Mother & Child center

Patinteninformatie

Having a baby in Reinier de Graaf

This brochure offers you an introduction to the procedures and facilities of the delivery room and
the maternity ward at Reinier de Graaf. These are both located at our hospital in Delft. The
brochure also sketches out what you can expect during your pregnancy, the birth itself and the
lying-in period in hospital afterwards.

Information for parents-to-be

We would like to remind you that you need to have arranged the following matters for the first 10
days following the birth well before the baby's due date.
It is important that the district nurse, or a special maternity nurse, should visit you at home every
day. She will help you look after your baby, examine the baby and - if required - will help you with
light household chores. You need to register with one of the maternity nursing organizations
[kraamzorg] before the 12th week of pregnancy:

Careyn Kraamzorg, tel: 0888 - 123 99 99

www. careynkraamzorg.nl

A midwife or your GP bears final responsibility for all maternity care provided. Certain medical
interventions, such as removing stitches or taking blood from the baby's heel (for the PKU test) will
always be carried out by the midwife or a GP. Not all GPs can provide a neo-natal service and this
specialized medical care is then left to a local midwife.
This should also be done even if your entire pregnancy is being monitored by a gynaecologist. You
should therefore register with a midwife during your pregnancy.

You can make a choice from the following list of midwives:

Delft
Verloskundigenpraktijk De Hoed
Kampveld 10 D, 2611 DA Delft
tel: 015 - 214 44 42
www.dehoed-verloskundigen.nl
info@dehoed-verloskundigen.nl

Verloskundigenpraktijk de Vijverhof
Zagwijnpad 1, 2625 PM Delft
tel: 015 - 261 97 07
Telephone consulting: monday through friday 9 - 12 am
www.vijverhofverloskundigen.nl

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Verloskundigenpraktijk Buitenwatersloot
Buitenwatersloot 61, 2613 TB Delft
tel: 015- 213 14 58
Telephone consulting: monday through friday 1 2 pm
www.verloskundigen-delft.nl

Delfgauw
Verloskundigenpraktijk De Hoed
Medisch centrum De Meander
Laan der Zeven Linden 167, 2645 HV Delfgauw
tel: 015 - 214 44 42
www. verloskunde.com
DeHoedDelft@Hotmail.com

Ypenburg
Verloskundigenpraktijk Ypenburg
Kiekendiefstraat 15, 2496 RN Den Haag
tel. 015 - 270 68 30
Telephone consulting: monday through friday 12 - 1 pm
Emergencies 06 22 78 55 58
www.vpypenburg.nl
info@vpypenburg.nl

Verloskundigenpraktijk De Hoed-Ypenburg
De Bruynvaart 37, 2497 WV Den Haag
tel: 015 - 214 44 42
www.verloskunde.com
DeHoedDelft@Hotmail.com

Naaldwijk
Verloskundigenpraktijk Naaldwijk
Postbus 65, 2675 ZH Honselersdijk
tel: 0174 - 62 47 50

Pijnacker/Nootdorp
Verloskundigenpraktijk Pijnacker/Nootdorp
Gantellaan 21, 2642 JK Pijnacker
tel: 015 - 369 73 00

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Telephone consulting: Tuesday and wednesday van 8.30 - 12.00 am
Emergencies 06) 51 92 76 76
www.verloskundigenpijnacker-nootdorp.nl
info@verloskundigenpijnacker-nootdorp.nl

Rijswijk
Verloskundigenpraktijk Rijswijk
Medisch Centrum Vredenburchweg
van Vredenburchweg 71, 2282 SE Rijswijk

Gezondheidscentrum Het Kruispunt

Dr. H.J. van Mooklaan 33, 2286 BB Rijswijk
Emergencies: 06-53 51 09 79 (24/7)
No Emergencies: 070-394 95 66 (Monday Friday 8.30 am 2 pm)
www.verloskundigenrijswijk.nl

s-Gravenzande
Verloskundigenpraktijk s Gravenzande, Hoek van Holland
Hoflaan 4, 2691 AT s-Gravenzande
tel: 0174 - 41 90 37
Telephone. Emergencies and answering service: (06) 54 37 36 16

Wateringen/Wateringse Veld
Verloskundigenpraktijk in t Wateringse
Heulweg 11, 2291 BW Wateringen
tel: 0174 - 22 69 39

If you have just returned home from the hospital with your baby and get no answer, or the engaged
tone, when you ring the Obstetrics Department, you can always get in touch with the midwives via
the central exchange at Reinier de Graaf Gasthuis: 015 - 260 30 60.

Giving birth at home or in the hospital

Becoming a mother is a very profound experience, and whether this is your first child or your third,
it remains a special and intimate event. For that raison, many woman prefer to give birth their baby
in the familiar surroundings of their own home. But there can be personal or medical reasons for
you to have your baby in hospital. If, during the course of your pregnancy, you receive treatment
from a gynaecologist for some medical condition, he or she will recommend that the birth takes
place in hospital. If you are expecting to have a short-stay hospital birth (called poliklinisch bevallen

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in Dutch), with the assistance of a midwife, make sure you have a patientenpas made at the Patient
Registration counter in the hall well before the baby is due.

Costs and insurance

There are different charges for:
Short-stay hospital birth
Hospital birth for medical reasons
Hospitalization during pregnancy
Own contribution for hospitalization after the birth.
Further information can also be obtained from the Patient Administration desk, telephone: 015 - 260
37 94.
Your insurance policy will tell you which charges can be claimed from the insurance company.
After the baby is born, don't forget to register him or her with your health care insurance company
so that you don't incur any unnecessary expenses.

A sneak preview
Even though you might be planning to have your baby at home, just to be on the safe side you
should allow for unexpected (medical or personal) developments which might necessitate your
going into hospital.
In that case, and also if you plan to have your baby in hospital, being prepared will help make your
stay in hospital more pleasant. There are a lot of things you can arrange and organize in advance.
When you are admitted to hospital, it is useful if staff there have various contact addresses for you.
The most important thing, of course, is being able to get in touch with your partner.
This sort of thing can probably be arranged in advance.
It is also possible to visit one of the delivery rooms and the maternity ward at the hospital before the
baby is due, so as to familiarize yourself with the facilities.

We organize monthly information meetings for pregnant women. These are held on Friday
afternoons, from 3.30 pm. You are welcome and can bring one guest. We ask you in advance via
form on our website to sign up. Would you in advance how many people you visit and the date on
which the information meeting. You should report to the Reception Desk. For the exact date you
can look on www.reinierdegraaf.nl/algemeen/agenda

Have you packed your bag? You'll be glad you did!

Get an overnight bag ready with all the things you will need when you go into hospital; doing this
well in advance will make it less likely that you will forget to bring something that is important.

What you should think of

Pregnancy card given you by your family doctor or the midwife

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 Health care insurance papers and name stickers (see above)
Proof of identity
Diet instructions and medication
Toiletries
Sufficient nightdresses or T-shirts (and a T-shirt for the birth itself), warm socks and plenty of
underwear
Bathrobe and slippers
If so desired: camera or video camera
If so desired: your mobile phone
If so desired: a rubber hot-water bottle
Something to read, some sweets or snacks
Pacifier: a pacifier should not be introduced until breastfeeding is well established
Baby clothes (romper, shirt, pants, coverall, hat, coat, socks and blanket)
For reasons of security, it would be better to leave jewelry, money and other valuables at home. Its
possible to use our wireless internet on your laptop or i-pad.

Important tests
It is possible that certain tests will need to be carried out during the pregnancy or around the birth.
You might need to have an ultrasound scan (sometimes called an echo). With the aid of sound
waves, your baby can be measured and the placenta can be located. A picture will be visible on a
TV screen, so you and your partner can see it as well.
If it is necessary to check the baby's heartbeat, a CTG examination will be carried out whereby a
"film" is made of the heart rhythm. You will be able to hear the baby's heart beating. Ultrasound
scans and CTG examinations are non-invasive, safe and painless.

Scientific research
In the hospital, there are various ongoing scientific researches. With the results of these
researches, we hope to improve the quality and the care for mother and child in the future. When
you are under the supervision of the gynaecologist during the pregnancy or when you are giving
birth, you might be eligible for participation in one of the researches. Your permission for
participation will then be requested. Your participation would be appreciated.

It's happening
During your pregnancy you will have arranged with the midwife, GP or gynaecologist just when you
should get in touch with them when you think that the baby is coming.
Below are some guidelines so that you know when to get in touch with them:
After an hour of contractions that occur every five minutes and last about one minute;
Once your waters have broken;
If you have any bleeding from your vagina;

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 If you have any doubts or worries.
At that moment you can discuss with them whether it is necessary to go to the hospital.
If your pregnancy is being monitored by your family doctor or a local midwife, this is the person you
should contact. When appropriate, he or she will get in touch with the delivery room to say that you
are on your way to hospital.
If your pregnancy is being monitored by a gynaecologist, you should follow the instructions he or
she gives you and/or the guidelines above. If necessary you can phone the Obstetrics Department
yourself on 015 - 260 32 30 to let them know you are on your way.

The birth
On arrival at the hospital, please report to the Reception Desk. A delivery room nurse will collect
you from Reception and take you to the delivery suite or even with a wheelchair to section 2 c . It is
possible that after an internal examination has been carried out in the delivery room you will be sent
home to wait a little longer.
During the time that you spend in the delivery room you will of course have the possibility to phone
a few people to tell them that you have gone into hospital. Hospital staff are not allowed to give
information about you to other people; your partner, or some other person who you want to be with
you at the birth, acts as contact person.
Your partner can also be served a free meal, but only at hospital meal times and only in the delivery
room, one time after delivery. Later or bring your own meals (microwave waiting) or voucher to buy
down to dine with 7.50 discount on suite.
The midwife, GP or gynaecologist will attend you as soon as they are needed.
While you are in labour, and during the birth, other staff may also be present besides the person
who is actually attending you. This can include a student midwife, an obstetrics nurse, a maternity
nurse and a student nurse.
After the birth your placenta (the afterbirth) will either be destroyed, used for research, or you can
take it with you.

After the birth

When the baby is born, you and your partner will have some time alone with the baby in the
delivery room. It might also be possible to have a quick visitor. After a little while you and the baby
will be transferred to the maternity ward, unless your baby has to be taken to the neonatal unit. The
maternity ward is on the same floor as the delivery suite. The neonatal unit is on the on the same
floor.
In the maternity ward you will have a bed in a room for two or three people. The baby's cot will
stand next to your bed day and night. If the baby needs to go to the neonatal unit temporarily, you
will be given a bed in maternity suites. Even though your baby is not with you, you will still be
closely involved in caring for and feeding your baby. And in the maternity ward you will, of course,
be able to have visitors.

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Visiting hours
Parents/guardians throughout the day and they determine themselves when they visit.

Neonatal unit/ Post IC-HC centre

Your baby can be admitted to the neonatal unit for various reasons. For example, when your baby
is born too early or if its birth weight is too low, your baby will be admitted to the neonatal unit for
observation.
The baby can be given the special care it needs at the neonatal unit. Our unit is a post IC-HC
centre. This means that our unit meets the high quality standards to provide optimal care to
newborn babies who have stayed in the neonatal Intensive Care unit. In order to do this,
paediatricians and nurses followed a specialized training. There is a close cooperation between the
paediatrician and the maternity ward. If the situation of the baby allows it, you can even wash your
baby yourself and breast feed it. There is a lot of written information on premature babies available
on the ward. Please do not hesitate to ask for this.

Breast or bottle
Choosing whether to breastfeed or formula feed your baby is one of the first decisions expectant
parents will make. The World Health Organization recommands breastfeeding as the best for
babies. For mothers who are unable to breastfeed or who decide not to, infant formula is the
alternative. You can purchase formula feeding at your local supermarket or drugstore. We have
Nutrilon 1. You can bring your own bottles to let your baby get used to his bottle.
Most women can start breastfeeding within the first hour after giving birth, if possible, by allowing
the baby to rest or nurse, skin-to-skin, on her chest. For the first few days, most women make only
a small amount of yellowish milk called colostrum. Colostrum has all of the nutrition a newborn
needs. Most women start making more milk after 2 or 3 days. Nurses at the delivery room,
maternity ward and neonatal care unit will show you how to breastfeed and how to maintain
lactation. If necessary they can help you express your milk by pumping.

Prenatal visit to lactation consultant

In some cases we offer individual support by one of our lactation consultants. Your gynaecologist
will refer you when its necessary. On Monday to Friday lactation consultant on the Department and
available for outpatient appointment during pregnancy.

Registering the birth

Your baby will need to be entered in the Register [Burgerlijke Stand] at Delft Town Hall within three
days of the birth. Saturday and Sunday are not counted in these three days. You will need to make
an appointment by calling 14015.

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You do not need any proof of birth from the hospital, but you will need to show proof of your
identity. You should also take your marriage booklet [trouwboekje] if you have one or if you are not
married, then a declaration of recognition at the marital status.
You also need to know the name of the doctor or midwife who attended the birth, and the date the
baby was born.

How long will you stay in hospital

Unless there is a special reason for you to stay in hospital after the birth, you will normally be able
to go back home within a few hours. This is what we call a short-stay or "poliklinische" birth.
If you have a regular hospital birth, your stay in hospital can last up to a maximum of 6 days. The
actual period will depend on a variety of circumstances.
You will be discharged from hospital sometime between 10 a.m. and 3 p.m., depending on what
time the baby was born.

Going back home

Before you are discharged, you must ensure that your midwife or your GP knows that you are
leaving hospital. It is also important to notify the home nursing association in advance of the date
and time that you expect to be home. When you leave the hospital you will be given written notes to
be passed on to the midwife and maternity nurse.
When you leave it is important that you and the baby have suitable clothes to wear. It is advisable
to have a baby car-seat and a blanket for the journey home.

And then ...

The home nursing association will have been notified of your discharge by yourself or your partner.
The maternity nurse will come to your home from the day that you come out of hospital.
If a gynaecologist treated you during pregnancy or attended you at the birth, you will normally be
seen by a midwife once you go home. In some cases your GP will keep an eye on you. You must
arrange all this yourself before the baby is born.

Registration
After being rendered anonymous, all data relating to mother, baby, and the birth are sent to the
National Obstetrics Register, which is a part of the National Information Centre for the Health-care
Sector [Stichting Informatiecentrum voor de Gezondheidszorg, SIG] for the purposes of quality
control.
This quality control programme was set up on the initiative of the Delft Gynaecologist Partnership.

Familiarizing yourself
A brochure like this can never be complete; it is always much better to speak to your gynaecologist,
midwife, family doctor or a nurse if you have any specific queries.

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Our intention with this brochure is to explain the role that the Reinier de Graaf Gasthuis can play
during your pregnancy and the subsequent birth of your baby. You can also find this information on
our website.

Important telephone numbers

Reinier de Graaf Gasthuis 015 - 260 30 60
Delivery suite 015 - 260 32 30
Maternity ward 015 - 260 32 80
Ante-natal ward 015 - 260 32 80
Incubator ward 015 - 260 35 65

Versie: February 2016

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