Dutch gynaecologists want specialised natal care
In a TV documentary, Dutch gynaecologists blame high number of infant fatalities on home births and late intervention practices.The Netherlands – Dutch gynaecologists say births should only take place in specialised hospitals as intervention comes too late in a television documentary that was screened on Sunday evening.
On current affairs TV programme Zembla, the gynecologists blame the relatively high number of infant fatalities in the Netherlands partly on the practice of home births and say midwives are reluctant to intervene when women in labour get into difficulty.
The claim is vehemently disputed by midwives who said women in labour are rushed to hospital as soon as complications arise.
Around 30 percent of all babies are delivered at home by midwives.
de Volkskrant reported that several gynaecologists have called for the establishment of 40 specialised hospitals throughout the country. These hospitals should provide specialist pre and post natal care where a gynecologist and an anaesthetist should be on duty at all time.
Dr Paul Reuwer said the Netherlands needs specialised birthing centres with gynaecologists on duty day and night in order to improve infant mortality.
Currently, there are 100 hospitals in the Netherlands where women can give birth. However, gynecologists and anaethetists are only present during office hours which mean valuable time is lost when they have to be called up.
The gynaecologists also said that the lack of gynaecologists, surgeons and personnel capable of performing a caesarean section contribute to infant deaths, "by the time a specialist has been drummed up, much valuable time has been lost valuable".
The number of babies in the Netherlands that die just before or just after birth is relatively high compared to other Western countries. A steering group is due to give its recommendations at the end of the year to reduce the infant mortality figures.
Radio Netherlands / Expatica