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Midwife-Attended Birth in the U.S. and Netherlands, 1940-2000

This figure shows % of births that were midwife-attended in US and NL between 1940 and 2000. Figure from:

De Vries, Raymond. 2004. A Pleasing Birth: Midwives and Maternity Care in the Netherlands. Philadelphia, PA: Temple University Press.

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Does this mean that even in the Netherlands home birth is decreasing? It is amazing that it is even 1/3 of all the births but it seems to be on a downward trend in recent years.

So Rachael, do you think that there are huge "scope of practice" issues for midwives in the Netherlands. If they start out with about 75% at first and end up with a little under 30% I can imagine that there are a lot of emotional and work related issues cropping up such as the debacle at HCMC with the tens/breast pumps. I hope you get to talk with them about this in the Netherlands when you do your research. Or is there not such a separation of ideological ideas that clash between Midwives and Doctors as there are here in the US?