During that decade there was a staggering decline in the percentage of homebirth in Holland and by the late 70s when I graduated from midwifery school, it stood at 35%. In the beginning of the 1970s, the homebirth rate was around 70%. How have we achieved this status? What are the problems we have faced and what of the future? A brief history In Holland, midwives are totally autonomous. The system prevents midwives and obstetricians from behaving in ways that are bad for women and demands the best from all of us. Our country has a totally different culture and system that allows Dutch midwives to work as they do and this is not because our midwives or obstetricians are very different from elsewhere but because our approach enables women to get the best of both worlds.
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