Welcome to the website of midwifery practice Lavita. On this page you will find a short summary of the most important information, for example the answers to the 10 most frequently asked questions. The main language in our practice is Dutch, but we are fairly fluent in English as well.
Midwifery practice Lavita
Koningin Julianaplein 58
1502 DV Zaandam
Route description (see "Welkom" -> "Routeplanner", in Dutch, including a map)
We manage an independent private practice in which personal care, quality and of course humanity comes first. You will see the same midwives every consultation, during your pregnancy, when you deliver your child and during your lying-in period. In the rare event of our absence, a qualified substitute midwife will be arranged.
We offer evening consultations as well as consultations during office houres, so you can bring your partner and/or children to your check-ups. Sometimes a trainee-midwife will be present. If you prefer a private consultation, please tell us. The costs of a midwife will be covered completely by your insurance.
Our practice is registered in the "quality-register" of the Royal Dutch Society of Midwives (KNOV). This means we are actively improving our care through regular courses and working closely with gynaecologists and GP's. We work in accordance to the directives of the Royal Dutch Society of Midwives (KNOV).
What does a midwife do?
- Childwish consultation: see “getting pregnant?"
- Consultation: during pregnancy you will visit our practice for check-ups an average of 12 times. The first interview will take approximately 45 minutes; the following check-ups around 15 minutes.
- Delivery: we will guide you through childbirth at home or in a hospital, depending on your choice. In the event of a medical indication a gynaecologist will take over. However, we will still be there with you. We also have experience with water birthing, TENS, birth crutch etc.
- Maternity visits: during the first week after childbirth we will visit you several times to check the health of you and your newborn baby.
If important questions arise, you can always contact us via the contact details at the top of this page.
If you and your partner are considering pregnancy, it is possible to have an informative conversation with the midwife to discuss any concerns and possible risks. If necessary we can refer you to a specialized doctor. Such a consultation is recommended even for a second or following pregnancy.
During the pregnancy
- Pregnant women should not eat raw meat or cheese from raw cowmilk products. This means that all kinds of meat must be thoroughly baked or cooked and any cheese products must be sterilized or pasteurized. This should be indicated on the packaging. Furthermore, we recommend you do not eat too much organ meat.
- It is best to avoid alcohol completely during pregnancy, as any alcohol you drink while pregnant will reach your baby and may cause harm. All illegal drugs, such as heroin and cocaine, pose dangers to a pregnant woman. Legal substances, such as alcohol and tobacco, are also dangerous, and even medical drugs, both prescription and over-the-counter, can be harmful.
- When handling any potentially dangerous substances it is advisable to wear gloves. Even though this sounds obvious some things that you may not have thought of are cleaning a cat's litter tray or gardening without safety clothes.
What you need to organise:
- Maternity Care: During your first interview you will receive more information.
- Maternity package: A box with all necessary supplies for childbirth: you can order this from your insurance company if your insurance covers this. They are also available at the pharmacy. You need this box for childbirth at home as well as in hospital.
- Legal Recognition: if you’re not married and you wish for the baby to take the surname of the father, you will need to legally recognize the baby at the Registry Office during pregnancy. Nationality of your baby: If one, or both, parent does not have the Dutch nationality, we recommend you collect information on this subject at the Registry Office.
- Physical exercise: It is possible to follow some courses during pregnancy such as: gymnastics, yoga, etc.
- Bed raiser and midwife scale: In the 36th week of you pregnancy you can borrow a bedraiser and midwife scale from your own homecare office for free. You need these for childbirth at home as well as in hospital.
The 10 most frequently asked question… and their answers!
- 1. When can I expect childbirth?
Technically 40 weeks counting from the first day of your last period which is 280 days. 3 weeks early is still considered on time. You can also be as many as 2 weeks late. If you usually have your period more often, or less often, than every 28 days, the date you expect your baby should be adjusted to take that into account. You may also be offered an ultrasound scan (after the first trimester of your pregnancy- week 12) which can help date your pregnancy. On webpage “Rekenhulp” you can work out your expected date of childbirth. Please note the first day of your last period and the menstrual period (usually 28 days) and then click “bereken”. Below you will find the answer and the number of weeks since the start of your pregnancy.
- 2. During which term will I receive an ultrasound?
An ultrasound is generally performed for all pregnant women at 8-9 weeks, 12-13 weeks and 20 weeks gestation. The first one to determine your due date or gestational age (the age of the fetus). Later on it is used to determine the health of your baby, placenta location, the amount of amniotic fluid around the baby, position of the baby and the expected weight of the baby.
If medical reasons arise, the hospital will perform more ultrasound sessions to double check. These sessions are covered by insurance. You can contact a non-medical ultrasound-office asking for a new session at your own cost to discover the gender of your baby if this was not confirmed during the last ultrasound or just out of curiosity
- 3. Acetaminophen: Safe during Pregnancy?
During pregnancy you may use maximum dose of 6 tablets 500mg Paracetamol (acetaminophen) a day. Only use Paracetamol without codeine. Please do not use aspirin during pregnancy. If pain or discomfort is a problem during pregnancy, your care provider/ doctor should investigate the reason. Headaches may be relieved with massage, stress reduction, rest, application of cold or heat or even a cup of coffee. (Headaches are often caused by normal physiological process of vasodilatation and a small amount of caffeine (note: less than 300mg a day) might be enough to relieve the headache)
- 4. Do I need extra prenatal vitamins?
If you are trying to become pregnant or are already pregnant we recommend you take folic acid (vitamin B11). Start taking this before conception and continue up to approximately 10 weeks after. You do not have to take any other vitamins during your pregnancy as long as your diet includes plenty of vegetables and fruits. If you have any doubts about your diet, or if it makes you feel comfortable, you can use special prenatal vitamins. Normal vitamins contain too much vitamin A and should not be used during pregnancy. You can continue using prenatal vitamins during breastfeeding.
- 5. Excessive gastric acid secretion? What can I do?
Avoid caffeine, alcohol, spicy foods and fatty or fried foods. Sometimes milk pudding at room temperature can help. There are also tablets and drinks that are safe for pregnant women, for example Rennie®.
- 6. What does it mean if I have a hard stomach?
One of the reasons for a hard stomach is contraction of the womb. Your womb often contracts, even when you are not pregnant. This happens when you have an orgasm or during your period. During pregnancy you will get a hard stomach due to the constant movements of your child, or at work if you are very busy. It can also occur due to a bladder infection or your body’s preparation for childbirth, or during labour pain. There are all kinds of reasons for a hard stomach. If your stomach becomes really painful, or if your stomachs gets hard unusually often, you should warn your midwife.
- 7. Abdominal pain during pregnancy. What could it be?
There are various possible reasons for abdominal pain. At the start of your pregnancy there is the possibility of a miscarriage. A bladder infection may also cause discomfort or pain in the lower abdomen. The growth of your uterus puts stress on the round ligaments keeping it in place. During sudden movements such as sneezing of turning around in bed you may experience some pain in the groin area. Supporting underwear or a band around the stomach may relieve the pain. Later on during your pregnancy you may experience some form of prelabour. Prelabour can be one or a number of physical signs. The key point to remember is that in this phase it is 'just the beginning'. The labouring woman's body is getting ready to labour, just as her baby is becoming ready for the journey out of their protective environment and into the outside world. If you experience constant abdominal pain before the 37th week of your pregnancy, contact your midwife.
- 8. What are contractions? How can I feel them?
Your stomach contracts with the purpose of delivering your baby. Contractions dilate the cervix and push the child out. Actual contractions are often preceded by prelabour contractions, sometimes weeks before the actual birth. They will stop after a while. Only when the pain in your stomach gets worse and time between contractions decreases, the contractions are "real".
- 9. When should I call my midwife for childbirth?
You should contact your midwife when you experience contractions that are 4 minutes apart and feel quite strong for over an hour. If this is your second (or subsequent) child, your midwife may ask you to call sooner when she expects childbirth to happen quicker. If your water breaks during daytime and is clear, you can call your midwife. If this happens at night and you are not experiencing a lot of contractions, you can wait until the following morning. You should immediately call your midwife (day or night) if your water is green, if your water breaks before the baby is head down and engages in your pelvis or if you are losing much more blood then during a regular period. You should also call immediately if you experience these symptoms before the 37th week of pregnancy.
You do not need the contact your midwives if you lose the mucus plug also know as a bloody show. A show may present itself as:
- A neat plug similar in shape to a tampon
- A large blob, big enough to fill your hand.
- Small dribs and drabs coming away over days only noticed when you wipe yourself after going to the toilet. This can look like a thick mucus discharge Something that comes away when you go to the toilet, which you may or may not notice This is nothing to worry about.
In case of an emergency, you can always reach us at: 06-46613982.
- 10. Can I get something for the pain during labor?
During childbirth there are several ways to reduce pain. The most well-known method is back puncture, which takes away (almost) all feeling in the region under your ribs. You can also get Pethidine®. This is an injection that reduces the pain. You can only get back puncture and Pethidine® at a hospital. There are also some methods you can use at home such as massage, the TENS machine, which delivers small electric bursts to your back or water birth. Discuss these methods with your midwife beforehand.
We wish you a healthy pregnancy and a successful birth!