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Pregnancy and birth in the Netherlands: what to arrange

This guide is for anyone in the Netherlands who is expecting a baby. It covers how to choose care, what insurance pays, your leave entitlements, and the paperwork you handle before and after the birth.

Verloskundige
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Organise care in good time and keep the registration deadlines

After a positive pregnancy test, get in touch with verloskundige straight away. From around week 12, arrange kraamzorg (postnatal maternity care). In 2026, home kraamzorg has an eigen bijdrage (statutory copay) of €5.70 per hour. You must register the birth within 3 days after the birth; weekends and public holidays give extensions. If Dutch basic-insurance rules apply to you, take out insurance for your baby within 4 months.

This guide is meant for people who live in the Netherlands and are expecting a baby. The rules that apply to you can vary depending on your health, your insurance policy, your work, and your family situation. Ask your care provider and your insurer to put costs and deadlines in writing so you have confirmation.

Make a plan for care before the birth

These dates can help you plan care before the birth. Screening is voluntary. The table indicates when you should discuss or arrange each option.

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WhenActionWhy it matters
After a positive testContact a verloskundige or your current obstetric providerA first appointment is usually in weeks 7–10; mention medicines, earlier complications or other health conditions when booking
Preferably weeks 8–10, after your first appointmentAsk for a counselling appointment to discuss prenatal screeningThis leaves time to make an informed choice; every screening test is voluntary
From week 10Choose the NIPT (non-invasive prenatal test) only if you want itThe national programme charges you nothing for the test
From about week 12Register with a kraamzorg organisationProviders can fill up, and contract status can affect reimbursement
Weeks 12+3 to 14+3Choose the 13 wekenecho (13-week scan) only if you want it and consent to IMITAS (the 13-week scan study)The scan is free. Its research permit runs until at least 1 January 2028
Weeks 18+0 to 21+0Choose the 20 wekenecho (20-week scan) only if you want it; week 19 is preferredThe scan is free
From week 22Discuss the voluntary whooping-cough and seasonal flu vaccinationsBoth are free when you meet the current programme conditions
At least 3 weeks before your chosen leave startsIf employed, request pregnancy and maternity leaveThe start window is 6–4 weeks before the day after the due date for one baby and 10–8 weeks for a multiple pregnancy
Before the birthCheck whether recognition, parental authority or a surname choice needs actionThe answer depends on relationship, parentage and nationality
Before labourSave the provider's urgent number and discuss birth-place preferencesLocal availability and medical circumstances can change the plan

Keep the urgent-help number saved

Use the urgent-contact instructions given by your midwife or the hospital obstetric team, and follow them at night too. If you are concerned about yourself or your baby, phone that team directly. Thuisarts (health information from general practitioners, or GPs) sets out which symptoms mean you should make contact straight away.

If you have a different urgent health problem, contact your huisarts (GP) or a huisartsenpost (out-of-hours GP service). In a situation that is immediately life-threatening, call 112. Seek help by phone before you search online for an explanation.

Find the provider who will care for you during pregnancy

A neighbourhood verloskundige usually leads pregnancy care. A huisarts or gynaecoloog (gynaecologist) can provide it as well. You are allowed to approach a midwife practice yourself. The midwife monitors your health and the baby’s growth, talks through options, and assesses risks. If specialist care is needed, the midwife or huisarts refers you to hospital. Once that medical need is over, care can go back to the midwife. Zorginstituut Nederland (National Health Care Institute) explains what basic insurance covers.

When you book, tell them about any medicines you take, complications in earlier pregnancies, and other health conditions. Ask if the practice covers your postcode and who is available at night. Ask which hospital or birth centre it works with. Ask how urgent calls are handled. Check whether your policy pays the provider’s full charge. Dutch health-insurance guide explains how the contract between a provider and your insurer affects payment. For health problems that are not related to pregnancy care, use huisarts guide.

Decide which tests and vaccinations you want

It is your choice whether to have each test listed below. These four tests are free as part of the national screening programme. In scan dates, 12+3 means 12 weeks and 3 days of pregnancy.

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OfferWhenWhat it is
PSIE (early pregnancy blood screening)Early in pregnancy; discussed at the first visit, around week 12Voluntary test for blood groups, antibodies, hepatitis B, hiv (human immunodeficiency virus) and syphilis Consent is required.
NIPTFrom week 10Voluntary blood screening for selected chromosome differences
13 wekenechoWeeks 12+3–14+3Voluntary scan through IMITAS; consent to study-data use is required
20 wekenechoWeeks 18+0–21+0, preferably week 19Voluntary scan for physical differences

The NIPT and the two scans check for different conditions. One does not take the place of another. A screening result is not a diagnosis, and it may lead to an offer of further diagnostic tests.

Diagnostic tests done as follow-up may be charged against your eigen risico (compulsory deductible). Ask your insurer how any follow-up they propose will be billed.

Maternity care and the first screening tests are not subject to the eigen risico. You can have the free PSIE blood test together with extra laboratory tests that fall outside the programme. Those extra tests may be charged to your deductible. Before you agree, ask which tests are included and how any extra tests will be billed.

Vaccinations during pregnancy and protection for infants against RS-virus (respiratory syncytial virus, RSV) are voluntary. Whether flu vaccination is offered depends on the season and your health. RIVM (National Institute for Public Health and the Environment) vaccination guidance explains these options.

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Voluntary offerTiming in October 2026Cost and route
22-wekenprik (whooping-cough vaccination)From week 22Free through JGZ (jeugdgezondheidszorg, youth health care), usually at a consultatiebureau (child-health clinic)
Flu vaccination during pregnancyAt least 22 weeks pregnant between 15 October and 1 March; medical-risk exceptions applyFree for the programme group through JGZ. If you already qualify because of a medical condition, use your huisarts, including before week 22
RS-virus (respiratory syncytial virus, RSV) protectionA baby receives one offer in the first year, timed by birth seasonThe infant immunisation is free in the national programme; an RSV vaccine during pregnancy is available separately and is self-paid

Look at birth locations and what they cost

If your pregnancy is healthy and no extra risks are expected, you can talk with your provider about giving birth at home, in a birth centre, or as an outpatient in hospital. A medische indicatie (medical reason for specialist care) means hospital care. Discuss safety, transport, pain relief, what is available locally, and your own preferences with your provider. A geboorteplan (birth plan) records your wishes. It does not guarantee a particular place, staff, or treatment. You are allowed to change your mind. birth-place overview explains the different care routes.

There is no statutory birth copay for a home birth or for a hospital birth with a medical indication. An elective outpatient birth without a medical indication does have a copay, unless you use lachgas (nitrous oxide, a gas used for pain relief). The amounts below apply in 2026. Ask your insurer what your policy pays.

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SituationBasic-insurance payment in 2026Statutory copayOther amount to check
Home birth without a medical indicationCovered when the policy conditions are metNone for the birthCheck provider contract and any supplies not in the package
Elective outpatient hospital or birth-centre birth without a medical indicationUp to €161.50 for the mother and €161.50 per baby before the copay; for one baby, the insurer pays up to €278 after the minimum copayAt least €22.50 for the mother plus €22.50 per baby per day; €45 for one babyThe facility sets its charge. You pay its charge minus the insurer's payment; that difference includes the statutory copay and can be higher
Hospital birth with a medical indicationCovered when the policy conditions are metNo statutory birth copaySome separate medicines, transport or laboratory costs can still use the deductible
Elective outpatient birth using nitrous oxideCovered under the applicable routeThe statutory birth copay lapsesConfirm availability and other charges with the facility and insurer

In 2026, for an elective outpatient birth with one baby, the insurer pays a maximum of €278 after the minimum statutory copay of €45. What you pay is the facility’s charge minus what the insurer pays. For example, if the facility charges €600 and your insurer pays €278, you pay €322. Ask both the facility and the insurer for a written calculation. A supplementary policy may cover some or all of that amount, depending on its terms.

In 2026, the compulsory eigen risico is €385 for adults. Midwife care, kraamzorg, and prenatal screening do not draw on it. Care directly related to pregnancy or birth is exempt too. Diagnostic follow-up after screening may still use your deductible. Ask your insurer how the proposed test will be billed. Medicines, transport, and blood tests billed separately can use the deductible. An eigen bijdrage is a separate copay. If both apply, you pay the copay first, then the deductible on the remaining eligible amount.

Arrange kraamzorg and check how many hours you get

Kraamzorg provides support for you and your baby during and after birth. At home, a kraamverzorgende (maternity care worker) checks how you are recovering and how the baby is doing, helps with feeding, and teaches you how to care for a newborn. They also assist the midwife during the birth. The standard package covers basic household tasks. Extra household tasks depend on the care needs assessed for you. Ask the organisation which tasks your package includes.

The rules below are about insured kraamzorg. How many hours you receive depends on your needs and on the staff the provider has available. The figures below apply in 2026.

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PointRule or action
RegistrationMany organisations accept registration from week 12. Apply early and check whether the insurer contracts the provider
IntakeUsually about 2 months before the due date; the organisation estimates the likely hours
HoursThe insured entitlement is 24–80 hours. The midwife and kraamverzorgende assess the actual hours after birth
DaysCare normally runs through day 8, sometimes through day 10, and only in specific situations longer; legal entitlement can extend to 6 weeks
2026 home copay€5.70 per hour, with no compulsory deductible. Partusassistentie (assistance during birth) has no copay
AvailabilityA staff shortage can mean fewer delivered hours than assessed. Ask the organisation, midwife and insurer what alternative is available

Plan pregnancy leave, maternity leave, partner leave, and parental leave

Some benefits keep running without a separate pregnancy and maternity benefit. Check UWV (Employee Insurance Agency) pregnancy-benefit eligibility rules for the benefit you receive.

The dates below apply to employees and to people receiving WW (unemployment benefit), Ziektewet (sickness benefit), or a loongerelateerde WGA-uitkering (wage-related disability benefit). Count backwards from the day after your due date. If you are sick during the flexible start window before leave, the days added after birth are reduced.

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SituationPregnancy leaveLeave after birth
One babyStarts 6–4 weeks before the day after the due dateAt least 10 weeks; at least 16 weeks total
Twins or a multiple birthStarts 10–8 weeks before the day after the due dateAt least 10 weeks; at least 20 weeks total
Birth is earlyPregnancy leave ends on the birth dateUnused pre-birth days are added after birth, except sick days in the flexible start window
Birth is latePregnancy leave continues through the birth dateThe minimum 10 weeks after birth is not shortened, so total leave is longer
Baby is in hospital for more than 7 daysNo change before birthExtra leave may apply. The first 7 hospital days do not count. The legal maximum is 10 extra weeks; UWV calculates the extension for your situation

Ask the hospital for a declaration showing the dates your baby was admitted. If you are employed, give it to your employer and ask them to request the extension. If you receive WW, Ziektewet, or a loongerelateerde WGA-uitkering, you apply to UWV yourself. If you receive ZEZ (Zelfstandige en Zwanger, Self-employed and Pregnant benefit), use the separate form for self-employed people. Follow UWV hospital-extension application instructions.

UWV counts the hospital days that fall during maternity leave, subtracts the first 7 days, and then subtracts any maternity leave that goes beyond 10 weeks. Wet arbeid en zorg (Work and Care Act) sets the maximum extension at 10 weeks.

If you are employed, ask your employer for leave at least 3 weeks before it begins. Normally, your employer applies for WAZO (Wet arbeid en zorg, Work and Care Act) maternity benefit. The payment is 100% of your dagloon (daily wage used to calculate benefits), up to the statutory maximum.

Report illness that has an effect on your leave

If you are employed and become ill because of pregnancy before your leave, your employer can request a Ziektewet (sickness benefit) payment of 100% of your dagloon. If you are ill during the flexible start window before you take leave, those sick days reduce your leave after birth. This also applies if the illness has another cause. The window is weeks 6–4 before the day after the due date for one baby, or weeks 10–8 for a multiple pregnancy.

If you are employed, tell your employer when you are ill. Being ill during maternity leave does not add extra leave days. If you are ill because of pregnancy or birth on the day the maternity benefit ends, your employer can request a Ziektewet payment of 100% of your dagloon. If the illness starts later, the employer pays sick pay under the normal rules.

If you receive WW or Ziektewet, report illness before or after maternity leave to UWV by your second sick day. During maternity leave, you do not need to report illness to UWV.

If you receive WW, illness caused by pregnancy before leave replaces WW with Ziektewet at 100% of your dagloon. If you already receive Ziektewet, the payment goes up to 100% for pregnancy-related illness before leave. If you are ill because of pregnancy or birth on the day the maternity benefit ends, Ziektewet pays 100% of your dagloon. If that illness starts later, you may receive 70%. Use illness and pregnancy guidance for benefit recipients for the reporting route and for rules on other benefits.

If you are self-employed, apply for maternity benefit

If you qualify, apply for ZEZ 4–2 weeks before the start date you choose. ZEZ lasts at least 16 weeks, or 20 weeks for a multiple pregnancy. The amount is capped at the minimum wage.

For self-employed work, if you have worked at least 1,225 hours in the calendar year before the benefit starts, you receive the minimum-wage benefit. If you worked fewer hours, UWV uses your profit or income from that year, or a higher five-year average. If your business history is shorter, the averaging period changes. Different rules apply if you work in your partner’s business or provide household help.

Plan partner leave and parental leave

The table below compares leave options for employed parents. A working week means your normal weekly hours. The 9 weeks of paid parental leave become unpaid if you do not use them within the first year.

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Leave for an employee-parentAmount and paymentUse-by date
Geboorteverlof (partner birth leave)One working week, equal to weekly hours; employer pays full salaryWithin 4 weeks after birth
Aanvullend geboorteverlof (additional partner leave)Up to 5 working weeks after the first week; UWV pays up to 70% of dagloon, cappedWithin 6 months after birth; normally request at least 4 weeks before it starts
Ouderschapsverlof (parental leave)26 working weeks per employed parent; 9 are paid at 70% of dagloon up to the cap, the rest is normally unpaidPaid 9 weeks within the first year; remaining entitlement before age 8

Check your integration deadline after the birth

If you are required to complete inburgering (civic integration), find out whether childbirth changes your deadline. DUO (Dienst Uitvoering Onderwijs, the Dutch education service) has an application route for extra time after childbirth. integration deadline and extra-time guide explains the conditions and the evidence you need.

Use your rights at work

If you are employed, these rights apply while you are pregnant and after the birth. Talk with your employer about any changes to your work, and keep written records.

  • You may take time during work, with pay, for necessary pregnancy examinations and the travel to them.
  • Your employer has to assess risks at work and make your work safe. If needed, they must adjust the work, your hours, or the workplace. The right to adjusted work and hours continues until 6 months after the birth.
  • An employer may not treat you disadvantageously because you are pregnant or because you plan to become pregnant.
  • A fixed-term contract can still end on the date agreed, but pregnancy may not be the reason it is not renewed. Keep any relevant messages and ask for decisions in writing.

Dismissal is generally not allowed during pregnancy and leave, or for 6 weeks after maternity leave. Protection also applies during illness caused by pregnancy or birth, and for 6 weeks after that illness. Exceptions include business closure and serious misconduct.

During the first 9 months after birth, an employee may breastfeed or pump during work for up to one quarter of each shift. The employer must keep paying you and provide a suitable private room that can be locked. Discuss the schedule before you return to work. The official breastfeeding rules and Arboportaal (government workplace health and safety portal) confirm the rules on time and pay. employment-contract guide explains how to document a workplace dispute.

Check parenthood, parental authority, surname, nationality, and residence

Your legal relationship, parentage, and nationality can determine which steps you need to take. Marriage, registered partnership, donor arrangements, recognition, and existing parental authority can all affect the outcome. Use Rijksoverheid (Dutch central government) recognition checklist.

If anything is unclear, ask your gemeente (municipality) before the birth. Go through each question below on its own.

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QuestionRule and action
Is erkenning (recognition of legal parenthood) needed?It depends on your relationship and parentage. You can arrange recognition before birth, at birth registration or later. Arranging it before birth avoids the 3-day deadline pressure. The birth mother’s consent is required for a newborn. Foreign-law rules can apply
Does recognition give ouderlijk gezag (parental authority)?Recognition on or after 1 January 2023 usually gives an unmarried partner joint authority with the birth mother. Exceptions include an existing guardian or the mother already sharing authority with someone else. Use the official checklist for your case
Which surname can the child have?The first child’s chosen surname applies to later children of the same parents. Since 1 January 2024, a combined surname is possible if the first child was born on or after that date. Both parents must attend together to record a surname choice. Defaults and foreign-nationality rules depend on your situation
Is a child born here Dutch?Birthplace alone does not give Dutch nationality. Parentage, recognition timing and other legal routes determine the result. Check IND (Immigratie- en Naturalisatiedienst, Immigration and Naturalisation Service) before relying on an outcome
Does the child need a residence document?A non-Dutch child may need a separate application. A child with EU (European Union), EEA (European Economic Area) or Swiss nationality needs no residence permit. If either parent is a UK (United Kingdom) national holding a Withdrawal Agreement residence document, apply for a Withdrawal Agreement residence document for the child. Check the IND route

Register the birth and arrange insurance, health checks, and benefits for the baby

Registering the birth and arranging health insurance have different deadlines. Plan these tasks before labour begins, so you know who will handle each one.

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TaskDeadline or usual timingWhat to do
Geboorteaangifte (birth registration)Within 3 days; the birth day does not countRegister at the municipality where the child was born
BRP (basisregistratie personen, Personal Records Database) and BSN (burgerservicenummer, citizen service number)After birth registrationThe municipality registers the child in the BRP and issues a BSN
Health insuranceWithin 4 monthsIf Dutch basic-insurance rules apply, register the baby with an insurer. Timely registration starts cover from birth
Hielprik (heel-prick test)Usually in the first weekIt is voluntary. If it has not happened by day 7, contact the regional RIVM office
Hearing testUsually at home on days 4–7Regional and hospital exceptions apply. Follow your local JGZ service’s instructions
Consultatiebureau and JGZInvitation after registration. For example, GGD (municipal health services) Hollands Noorden (municipal health service for northern Noord-Holland) invites babies at about 4 weeks; check locallyUse the free youth-health service for growth, development, feeding and vaccination appointments
Kinderbijslag (child benefit)SVB (Sociale Verzekeringsbank, Social Insurance Bank) normally writes within 4 weeks after municipal registrationApply for a first child as instructed. If you already receive kinderbijslag, a later child is normally added automatically
Kindgebonden budget (child-related budget)Check after the child is registeredYou must receive kinderbijslag and meet income and asset limits. It is often automatic if you receive another allowance. Otherwise check and apply in Mijn Toeslagen (My Allowances)

Use the steps below to register the birth:

  1. Look at Rijksoverheid’s birth-registration deadline. The deadline is 3 days from the birth, and the day of birth is not included. Rules for weekends and public holidays may give you more time. At minimum, you need 2 working days.
  2. Find out the appointment and online registration rules for the gemeente in which your baby was born.
  3. Collect your valid ID, plus any recognition deed or surname deed you have.
  4. Complete the birth registration with that gemeente.

The registrar prepares the birth certificate. After that, the child is recorded in the BRP and gets a BSN. If registration is late, this is reported to the Openbaar Ministerie (Public Prosecution Service) and may result in a fine.

When Dutch basic-insurance rules cover your child, you must sign them up with an insurer within 4 months. Children under 18 do not pay a basic premium and have no compulsory deductible. If you register on time, cover begins at birth. A late registration can leave earlier care uninsured. If your family is covered by an EU institution or international-organisation insurance scheme, check that scheme’s rules for your baby.

A child born here might need a nationality or residence check of their own. IND nationality rules and IND route for a child born in the Netherlands set out the conditions. Use Netherlands residence-permits overview to identify the route. Check what the child needs separately from your own residence document.

Review consent, language support and complaint options

Your care provider has to give you information in a form you can understand. Before you make a medical decision, ask for explanations and language support. These patient rights and complaint options are available:

  • Request clear information and make the decision together with your care provider. You are allowed to refuse an examination or treatment that is proposed. Ask about the purpose, alternatives, risks, follow-up and cost. Say the plan back in your own words.
  • If Dutch is hard for you, tell the practice early. Ask for a professional interpreter or another form of language support. Who pays for an interpreter depends on the care setting. Ask who arranges the interpreter and who pays. For serious medical decisions, arrange language support from an adult instead of asking a child to interpret.
  • Put your preferences in your geboorteplan. This does not mean you consent to every treatment later. You may change your mind, and the clinical situation can change what is possible.
  • File a complaint with your provider. If the complaint is not resolved, or if you would rather not discuss it directly, ask for the free, independent klachtenfunctionaris (complaints officer). If necessary, ask which disputes body deals with the provider’s complaints.

Resolve common pregnancy and birth problems

You may contact a midwife directly. Check insurance payments, consent, parenthood and leave as separate matters, and write down the deadlines that apply after birth. Keep the reply from the provider or insurer so you can follow up.

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MistakeBetter action
Waiting for a GP referral before contacting a midwifeContact a midwife directly; use the GP for other health issues or when advised
Reading covered as freeCheck the facility charge and insurer payment; their difference includes the minimum statutory copay and can be higher. Check any deductible separately
Treating screening or vaccination as compulsoryAsk for neutral information and consent only to the options you choose
Assuming recognition settles authority, nationality and residenceCheck each question separately for your family situation
Using the leave calculation for one baby when you are expecting twins or moreUse the 10–8-week pre-birth window and 20-week minimum, then recalculate for the actual birth date
Missing the 3-day or 4-month deadlinePut birth registration and baby insurance on a shared checklist before labour

Keep all evidence in one folder

Keep the provider’s urgent instructions, screening choices, insurer reimbursement answers, facility quote, kraamzorg confirmation, leave request, recognition or surname deed, birth registration, insurance confirmation and any IND application. Having written records makes a billing or deadline problem easier to solve.

If your care or leave continues into a different calendar year, check the official programme dates and euro amounts again.

Go on to these guides:

Official Sources

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