Being pregnant is a wonderful and unique experience. Good guidance during pregnancy and delivery as well as the period after is of great importance. In our small, yet cosy practice we are able to offer you sufficient personal time and professional attention. After the childbirth we want you to be able to look back on a wonderful time in your lives! All pregnant women in Maastricht and its surroundings are more than welcome, even those living in Belgium! If you should like some more information, we are available 24/7. We are looking forward to welcome you at our practice!

Pregnancy

Office hours

Tuesdays: 13-18.00 hrs.
Thursdays: 13-20 hrs.   (+ address)

Tuesdays: 8.30 – 12.30 hrs.

First interview

As soon as you find out that you are pregnant you can make an appointment in our practice for your first ultrasound. For this you will not need any referral from your general practitioner.
There are several ways in which you can sign up;
– Via telephone: call 06-48477770
– Via e-mail: info@vitaverloskundigen.nl
– Via our contact form Aanmelden Zwangerschap.

Usually, your first appointment is around 7-8 weeks into your pregnancy and will take 20 minutes. During this appointment we will make an ultrasound to determine how far along you are, whether the pregnancy has implanted well and in its right place, whether you are carrying more than one baby and of course we will also check the heart rate of the baby.
Listening to the baby’s heartbeat is only possible from the 12th week into the pregnancy.

Make sure your bladder is full during this check-up! This is important to see the uterus on the ultrasound. Should the uterus not be visible, please take into account that a vaginal ultrasound will have to be made.

Should you have any questions, feel free to write them down and ask us during this first check-up!

The second appointment usually takes slightly longer, approximately 40 minutes.
Next to the administrative details we would also like to know more that could be of importance during your pregnancy, e.g. your health, your partner’s health and your family’s and your living conditions.
Should you have given birth already elsewhere, we recommend bringing along information about this delivery.

At the end of this intake we will plan a follow-up appointment. All the details we have collected we will put in our system. From all these details we will make a printout that will be handed to you on your next appointment. This will be your pregnancy card.
All new developments of your pregnancy will be filled out on this card, so make sure to bring it along with every consultation!

Follow- up consultations

During the following consultations we would like to hear from you how you have been over the passed weeks.
We will check your weight, your blood pressure and will measure the increase of your belly.
As from 28 weeks we will be able to feel the position of the baby.
And of course we will listen to the baby’s heartbeat every 12 weeks!

There is a clever diagram so you will know when you will come to us for a consultation:

  • Until 30 weeks in; every 3-5 weeks
  • As from 30 weeks up to and including 36 weeks in; every 2 weeks
  • As from 37 weeks in until the end of the pregnancy: every week.

Every follow-up takes approximately 20 minutes. Every now and then we will schedule a double consultation (40 minutes), of course we will notify you beforehand.

Extra check-ups are no problem at Vita Verloskundigen!

We will discuss all kinds of subjects or we will hand out information leaflets.
– Around 30 weeks in we will check your iron level and blood sugar level.
– Around 34-36 weeks in, we would like to discuss the moment of delivery with you.
It is important to inform us about your wishes, as we want for you and your partner a delivery in which you feel most comfortable.
A birth plan can come in handy!
Of course we will provide you with a lot of practical information during your pregnancy.

Combined test

The combined test is also known as neck fold measurement.
During the first consultation, all pregnant women will be given (if they wish) information about the possibilities concerning the combined test.

The combined test is a test (approximately 12 weeks in) that will determine the risk of the baby having Down’s syndrome and two more chromosomal disorders.
Between 10-13 weeks of the pregnancy a sonograph will be made that will measure the thickness of the baby’s skinfold. Also a blood sample will be taken from the mother. Along with the knowledge of the mother’s age an estimation of the risk will be made. Of course this test is completely harmless for the unborn child.
The normal range of the risk estimation is 1:200. Should the calculation be higher than 1:200, e.g. 1:100 we speak of an increased risk.
You then can choose for certainty.
The down side of a so-called Amniocentesis or Chorionic villus sampling involves a slight risk of miscarriage.

Women younger then 36 years of age with no medical history the costs of these tests will not entirely be endorsed. Please check your costs of the personal contribution with your Insurance.

In case you want more information on this matter you can click here,
http://www.knov.nl and http://www.nvog.nl

Childbirth

When can you call us?

Should you be worried, you can always call us!

  • Blood loss

We would like for you to call us in case you should experience clear red blood loss. The loss of a little clear red, brownish loss of blood or mucus right before the childbirth is completely normal. For this you do not need to call. However, should the loss be as heavy as during a menstruation we would like for you to call us. (It would be helpful if you could collect some of the blood, so that we can take a closer look at it)

  • When you cannot feel the baby’s movements.

As from 29 weeks in a baby should move 10 times a day. Should this not be the case, we will always schedule an extra check-up at the hospital.

  • Breaking of your water

Should your water break after the 37th week of your pregnancy, we would like you to give us a call. Should your water break at night and the water is clear and the baby’s head has descended properly, there is no need to call us right away. However, notify us in the morning so that we can come and check on you and the baby.

  • Should your water break and you are not 37 weeks in? Give us a call instantly, no matter the time.
  • Should your water break and you have been told that the child has not yet descended, call us straight away.
  • Should your water be green, brown, or yellow-ish you need to call us right away. Amniotic fluid should be clear, slightly white or pink. When in doubt, always call us.
  • Contractions

When you start having contractions, we would like for you to call us when the contractions last 4 to 5 minutes for over 60 seconds (after one hour on end) As soon as you think the delivery could happen rapidly do not hesitate to call us!
Should you give birth in an outpatient unit it is wisely to give us a call somewhat sooner.
We will come to an agreement during one of the consultations.

At home or an outpatient unit

Wherever you decide to give birth; at home or at the hospital, you can always count on our guidance. After all, it is your decision!

Child births in baths, birth stools or whatever position; it is not a single problem for us!
Information on the start and progression of the delivery, your wishes and needs, all of it will be discussed during consultations in the 34th– 36th week of your pregnancy.

Should you have put together a birth plan, this will also be discussed during one of our “delivery chats”.

Delivery at home

  • In case you have decided to give birth at home you will need to have arranged a few things before 37 weeks into the pregnancy.
    The bed in which the delivery will take place will have to be heightened to approximately 70 cm. For this you can place the bed onto blocks that can be rented at the Groene Kruis shop. Of course there are several more ways to heighten the bed, e.g. with crates or even an extra mattress.
  • Make sure to have two metal pitchers or jugs at home
  • Make sure to have two buckets with waste bags, one for the laundry and one for the waste.
  • Most insurance will provide a maternity package around the 30th-34th week in. Should your insurance not provide, ask us what you will need.

A few other things of importance;

– The room should be heated properly to prevent the baby of cooling down too much after birth
– Always make sure to have a bag ready for mother and baby. Should we have to head for the hospital unexpectedly, all we need to do is grab this bag and go!

Delivery at outpatient unit

You can always choose a delivery at the hospital under our supervision. This is what we call an outpatient delivery. Before heading to the hospital we will always come to your home first. Usually we head for the hospital together.

Make sure to have your bag or suitcase ready as from the 37th week of the pregnancy. Check whether you have packed your insurance card, pregnancy card en ID.

If the outpatient delivery goes according to plan you will be in the car on your way home after only as 2 hrs.
Maternity care will be waiting for you as soon as you get home.

A few tips:

  • Don’t forget the camera, including fully loaded batteries
  • Make sure to pocket a few coins; for the wheelchair at the hospital
  • Don’t forget the daddy-to-be; pack a few drinks and snacks! 

Pain relief

We are not going to lie; going into labor does hurt.

At this stage your body will produce endorphins, a natural painkiller. During most deliveries this painkiller should do the trick. However, you will come to a point at which you think “No more!” (Also known as periode du Désespoir), but this is mostly near the end of the delivery, the time you will start to push.

Should you require more pain relief, this will not be a problem. However, this will mean we will have to carry you over to a gynaecologist.

Pain relief at home

  • Try to relax as much as possible
    – Warmth through means such as a warm water jug, a bath or a shower
    – Massages
    – Different positions
  • Continuous support
    – TENSE

Our goal is for you to look back upon a wonderful and unique experience, not a traumatic event!

Pain relief at the hospital

Pethedine injection; Pethedine will be administered in your leg or buttocks. This substance will cause you to become a little sleepy and the contractions to subside, which give you a little extra rest.
You will still be able to feel the contractions, just less severe.
Epidural; An injection in your back, which will be administered by the anaesthetist. Continuous pain relief will be administered in your back, causing you to no longer (or hardly) feel any contractions.

Ways of giving birth

Taking on a specific position will usually not be necessary during the first contractions. Just try and go about ass you would usually do.
Do a few chores, go for a little walk, or take a nap. There will come a time that the contractions will become heavier and you will have to take on a particular position to help you relax!

This differs from woman to woman. We are there to help you and support you. Mentioned below you will find a few positions to help you during the dilation and the pushing.

We are open minded to almost anything, as long as circumstances and health allow it.

During the one of the “delivery chats” (34th-37th week in) we will discuss the moment of childbirth. Of course we will answer all your questions on these different positions.

Dilation

  • Lying in a warm bath with perhaps dimmed lights or candle light
  • Standing in the shower or sitting on a little stool
  • On your knees, bent over with your torso onto the couch or bed, In the meantime you can rock from left to right.
  • Lying on your side, with a pillow between your legs (this is more comfortable)
  • Sitting on the toilet. This place allows you to completely be yourself, which helps you relax.
  • Walking around during the contraction, sit down after the contraction and wait for the next one.

Pushing

Birth stool; we have our own birth stool. Gravity will help you in this case. Especially those expecting their first child will choose this option.
Usually the partner sits down behind the woman, which allows her to lean backwards to help her relax. You can choose to give birth this way; you can also decide to give the last pushes in bed.

Bath

Warm water is relaxing. Should you decide to give birth in a bath, we advise you to hire or buy a “birth bath”. Always consult with us first; delivering in your own bath can be an option too, should your bath and bathroom be spacious enough.
Studies have shown dilation will proceed faster and pushing goes gradually.
It is not possible to give birth in a bath at the AZM.

Bed

To most people this sounds the most logical. Therefor, the majority of the deliveries happen in bed, whilst lying down.

On your knees

This position means you are sitting down on your knees, buttocks down. Gravity will help you. The partner will sit down with his/her back against the headboard. The woman in labor sits down on her knees, facing the partner. This way allows you to stay in touch with each other and also gives you the possibility to lean on one another after every contraction.

Postpartum period

Visits from the midwife

After 9 months the moment is there; you can finally bring out the blue or pink mints! A very special and exciting time dawns on you and your family. Luckily, in The Netherlands you will not stand alone in this. Every new family will get help in the first week.

A whole lot of new things come at you all at once; (breast) feeding, sleepless nights, emotions, declaring the new baby, family visits, etc. etc. etc.… The maternity nurse will be there to guide you through the first 8 to 10 days. Alongside of him/her we will keep an eye on the mother’s and baby’s health, as well on the health of the other family members. The maternity nurse will keep us up to date on all developments and will give us a call if necessary.

So the nurse will be there every day and we will come visit every other day during the first 8 to 10 days. Should more visits be necessary, these can always be arranged! This way the nurse and we will ensure a safe childbed!

In case of an acute problem, whether day or night, do not hesitate to call us!

Should you have given birth at the hospital under the guidance of the gynaecologist, we will contact you, as soon as you are discharged from the hospital. We will continue the guidance of the childbed from that moment on.
Oftentimes we will try to come around at the hospital to congratulate you on your new family!

Maternity care

It is of great importance that you register at a maternity agency in time (preferably before the 20th week in).
The maternity nurse’s job is to help get you started with the baby, to perform check-ups with the mother and to make the fresh start as pleasant as possible.

During the intake we will hand out several leaflets of different maternity agencies in the area.
– Groene Kruis Domicura: 043 – 3690630
– Marlies Schellings: 045 – 5650145
– Cicogna: 06 – 22304841

A maternity nurse is also very important during the delivery. He/she will assist the midwife at home or at the hospital.

Declaration

It is mandatory that you declare your baby within 3 days after it is born. This is to be done in the town where the child was born. The birthday itself is not included in these 3 days.

Declaring your child is free of charge. However, you do need to bring a few documents.
– Valid ID’s of the person making the declaration and the mother’s.
– If you are married, a marriage license
– If not married, a certificate of recognition

Check-up

Our care does not end after our last visit. In approximately the 6th week after the delivery you will visit us once more during office hours. You will meet the midwife that was present during the birth of your little bundle of joy.

We would like to learn from you how things are going and how you look back upon your pregnancy, the childbirth and the time afterwards. We will also discuss any possible physical or mental issues. If you wish, we can check once again your blood pressure and iron level.

Finally, we would like to hear from you how you look back upon our provided care.

Recommendations

Nutrition

It is of great importance to maintain a healthy and varied diet during your pregnancy. Make sure to eat plenty of fresh fruit, fresh vegetables, brown bread and at least 0,5 litres of dairy products.
You will not have to eat for two, but we would seriously discommend regimes during the pregnancy or breast-feeding.
Vitamin supplements do not contain any extra health values and are completely unnecessary when you are eating right.

Here are a few tips and a list of things you would better not eat:

  • Raw fish, unless it is completely fresh from the fish buyer
  • Pregnant women are advised to take extra folic acid up to and included to their 3rd This decreases the risk having a baby with a harelip or split spine.
  • Insufficient cooked meat and unwashed vegetables and fruit sometimes contain pathogenic organisms, which can cause toxoplasmosis. Contamination during the pregnancy can have serious consequences for the unborn child.
    We advise you to not consume (medium) rare meat, tartar, filet Américan or ossenworst (raw beef sausage). Steak should not be a problem as long as it is well done.
  • Cat faeces can contain the same parasite that causes toxoplasmosis; to avoid contamination we recommend;
    always clean the litter box whilst wearing gloves or let someone else clean it. Same goes for working in the garden.
  • To decrease the risk of contamination with the Listeria bacteria, we recommend avoid eating products made of fresh, raw milk such as several foreign cheeses (the packaging will say “au lait cru”) Only use products made of pasteurized milk. Eating packaged cheese made of pasteurized milk is fine!
  • Liver contains a lot of vitamin A. Too much of this vitamin can cause damage to the unborn child. Therefore we recommend not to eat liver during the pregnancy and not more than one product containing liver (e.g. liverwurst and liver pate)

Ramadan

The Ramadan is a very special time for Muslims. However, we recommend pregnant women to not take part in the Lent. It could harm the baby.
For instance, not drinking enough during the day could have a negative effect on the woman’s kidneys. The lent can also cause the blood sugar levels to fluctuate.

Smoking and use of alcohol

Smoking during your pregnancy brings along severe risks. Smoking itself, but also residing in a smoky area can have negative effects on your pregnancy.
Cigarettes contain harmful substances. They cause a decreased blood flow of the placenta and thus a decreased oxygen flow to the child.
This may cause growing defects of the baby. Children of smoking mothers oftentimes have a birth weight that is too low. Next to that smoking can also lead to a premature birth.
This makes a baby a lot more vulnerable. This makes children during the first years more susceptible to respiratory infections.
Studies show that smoking in the vicinity of the baby can cause crib death as well.

Both parents are there for recommended to quit smoking and to avoid smoky rooms.
Quitting can be quite hard. Still, quitting is better than cutting down..
Do you need help quitting? Please consult us, or check www.stivoro.nl

Alcohol during the pregnancy can also be harmful to the unborn child. Each glass is one too many. Our advice will be to drink no alcohol at all.

Cold sore

Do you, or your partner have a cold sore on a regular basis; you should not worry about it during your pregnancy. However, it is better to be cautious during the childbed. Do you have a cold sore or does a person visiting you have one, we would advise you to take several precautionary measures;

– Ensure good hygiene, wash the hands thoroughly and no hugging or kissing the baby.
New-borns can fall very ill when infected.

Word of advice: We discourage the use of cold sore creams that contain acyclovir (Zovirax)
Consult your pharmacist. Another treatment is simply putting Vaseline onto the cold sore.

Signing up

Pregnancy

Maiden name
Given name
Date of birth
Name partner
Marital status
Address
Number
Zip code
Place of residency
Telephone number
E-mail address
General practitioner
First day of last menstruation
Number of pregnancies
Number of children
Maternity care

(submit)

Aftercare

Maiden name
Given name
Date of birth
Name partner
Marital status
Address
Number
Zip code
Place of residency
Telephone number
E-mail address
General practitioner
First day of last menstruation
Number of pregnancies
Number of children
Medical reason for gynaecologist
Maternity care
Way of feeding

(submit)

Our practice:

First let us introduce ourselves:

Mireille:

Ever since I was a little girl I wanted to become a midwife. I simply knew this was the profession for me.
After my graduation in 2010 I started working in different places, which allowed me to gain a lot of experience.
As from January 1st 2012 my dream became a reality, owning my own obstetrician practice.
It’s a small office in which every pregnant woman will receive the personal care and attention she deserves, which is extremely important during such an important phase in your lives.
Each day I am grateful for being a midwife and to be able to share this wonderful experience with you!
Hope to see you soon at Vita Verloskundigen!
Vivianne:

After having worked as an obstetrician in the beautiful town called Naaldwijk, my personal dream came true; owning my very own practice, right in the centre of my hometown Maastricht.
I truly enjoy my profession. To me, it remains a special experience to be present at such a life-altering moment in a person’s life.
Every childbirth and every little wonder is unique and therefore deserves proper guidance.
Together with Mireille I want to make sure you will indeed receive this guidance during the pregnancy, childbirth and puerperium, so you will look back upon this wonderful time of your pregnancy. 

Links

Breast-feeding course

Most maternity centres offer breast-feeding courses, given by a lactation consultant. After signing up at a maternity centre you can ask for more information on these courses

Pregnancy course, Envida.

“From pregnancy to parenthood”

Inflow between 20-30 weeks into the pregnancy

8 classes of 1,5 hrs. each. One of which a so called partner class

Pregnancy course according to Mensendieck

This course might help you prevent and/or decrease complaints with pelvis, groin, back and even upper legs. This course will make you aware of your postures and motions. Next to that you will learn to feel and understand your body during the pregnancy, the delivery and the time after.

Start: as from 24 weeks into the pregnancy

8 classes of 2 hrs. each, one of which a partner class.

Yoga Maastricht

Mariaberg (Maastricht)

 

Yogatree, Ramona Vranken

Eijsden
Yogaplace

Wijck (Maastricht)

Pregnancy yoga, Anke Knibbeler

Scharn            (Maastricht)

Pregnancy yoga, Envida

Maastricht

Imom Fit

Gym in the open air under expert guidance (2BeFit)

Locations; Vaals, Maastricht and Heerlen.

Also gym after childbirth (BackInShape)

 

Pregnancy swimming Maastricht

Wednesday’s 1800-18.45 hrs.

 

Giving birth together, Esther Smael

A course for the both of you!

9 classes of 2 hrs. each. Max 3-9 couples.

 

Pregnant Fit. Joyce Habets

This course mainly consists of active classes. Main focus is on fitness training, strength training, coordination and stabilization. This course contains both practical as well as theoretical classes.
Theoretical classes will go over main points such as delivery and the time after. Pelvis, pelvic floor and locomotors system are several subjects that will also be discussed.

Partners are welcome during several different theory classes.

As of 16 weeks in. It is also possible to start this course 4 weeks after childbirth.

Physiotherapy Center Jaspars, Maastricht

 

 

Haptonomic pregnancy counselling, Ingrid van der Kamp.

Haptonomu assumes that the relationship between parents and child can already be strengthened before birth. Involvement from both parents is crucial!

Counselling consists of 5 meetings during pregnancy and 1 meeting after birth and is given individually.

As of 17-19 weeks into the pregnancy.

Meerssen.

 

Haptonomic pregnancy counselling, Marjo Gorter

Maastricht

 

Round and healthy, Anita Badart

Lactation consultant, dietician.

Helping you keep a healthy diet during and after your pregnancy. Will inform you on breastfeeding during pregnancy and childbed.

 

Pelvic physiotherapist / Movement scientist, Drs. Charlotte Schambergen – Maurer

Duitse Poort 11 Maastricht

Bronzwaer physiotherapy and pediatric physiotherapy

Infants can be treated for following conditions; prematurity, predisposition, crybabies, and unwillingness to turn over onto to the stomach. But also for muscular problems, orthopaedic problems and neurological problems.

The treatment of infant scan takes place at your own home!

Pelvic physiotherapist, Charlotte Schambergen-Maurer

Maastricht (Avenue Ceramique)

Pelvic physiotherapist, Fysiotherapiepraktijk Jaspars

Remedial therapist Mensendieck, Jeannette Verbooy

Individual counselling and support in reference to relaxation posture and motion.
Limmel, Maastricht

Osteopathy, Praktijk Osteopathie Rademaker

Osteopathy is a form of invasive manual treatment that focuses on total body health by treating and strengthening the musculoskeletal framework, which includes the joints, muscles and spine. Its aim is to positively affect the body’s nervous, circulatory and lymphatic systems.

Pregnant women can be treated for; spinal pains, pubis pains, excessive fatigue, digestive problems, tailbone pains, general anxiety and nervousness.

Infant can be treated for; crybabies, colic’s, obstipation, reflux, and predisposition.

Maastricht (Wijck) en Maastricht (West)

Osteopathy, Han Hameleers

Scharn (Maastricht)

Osteopathiy, Julie Crousen

Eijsden

First aid course for children

 

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