Who - Pregnant
Approximately 175,000 children are born every year in the Netherlands. Of these, few are unscheduled or undesirable. This is because in general the knowledge about sex and contraception in the Netherlands is good, also among young people. Moreover, contraceptives are readily available to everyone. Yet almost 10% of pregnant women who go to the doctor because they are pregnant, are undesirable pregnant. Usually teenagers and people in their twenties. Teenage pregnancies are relatively common among Antillean, Surinamese and Moroccan girls and girls with a different migrant background. Causes are less knowledge of contraception, less condom use because their partner does not want this, a positive image of single motherhood and consciously want children at a young age.
In the Netherlands, the average age of women in the first pregnancy is 29 years. In higher educated women higher, lower educated women lower. Most pregnant women receive obstetric care from the midwife or gynecologist; there are few GPs who offer obstetric care.
Care use and vulnerability
Women with a non-western background often make less use of obstetric care and maternity care. They often only report to the midwife at a later date in the pregnancy. After the birth, they call in the help of maternity care less often. The reasons for this have not (yet) been properly investigated. Women with a migrant background more often have complications during pregnancy or childbirth (preterm birth, low birth weight, congenital disorders, mortality). Because most migrant groups live in the big cities, these problems are most common in the big cities.
The number of pregnant women with complex social and medical problems is rising. Some pregnant women have few opportunities to take care of themselves and to have their own control over their lives. This occurs in women who have had little education, women with intellectual disabilities or with a psychiatric illness. Sometimes they are also distrustful of professional care. These pregnant women are very vulnerable.