The Dutch philosophy regarding childbirth is that it is a natural physical process, not a medical condition. Prenatal care is usually provided by midwives, and unless there are complications, the role of the doctor or gynecologist is minimal, if any. More than 60% of Dutch women get pregnant, give birth and return home without ever seeing a gynecologist or doctor. Home birth is also a fairly common practice among the Dutch, accounting for around 30% of all births. There is also less screening and preventive testing. (Buitendijk, de Jonge & Gravenhorst, 2007) They also rarely use pain medications during labor; instead, the emphasis is on natural pain management methods such as yoga. In general, they believe in a non-interventionist approach to medical care and motherhood in Dutch culture (DeVries, 1998). When a Dutch woman becomes pregnant in the Netherlands, the care she receives there is very different from the care she would receive in the Netherlands. United States. Prenatal care is usually provided by midwives. Dutch women only see a doctor or gynecologist if there are complications with the pregnancy. Very different from the United States are the prenatal screenings and tests that are carried out with the Dutch. Prenatal tests will typically be done only when you have a medical history that indicates there may be a complication, such as a previous complication or the mother is over 35 years old. Ultrasounds are sometimes offered around 20 weeks, but are usually only covered by insurance if medically required. (Walsh, 2012) If a complication occurs or the patient or baby is at risk of developing a complication, the midwife will refer women to a gynecologist. In the Netherlands, home births represent... half of the paper... d know that if the pregnancy is not complicated the woman will see the doctor starting from the twelfth week, followed by monthly visits until the seventh month, when you go every week. In the last month of pregnancy you will need to be visited weekly until the birth. It would also be helpful to educate the family about the use of painkillers, when they are needed, and what to expect. Parenting courses would also benefit the family since they will not have the assistance of the kraamverzorgende. Another teaching need would be the different vaccines that children receive here and when they are given, these would include polio which is usually given at 15 months of age, hepatitis A which is usually given around 12 months of age and the flu vaccine which is administered after 6 months of age. These vaccines are given to protect the child from specific diseases. (Walsh, 2012)