BMJ  2008;336:239 (2 February), doi:10.1136/bmj.39472.657384.DB

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Obstetric care must change if Netherlands is to regain reputation for safe childbirth

Tony Sheldon

1 Utrecht

The first 150 words of the full text of this article appear below.

The number of deaths of babies during childbirth in Dutch hospitals is considerably higher at night than during daytime, claim two leading clinicians writing in the journal of the Dutch Medical Association (Medisch Contact 2008;63:96-9).

A lack of 24 hour cover by gynaecologists could be to blame, say the authors, Gerard Visser and Eric Steegers, heads of the obstetric departments of, respectively, the Utrecht university medical centre and the Erasmus university medical centre in Rotterdam. They write that the figures elicit a "strong suspicion" that obstetric departments are less safe outside normal working hours.

However, they argue that the whole chain of obstetric care, including the Netherlands’ strong tradition of home births, needs to be scrutinised. Dutch obstetric care must "dare to make choices" and challenge "conservatism" if the country is to regain its leading position on perinatal deaths. The number of perinatal deaths in the Netherlands is 3.5 . . . [Full text of this article]


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