly felt in your lower back, sterile water injections can help manage the pain. We will give you 4 injections into your lower back. They provide relief between 2 and 4 hours and can be repeated as often as needed. There are no known side effects to you or your baby. We carry the injections with us to use at home births but they are also available at hospitals. Sterile water injections can be used anywhere, anytime, even during the pushing stage or on your way to hospital.

Pain relief from the obstetrician

When the above methods prove ineffective, analgesics are an option. In this case we have to hand you over to the obstetrician. Before administering any pain relief, an echocardiogram of the baby must be made to check if it is strong enough to receive the pain medication. There are 3 pain relief options.


The anaesthetist gives you a local anaesthetic and puts a needle into your lower back. Through this needle a thin tube is inserted. The needle is then removed and the tube is secured to your skin. The tube feeds pain relief medication into your spine which should begin to take effect within 15-20 minutes. The tube can remain in place throughout the birth.


  • 95% of women are completely pain free during the contractions.
  • An epidural has no known side effects for the baby.
  • An epidural does not make you drowsy so you are fully awake during the birth.


  • Occasionally the epidural only works on one side of the body.
  • Approx. 5% of women do not feel (much) relief. This may be because the needle has been inserted into the wrong place or the medication dosage is insufficient. Sometimes the epidural will be reattempted. 
  • The birth, especially the pushing can take longer.  It will increase the likelihood of a suction cup being needed. 
  • Medication is often required to control the contractions.
  • It would be unwise to get out of bed because you will have less feeling in your legs. You will regain control over your legs once the pain relief has worn off. A low dosage allows more feeling in your legs and in some cases you can stand up, walk around while in the pushing stage. 
  • You will also receive drugs by IV to prevent your blood pressure becoming too low. 
  • Every few hours your bladder will be emptied by catheter because the epidural will suppress your urge to urinate. 
  • An epidural may cause your body temperature to rise. It may be difficult to determine if your raised temperature is caused by the pain relief or a possible infection.  As a precaution, you will be given antibiotics. After the birth your baby will be monitored for 24 hours to check if he/she does not develop a fever.   
  • It may cause itching. This can be treated easily by adjusting the combination of medication. 


Remifentanil is a morphine type drug which is administered by an IV. An IV is a tube inside your arm connected to a pump. You can give yourself the Remifentanil when needed by pressing a button. However it is made sure you cannot overdose yourself. Remifentanil will start to work within 1 minute; it takes the edge of the pain and helps you to relax better in between contractions. It is possible that this drug will affect your breathing, for this reason a nurse will be in the room with you and may need to give you extra oxygen. Remifentanil is only possible when there is sufficient care staff available.


Pethidine is a morphine type drug which causes drowsiness and helps you to relax and provides pain relief.  The drug is administered by injection into your leg or buttocks. It will usually take effect within 30 minutes and last approx. 2 to 4 hours. Pethidine is most commonly used when you are experiencing an increased amount of pre-contractions, which cause fatigue. Pethidine will help you to get a good night’s sleep, recharge your batteries before the birth. 

Advantages Pethidine

  • Approx. 50% of women are satisfied with the level of pain relief.
  • It might make you drowsy or fall asleep, which can be a good thing if you are exhausted from the contractions. 
  • Pethidine can provide relief while waiting for an epidural.

Disadvantages Pethidine

  • Pethidine takes approx. 30 minutes to take effect.
  • 25 – 50% of women report no change in pain levels.
  • It may cause nausea and drowsiness. You may not be fully aware of the birth. For this reason, Pethidine is often administered during the early stages of labour.

Options at 41 weeks

Over-tijd-thee For most pregnant women labour starts between 40 and 41 weeks, from 42 weeks we will refer you to the gynaecologist so that labour can be induced at the hospital. From 41 weeks you have the opportunity to induce labour or to wait for 42 weeks. A baby is generally born when he/she is ready and signals your brain to start contractions or have your waters break. The internet has information about home remedies to induce labour ‘naturally’; such as nipple stimulation, intercourse and drinking red raspberry leaf tea. You will have friends and family recommend certain methods; such as castor oil, spicy foods or eating pineapple. But do any of these methods work? Research shows that only sweeping of the membranes can successfully initiate labour. You can read more about membrane sweeping in this information brochure

It's quite common for your baby to still be in the womb after 40 weeks, and this is entirely normal. There are various options to stimulate labor if you wish to do so. During this period, you will have often check-ups at the practise, and we will discuss the options with you. Every pregnancy is different, and so are everyone's preferences; together, we will determine what's best for you.

You can choose to have an induction at 41 weeks, even without a medical reason, or wait until 42 weeks. An alternative to initiate labor is a procedure known as "swiping the membranes," which has been found effective starting at 41 weeks.

A wish for induction at 41 weeks often means a transfer to the hospital. In some cases we can also supervise your delivery. For example, if you are already slightly dilated and it is possible to release the membranes. If you are not yet dilated, the cervix needs to ripen further and placing a balloon catheter in the hospital is an option, after which you will be further guided by a clinical midwife or physician assistant. We will discuss together whether you qualify for one of these options.