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In a book chapter entitled Challenging Normality: Dutch Obstetric Science, Raymond De Vries explores the Dutch midwifery system.

De Vries is a medical sociologist and a strong proponent of the Dutch system.

Therefore, strenuous efforts are made to identify potential complications and transfer care to obstetricians.

Since it is assumed that serious complications will during attempted homebirths, an elaborate system for transfer of care and physical transfer of the patient to the hospital has been developed.

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