When to call us during the delivery

When you call us for the delivery, always call telephone number 06-51576755. This way you will be in contact with the midwife on duty directly. If your telephone call is not answered the line or the midwife is busy. Please try again in 10 minutes or, if the phone call cannot wait, call the Ata on telephone number 020-5923868. Ata is a service company that will take in your call. They can than reach us on another line so that we can return your call as soon as possible. Please note: our 06 number is not equipped to receive SMS/text so always call! 

The delivery is usually between 37 and 42 weeks and most often in the week after the due date. If you go into labour before week 37 please call us right away. On average a first delivery takes between 12 to 24 hours. Subsequent children will often come quicker, resulting in a quicker delivery. In about 90% the delivery starts with contractions. In about 10% the delivery starts with the breaking of the waters.

If your waters break try to catch some of it in a cup or glass. If this does not work you can put a sanitary napkin from your maternity package (kraampakket) in your underwear and then judge the colour of the amniotic fluid that way.

Call us right away if the amniotic fluid has a brown or green colour, even if it is during the night.

Call us during daytime (between 8 am and 11 pm) if the amniotic fluid is clear. Clear in this case means the fluid is whitish from mucus or flakes or a bit pinkish because of a little blood loss.

If your water has broken and you don't have (m)any contractions, please take your temperature every 4 to 6 hours. This has to be done rectally. If you have a temperature of 38 or above you need to call us. Do not take a bath with broken waters if you do not have strong contractions, do not use tampons and do not have sex.

If the head of the baby has not yet engaged in the pelvis and your waters break please lie down and call us. The midwife will tell you during your consultation if this applies to you.

If the labour starts with contractions, they will mostly be irregular for a while at first. As long as the contractions are irregular they could be ‘practice contractions’ that can go away again. If the labour really continues the contractions will become regular and start to build up. Each contraction will take more time and the breaks between contractions will get shorter. With a first delivery it is usual to count on the labour really having started when you have contractions every 3-5 minutes that last about a minute or a bit longer for a period of 2 hours. On average women have about 2 to 3 centimetres of cervical dilation at that moment. For a lot of women that is a good time to call us for a visit from the midwife. If you do not feel the need to contact us at that point it is fine to wait until you do feel that need. If you feel the need to contact us before that point that is fine too. It is only difficult for us to say anything meaningful on the further course of the delivery if the contractions are more than 3-5 minutes apart or have a duration of less than a minute.

For a second or subsequent child you can usually assume that you are really in labour if your contractions are 5 minutes apart and have a duration of a minute or longer. Often women have a clearer sense of what is happening during a subsequent delivery. As a result it often is easier for you to determine when you need us.

It is normal to lose some blood during the contractions. This often starts (like a period) with some brownish blood, often also slimy and later on more clear red blood. Please contact us if you lose more blood in 30 minutes than your sanitary napkin can absorb.

In the last couple of weeks of the pregnancy you can lose the mucus plug. This can really be a plug but usually it is more like mucous discharge. With this discharge there can be a little bit of blood, but that is nothing to be startled about. The mucus plug indicates that you have entered the last phase of the pregnancy. Sometimes the delivery starts soon after, but often this can take another week or more to happen.

It is also important to pay attention to the movements of the baby in the last couple of weeks of the pregnancy. Often the movements become softer en less big because the baby has less space to move. We want you to feel your baby move like you are used to. Maybe softer but not less frequently. On average a baby must move at least 6 times a day. When in doubt note the movements with pen and paper to get an overview of them. If your baby suddenly moves a lot less than you are used to, it is good to pay extra attention to his or her movements. Lie down and consciously make contact with your baby to see if there is a reaction to that. If this is unsuccessful and you really feel less movement please contact us.

Always call us if you are worried! If you are worried it will not make for an easier delivery and we can answer a lot of questions easily.