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You are here: Home Health & Fitness Healthcare Having a baby in Belgium
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06/08/2014Having a baby in Belgium

Having a baby in Belgium If you're planning to give birth in Belgium, here's a guide to prenatal care, delivery, aftercare, birth registration, child benefits, and maternity and paternity leave in Belgium.

If you've planned to have your baby in Belgium, the majority of births in Belgium take place in maternity hospitals, overseen by a midwife, nurses, gynaecologist and a physiotherapist. Specialist clinics and private hospitals are also available in Belgium, as are home births – although the latter remains fairly uncommon across the country. The general standard of Belgian healthcare is excellent and there is a range of support services available which are designed to make the pre- and post-natal process as safe and comfortable as possible. You can read an overview of the Belgian healthcare system here: Healthcare in Belgium.

Prenatal care in Belgium
An appointment with a doctor or midwife at your medical centre is the first port of call for those looking to confirm their pregnancy.

The degree of contact you have with your doctor throughout the pregnancy period will vary according to which region of the country you reside in. Doctors in the Flemish region tend to play a key role throughout the pregnancy, as do gynaecologists. In the French-speaking areas of Belgium, however, women generally only see their gynaecologist.

You are free to select a gynaecologist of your choice, and there are plenty of organisations for those looking for help when it comes to choosing a gynaecologist, such as the French-speaking ONE, Dutch-speaking K&G and the Brussels Childbirth Trust (BCT). These organisations are able to provide you with a gynaecologist free of charge, similar to other essential pregnancy services, such as the birth itself and subsequent hospital stay – all of which are covered by the mandatory health insurance paid by anyone who is employed in Belgium. Even women who aren't covered by insurance will find that their pregnancy costs are covered, courtesy of the Public Social Welfare Centre (Les Centres Publics d'Action Sociale, CPAS, in French, or Openbaar Centrum voor Maatschappelijk Welzijn, OCMW, in Dutch ).

In the French-speaking regions, expectant mothers will have regular check-ups with a Medical Social Worker (travailleur medico-social or TMS) who will be employed by the ONE organisation. Once pregnancy is confirmed you will receive a maternity booklet, known as the Carnet de la Mere in French. You must bring this booklet with you to all future consultations with your GP or TMS. 

The Flemish region, meanwhile, will see mothers receive regular home visits from a nurse and have the opportunity to attend pre-natal courses, some of which are available in English.

Giving birth in Belgium
In contrast to countries such as the Netherlands, where women are often released from hospital within 24 hours of giving birth, the Belgian system usually involves remaining in hospital for at least five days. In addition to doctors and midwives, the delivery process will also involve a physiotherapist. The latter will be on hand to ensure the mother is able to recuperate physically in the period after the birth. Your gynaecologist of choice will also be in attendance.

If you opt for a home birth it will only be granted if you are deemed to be in good health, and the process will generally be overseen by two midwives. The midwives will remain at your home for several hours after the birth to ensure there are no unexpected developments. One midwife will then drop by for a visit every day for up to two weeks after the birth in order to assist and offer advice, and a visit to the GP is also required within the first week after delivery. Midwives for the Flemish region and Brussels can be found here:

Alternative birth locations include so-called 'birth houses' (maison de la naissance) which are designed to provide more home comforts, with a midwife overseeing the birth. The houses offer a range of post-natal care services and classes, while some also allow the father to stay overnight during the birth. Some insurers cover the costs of birth houses, so it's wise to consult your relevant provider prior to making a final decision.

Aftercare in Belgium
In line with common practice in many other countries, babies in Belgium are required to attend fairly regular check-ups with GPs during the first couple of years of their lives. This will often involve vaccinations, which are provided free of charge at the following stages of the new-born's life: 2 months, 3 months, 4 months, 12 months and 15 months.

Parents can also choose from a range of nursery services aimed at new-borns up until the age of three. Nurseries can be found in many local community halls or run by the Public Social Welfare Centres and many are often government-subsidised by up to 75 percent, meaning parents only pay 25 percent of the fee.  You can read more information in our guide to childcare in Belgium.
Birth registration
Belgian law states that the birth of a child must be registered at a Town Hall within 15 days of the birth. The registry must take place at the Town Hall (Maison communale) which is located closest to the place of birth, as opposed to where the parents live. To complete the registration, parents must bring a medical certificate provided by the hospital, a marriage certificate (if applicable) and ID cards for both parents.

Upon completion of the registration you will be issued with documents which can be used to apply for child benefits. Expats are advised to also register the birth with their relevant consulate as soon as possible in order to ensure the child receives citizenship to their relevant country.

It is important to note that babies born in Belgium will only be eligible for Belgian citizenship if the parents have spent a minimum of five consecutive years living in the country in the 10 year period prior to the birth.

Up until recently, all new-borns in Belgium were required by law to take the surname of their father. In early 2014, however, a government bill was passed which enables parents to choose whether the baby takes the surname of the father or the mother – or both.

Belgian maternity and paternity leave
Mothers are entitled to 82 percent of their salary for the first 30 days of their maternity period, followed by a 75 percent pay-out for the remainder of their leave. The total leave entitlement period is 15 weeks, nine of which must be taken after the birth of the child. One week must also be taken prior to the birth. Fathers, meanwhile, are entitled to 10 days leave while being paid the equivalent of 82 percent of their salary (funded by the Belgian social security system).

Mothers can also opt to take eight months part-time leave, meaning they take on part-time hours at their place of work for the eight month period.
For more information, click here.

Childbirth benefits in Belgium
Parents in Belgium are entitled to a birth allowance (allocation de naissance), which can be claimed on or after the sixth month of pregnancy. Normally it is the father who applies, however the mother can also do it in the event of the father being unemployed at the time.

The application is made to the National Office for Family Benefits for Salaried Persons, although those in employment usually make their application via their employer. The medical experts providing the pre-natal care will provide the relevant documentation and the actual pay-out will be made directly to the mother. You can expect to receive the money at some point after the eighth month of pregnancy, with the amount depending on how many children you already have.

Once the birth has taken place you must provide the benefits office with a proof of birth, which can be obtained when registering the birth at a local registry office.

For a detailed breakdown of Belgian child benefit rates visit:

Useful links

Expatica / Updated by Bupa International
Bupa International offers a variety of health insurance packages to expats around the globe.
Updated from 2012.

1 reaction to this article

nazem badran posted: 2014-03-31 03:05:29

[Edited by moderator: Please direct expert questions to our 'Ask the Expert' service] i am maried en live with my wife en my child i have belgium nationality . i had relation with another belgium lady and i have baby boy from her ,, my question when my baby born ,,, she registerd him in her family name but because im not living with her . so can i do register my son on my name because now he has only mother family name en no father name thank you

1 reaction to this article

nazem badran posted: 2014-03-31 03:05:29

[Edited by moderator: Please direct expert questions to our 'Ask the Expert' service] i am maried en live with my wife en my child i have belgium nationality . i had relation with another belgium lady and i have baby boy from her ,, my question when my baby born ,,, she registerd him in her family name but because im not living with her . so can i do register my son on my name because now he has only mother family name en no father name thank you

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