The Netherlands has one of the highest rates of home births in the world. Here’s why giving birth at home remains a valued part of Dutch maternity care. One statistic often surprises newcomers to the Netherlands: a significant number of babies are still born at home. Unlike many Western countries where childbirth has become almost entirely hospital-based, the Dutch healthcare system continues to support home births as a normal and safe option for low-risk pregnancies. Rather than viewing pregnancy as a medical condition, the Dutch generally see it as a natural life event — and the maternity system is built around that philosophy. This article explores: Giving birth at home in the Netherlands In many developed countries, home birth is seen as outdated or risky. In the Netherlands, however, it is a long-standing and well-regulated practice supported by trained midwives and a strong referral system. For decades, the Netherlands has had the highest percentage of home births in the Western world. Around 30% of women give birth at home, while approximately 60% deliver in hospitals, mainly due to medical reasons. Another 10% give birth in outpatient birth clinics, which offer a middle ground between home and hospital settings. According to national health data, this distribution has remained relatively stable since the 1990s, reflecting deep trust in the system. In contrast, home births in countries such as Germany, France, the UK, Belgium, and Scandinavia typically account for less than 2% of all births. Midwives play a central role in Dutch maternity care and are highly trained healthcare professionals, usually educated at university level. Many are members of the Royal Dutch Organization of Midwives, which helps ensure consistent standards and safety protocols nationwide. Why Dutch women give birth at home Cultural attitude plays a major role. Many Dutch women grow up hearing stories of mothers, grandmothers, and friends who gave birth at home without complications. This creates confidence and continuity across generations. Another defining feature of Dutch home births is the absence of medical pain relief. Only doctors are authorized to administer epidurals or anesthetics, which means home births are medication-free. Even in hospitals, Dutch women are less likely to request pain relief compared to women in many other countries. The underlying belief is simple: pregnancy is not an illness. As long as mother and baby are healthy, medical intervention is kept to a minimum. Health insurance reflects this philosophy. Midwife-led care and home births are fully covered. Hospital births are also covered when there is a medical reason. However, women who choose a hospital birth without medical indication may be asked to make a personal contribution. Many women appreciate the calm and familiarity of giving birth at home. Commonly cited benefits include: In the Netherlands, women are often discharged from hospital within hours if there are no complications — something that contrasts sharply with multi-day hospital stays in countries like France or the UK. The Dutch Ministry of Health has long supported this approach, emphasizing that birth should be kept out of hospitals unless medical care is truly needed. The goal is to avoid unnecessary medicalization while maintaining safety. Hospital care is always an option Despite the strong home-birth culture, hospital care remains readily available and widely used. More than half of all Dutch women still give birth in hospitals. This includes: Midwives are trained to transfer patients quickly and decisively at the first sign of complications. Many hospital births begin as planned home births that are later moved to hospital care for safety reasons. Experiences vary. Some women find home births deeply personal and empowering, while others prefer the reassurance of hospital equipment and specialist availability. The Dutch system allows for both — and switching between them when needed. Criticism does exist, particularly from expats unfamiliar with the system. Some feel the approach can be too hands-off, especially when it comes to pain management. However, surveys consistently show that most Dutch women are satisfied with their birth experience. Importantly, the system is designed to balance choice, safety, and cost efficiency. Keeping low-risk births in primary care reduces strain on hospitals and helps maintain a financially sustainable healthcare system. As with most Dutch healthcare services, general practitioners and midwives act as gatekeepers. Specialist care is always available, but only when it is medically necessary. Final takeaway Home birth in the Netherlands is not about rejecting modern medicine — it’s about using it thoughtfully. The Dutch maternity model prioritizes natural birth where possible, rapid escalation when needed, and informed choice for mothers. For expats, understanding this philosophy early can make pregnancy and childbirth in the Netherlands far less intimidating — and often surprisingly empowering.

From prenatal care and delivery to aftercare, leave, and benefits, here’s everything you need to know about having a baby in the Netherlands in 2025. Planning a pregnancy in the Netherlands can feel unfamiliar at first. While the Dutch maternity system may work differently from what you’re used to, it is considered one of the safest and most supportive in Europe. The Netherlands is well known for its strong focus on natural childbirth and exceptional postnatal support. In fact, few countries offer the same level of in-home care for new parents, much of which is covered by health insurance. This guide explains what to expect when you’re expecting in the Netherlands, including: Is the Netherlands a good place to have a baby? Yes. The Netherlands combines high medical standards with a strong family-focused culture, making it a safe and supportive place to have a baby. That said, the Dutch approach to pregnancy and birth is different from many countries. Pregnancy is generally treated as a natural life event rather than a medical condition. As a result, most women receive care from midwives rather than doctors unless complications arise. Hospitals remain the most common place to give birth, but home births are still relatively popular. Around one in eight babies is born at home — a higher rate than in most developed countries, though far lower than in previous decades. After birth, families receive up to 10 days of professional maternity support at home, which is one of the most valued aspects of the Dutch system. Accessing Dutch maternity services: midwives and obstetricians If you think you’re pregnant, the first step is to contact your family doctor (GP / huisarts). They confirm the pregnancy and usually arrange initial blood tests. You are then referred to a midwife, who will manage most of your prenatal care. If any risks or complications arise, the midwife refers you to a gynecologist or obstetrician (gynaecoloog). You can search for registered midwives via Royal Dutch Organization of Midwives or request recommendations from your GP. Many women also choose to work with a doula for additional emotional and physical support. Does Dutch health insurance cover maternity costs? Yes. Dutch basic health insurance covers most maternity-related care, including: Expats who are not covered under Dutch insurance can choose international health insurance plans. Common providers offering maternity coverage include: Pregnancy testing in the Netherlands Pregnancy tests are easy to obtain from pharmacies, supermarkets, and drugstores. Prices typically range from €5 to €15. If your test is negative but you still suspect pregnancy, repeat the test after one week or consult your GP for a blood test. Prenatal care in the Netherlands Once pregnancy is confirmed, schedule your first appointment with a midwife as early as possible. The first visit includes medical screening and discussion of your birth preferences (home or hospital). Appointments usually follow this pattern: Midwives provide guidance on nutrition, lifestyle, and pregnancy progress. You will also receive a pregnancy booklet that tracks your medical information and is especially useful for home births. Scans, tests, and checks Prenatal screening is available but not automatically routine. Testing is recommended when: Standard low-risk pregnancies usually include: Additional genetic tests (e.g., NIPT) are optional and usually not fully covered by basic insurance. Antenatal classes Prenatal classes are widely available across the Netherlands and often offered in English. Popular options include: Availability varies by city. Abortion in the Netherlands Abortion is legal on request up to 21 weeks, and up to 24 weeks for medical reasons. Support and counseling are available through Fiom. Dutch deliveries: hospitals and home births Hospital births usually take place at the nearest hospital. Midwives attend the birth, with doctors involved if complications arise. Hospital stays are short; many women return home within 4–24 hours after delivery. Parents receive a child health record (Het Groeiboek) to track vaccinations and development. Delivery outside of a hospital For home births: Some cities also offer birthing hotels (kraamzorghotels), combining a home-like environment with medical supervision. Post-natal care in the Netherlands One of the standout features of Dutch maternity care is kraamzorg — professional postnatal care at home. Register for kraamzorg before the 12th week of pregnancy to ensure availability. Nurseries and childcare Childcare registration often begins during pregnancy due to long waiting lists. Parents may be eligible for childcare allowances, which can significantly reduce costs. Vaccinations for children Children in the Netherlands receive free vaccinations under the National Immunization Program. Invitations are sent automatically by mail. Breastfeeding in the Netherlands Breastfeeding is legally protected and increasingly supported in public spaces. Employers must: Public attitudes have improved significantly in recent years. Registration of birth in the Netherlands Newborns must be registered at the local city hall (gemeentehuis) within 72 hours of birth. Required documents typically include: A Dutch birth certificate is issued, after which parents can apply for child benefits. Non-residents, visitors, and tourists giving birth Tourists must have valid health insurance. Coverage varies depending on nationality and insurance type. In emergencies, call 112. Will my child get Dutch citizenship? The Netherlands does not grant automatic citizenship by birth. Parental leave in the Netherlands For birth mothers: For partners: All parents can take parental leave until the child is eight years old, with nine weeks paid at 70% if taken during the first year. Child benefits in the Netherlands Parents may receive financial support through: Benefits are administered by Sociale Verzekeringsbank and the Dutch Tax Office. Useful resources

From contraception and pregnancy to screenings and menopause, this guide explains how women’s healthcare works in the Netherlands and how to access the right services. Women moving to the Netherlands may notice differences in how healthcare is delivered compared to their home country. The standard of care is high, but access depends on proper registration and understanding how the system works. This guide explains what to expect, how to access care, and which services are available, including: Women’s health in the Netherlands Healthcare in the Netherlands is consistently ranked among the best globally. Women have equal access to medical services, with strong outcomes in life expectancy, preventative care, and reproductive health. The country performs highly on gender equality in healthcare access, and women generally experience longer life expectancy than men. While routine checkups are less frequent than in some countries, services are readily available when medically needed. Public healthcare is accessible to all registered residents, alongside private and international healthcare options for those who prefer additional flexibility. Accessing women’s healthcare services in the Netherlands Women in the Netherlands typically begin their healthcare journey by registering with a family doctor (GP / huisarts). The GP acts as the central coordinator for most medical services, including gynecological and reproductive care. Once registered and insured, women can access both public and private healthcare services. Specialist care usually requires a referral from a GP, unless you have private insurance that allows direct access. Overall, access barriers are low, and most women are able to receive appropriate care without long waiting periods. Insurance for women’s healthcare in the Netherlands Basic Dutch health insurance covers a wide range of women’s healthcare services, including: Residents may choose their own insurance provider. Some providers are more expat-friendly due to English-language services and international coverage. Dutch insurers include: Many expats also opt for international insurers such as: EU and EFTA residents may initially access healthcare using an EHIC, but long-term residents must register for Dutch insurance. Gynecologists in the Netherlands Routine gynecological checkups are not standard practice in the Netherlands. Instead, women consult their GP first, who will refer them to a gynecologist if specialist care is required. Gynecologists mainly provide care for: Women with private insurance may visit specialists without a referral. Specialist care typically takes place in hospitals or dedicated women’s health centers. Women’s contraception in the Netherlands Birth control Contraception is widely available and commonly used in the Netherlands. A prescription is required for most contraceptive methods except condoms and emergency contraception. Common options include: Condoms are available at pharmacies, supermarkets, and vending machines. The morning-after pill Emergency contraception is available without a prescription at pharmacies. Maternity care services in the Netherlands Pregnancy care is well-organized and largely covered by health insurance. After confirming pregnancy, women usually: Women may choose between: Breastfeeding in the Netherlands Breastfeeding is legally protected and socially accepted in public spaces. Dutch labor law requires employers to: Support is available through maternity nurses and breastfeeding organizations such as Samenwerkende Borstvoeding Organisaties. Fertility treatment in the Netherlands Fertility care is accessible and covered under standard health insurance for eligible patients. Women are generally advised to try conceiving naturally for one year before referral, unless medical issues are known. Fertility services are available to heterosexual couples, single women, and same-sex couples. Common treatments include: Insurance typically covers up to three IVF/ICSI cycles, usually until age 42–45, depending on clinic policy. Clinical guidance follows standards set by Dutch Society for Obstetrics and Gynecology. Abortion in the Netherlands Abortion laws in the Netherlands Abortion has been legal in the Netherlands since 1984. It is permitted: After that, abortion is only allowed if the mother’s life is at risk. Getting an abortion in the Netherlands No GP referral is required, though speaking to a healthcare professional is encouraged. Support and counseling services are available through organizations such as Fiom. Menopause in the Netherlands Women experiencing menopause-related symptoms can consult their GP or a gynecologist. Available treatments include: Coverage depends on the insurance plan and treatment type. Cancer screenings in the Netherlands The Netherlands operates national screening programs rather than routine annual checkups. Cervical cancer screening Breast cancer screening Ovarian cancer screening There is no routine national screening. Testing may be arranged through a GP if symptoms or family history indicate risk. Sexual health in the Netherlands Sexual health services are open, confidential, and widely accessible. Women can access: In cities such as Amsterdam, free STI testing is available at municipal clinics. Availability and cost of feminine hygiene products Sanitary products are widely available in supermarkets and pharmacies. Despite availability, affordability remains an issue for some young women. Women’s clinics and health centers in the Netherlands In addition to GPs and hospitals, women can access: Availability varies by municipality. Useful resources