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Pregnancy and Labour in the Dutch Maternity Care System: What Is Normal? The Role Division Between Midwives and Obstetricians by Marianne P. Amelink‐Verburg; Simone E. Buitendijk is a Medicine article available to read on EtoBox.

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**Introduction**: In the Dutch maternity care system, the role division between independently practising midwives (who take care of normal pregnancy and childbirth) and obstetricians (who care for pathologic pregnancy and childbirth) has been established in the so‐called “List of Obstetric Indications” (LOI). The LOI designates the most appropriate care provider for women with defined medical or obstetric conditions. **Methods**: This descriptive study analysed the evolution of the concept of “normality” by comparing the development and the contents of the consecutive versions of the LOI from 1958 onwards. The results were related to data from available Dutch national databases concerning maternity care. **Results**: The number of conditions defined in the successive lists increased from 39 in 1958 to 143 in 2003. In the course of time, the nature and the content of many indications changed, as did the assignment to the most appropriate care provider. The basic assumptions of the Dutch maternity care system remained stable: the conviction that pregnancy and childbirth fundamentally are physiologic processes, the strong position of the independently practising midwife, and the choic

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Author

Marianne P. Amelink‐Verburg; Simone E. Buitendijk

Publisher

Elsevier Science; Wiley (Blackwell Publishing); Wiley-Blackwell; Wiley (ISSN 1526-9523)

Published

2010

Language

EN

Field

Medicine (Health Sciences)