CONTACT FOR EMERGENCIES OR LABOUR

We are available 24 hrs per day on the following number:088-4300400

Team South (zuid) keuze/ option 1: IJsselstein, Montfoort, Benschop, Lopik, Lopikerkapel, Linschoten, Vianen, Hagestein, Lexmond, Zijderveld, Hei- en Boeicop, Everdingen.

Team North (noord) keuze/ option 2: Utrecht / Leidsche Rijn / Nieuwegein

When should you call us?

Labour can start with contractions, water breaking or the release of the mucus plug (at times with a little blood with it). Around the 36th week of the pregnancy we will give you more details of exactely when you should call us.

CONTRACTIONS

In most cases, labour starts up with contractions. A contraction is a strong tightening of the uterine muscle. These contractions cause the upper part of the uterus to tighten and thicken while the cervix and lower portion of the uterus stretch and relax, helping the baby pass from inside the uterus and into the birth canal for the birth. The birth canal will open further due to the pressure of the contractions (dilatation), from a closed birth canal to 10 cm dilatation. It is not possible to completely describe how contractions feel like, this you will have to experience yourself. A common characteristic of contractions is that they come and go. Contractions do not consist of constant belly pain. When contractions begin they are normally non-regular, short and not very painful. When contractions are regularly 3 to 5 minutes after each other (from the start of a contraction to the start of the next one), lasting about 1 minute each and feeling much stronger, then the dilatation will normally begin. At this moment you can wait 1 or 2 hours to call us. If this is not the first time you are having a baby, we ask you to call us when you feel contractions increasing and coming every 5 minutes during one hour. If the contraction process moves faster call us directly. This is when contraction are coming every 2 or 3 minutes or if you feel the need to push or if you feel pressure. At times the process is accelerated after your water breaks.

WATER BREAKING

The labour can also start with your water breaking. The amniotic fluid (water) can come a lot at once or in small amounts (this means a rupture higher in the amniotic sac). A typical characteristic of water breaking is continuous dripping. Collect some fluid in a clear glass or on a hygienic pad, so we can inspect it when we come see you. COLOUR Normal amniotic fluid has a clear (like water, white with some pink flakes). Often some blood and mucus loss happens and it is mixed in the water. Considering this description, if you are 37 weeks pregnant or longer and the baby’s head is heading down, call us to inform water breaking during the day (after 9am). If this happens at night you can wait and call us in the morning, with no worries. If the colour of the fluid is green or brown, then most likely the baby has pooped (meconium) in the amniotic fluid. In this case you have to call us immediately, at any hour (day and night). We will then come over to analyze the fluid and the baby’s heart rate. After that, if possible, you will go to the hospital to give birth to your baby with the assistance of a gynaecologist. BABY POSITION If the baby is not heading down or if you are not sure about that and your water breaks, you have to go lay down and call us immediately, at any hour (day and night). Complications are rare but precaution is preferred. We will then come over to check the baby’s position and heart rate.

WATER BREAKING, NO CONTRACTION

It is important to know when the water breaks. Inform us about the time when it has happened, this can be done during the day, after 8am. If your water breaks and you still don’t have contractions it may take up to a maximum of 24 hours until you deliver the baby, this to avoid the increasing chance of infection after this period. In this case take your temperature every 6 hours as a precaution. If you temperature reaches higher than 37.5°C, call us. To decrease the chance of infection we advise you not to take baths, not to use tampons and not to have sexual intercourse during this specific period. If your contractions don’t sart, after 24 hours you will be taken under the care of a gynecologist who will care for you further. MUCUS PLUG Before or during labour you may lose your mucus plug. The colour of the mucus plug can be clear, white, yellow, red and/or brown with or without some blood loss. At this stage you do not have to call us. It is possible that after this moment labour will start, but this is not a general rule. It may still take a few weeks.

GENERAL EMERGENCIES (You need to give us a phonecall)

• Before the 37th week of pregnancy, you think that labour has began, by contractions or water breaking

• You feel less movement or no movement of the baby during the day, after the 26th week of pregnancy

• If you have heavy clear vaginal blood loss more than a menstruation Checklist for the preparation of the birth

WHAT DO YOU NEED?

For the birth you need to have specific items at home. These items are necessary for home births as well as hospital births. We strongly advise to have these items home before you reach 37 weeks of pregnancy.

* Blocks that will make your bed higher. Your bed must be at least 70-80 cm high. You can borrow this free from the thuiszorgwinkel

* Kraampakket / birth pakket Often you will receive a free birth kit from your insurance, this should happen around the 30th week of pregnancy. If your insurance does not cover a birth kit, you can will have to purchase one. This can be done at the Thuiszorgwinkel, a baby shop or pharmacy.

What do you need to bring to the hospital?

Checklist hospital bag / maternity bag

We strongly advise for you to pack the following:

• The envelope we give you with your pregnancy card and other forms

• Insurance card and your ID / passport

• Night gown or top to be worn during the delivery

• Night gown or top to be worn after the delivery

• Extra underwear

• Toiletry bag: toothbrush, soap, etc.

• Warm socks

• Lip balm and energy tablets (sugar-candy like)

• Clothing for the baby: bodysuit, clothing set, hat, socks, warm blanket or jacket

• Photo camera

• Baby car seat (Maxi-Cosi)

• 1 Euro and 50 Euro cents coins for the wheelchair at the hospital