German System Dutch System German Dutch
Possibility to choose the place of delivery + -
without financial pressure + -
On-site cooperation between midwives and obstetricians + -
Number of gynecologists according to OECD + -
Democratically established national guidelines - +
Continuity of ambulatory/clinical care in high risk pregnancies - +
Standardized data scoring system for pregnant women + -
(“Passport for Mothers”)    
24/7 in-hospital presence of obstetricians + -
Accreditation/audit system of training based on EBCOG - +
National obstetric research network - +
Structured first trimester screening + privately paid + since 2007 + -
Structured 20 weeks scan + since 1982 + since 2007 + -
Confidential inquiries (maternal mortality) - +
Perinatal Audits - + since 2011 - +
Table 2: Overall strengths (+) and weaknesses (-) of the German and Dutch obstetrical care systems.