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We are also here for you beyond standard pregnancy care. Whether you are planning to conceive and want to start well prepared, need guidance on contraception, or are navigating a difficult loss. At Praktijk Vida, you will find a safe space where our midwives truly listen and take time for all your questions, right from our practice in Bilthoven.

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About us
About us

Miscarriage support: care and clarity in one place

Hearing or suspecting that a pregnancy is not progressing well brings a great deal of uncertainty and grief, and can be deeply impactful.
Unfortunately, miscarriages are common: about 1 in 10 pregnancies ends in a miscarriage during the first few weeks. During this intense period, we are here for you with professional, medical and emotional support. Because we perform ultrasounds in-house at our practice, we can quickly provide you with the clarity you need at that moment.

Quick clarity thanks to in-house ultrasounds

When you experience bleeding or severe abdominal cramps, we will schedule a check-up ultrasound at the practice.



  • Confirming the situation: From approximately 6.5 to 8 weeks of pregnancy, we can use an ultrasound to check whether there is a heartbeat and if the pregnancy is viable.
  • In the case of a ‘missed miscarriage’ (missed abortion): Sometimes you have not experienced any symptoms yet, but a routine ultrasound reveals that the embryo has stopped growing or that the gestational sac is empty. We take the time immediately to discuss this news together.
  • Follow-up after a miscarriage: Even after the miscarriage has started, we can perform an ultrasound to check if the uterus is completely empty and clear. This prevents you from remaining in uncertainty for longer than necessary.

Your options and medical guidance

Once it is confirmed that the pregnancy is ending in a miscarriage, we decide on the next steps together. From a medical standpoint, there are three paths you can take:



  • Waiting (expectant management): You wait for your body to initiate the miscarriage naturally. This usually happens within a week to a few weeks.
  • Medication: If waiting takes too long or becomes too emotionally difficult, we can refer you to the gynaecologist for medication (tablets) that induces the miscarriage.
  • Curettage (D&C): This is a brief surgical procedure in hospital during which the uterus is emptied.



Whichever choice you make, we will stay in close contact, monitor your physical health and advise you on what to expect regarding bleeding and cramping.

Emotional support and aftercare

A miscarriage is the loss of the future plans and dreams you already had for this child. Having certain (intense) feelings is completely normal: feelings of sadness, emptiness, anger or guilt are common, even though a miscarriage is almost always the result of a genetic or developmental abnormality, something you could not have prevented or changed.



In the weeks and months following the miscarriage, you remain welcome at our practice. We offer space to share your story, answer your questions and look ahead together towards a potential future pregnancy.

Contraceptive care

Looking for quality contraceptive care close by? At Praktijk Vida, we provide care that suits you, whether you have recently been pregnant, are a teenager or are around perimenopause. Elzemarie is our team member specialising in birth control and will guide you with professionalism, expertise and warmth.



During a personal consultation, we discuss your wishes, your health and whether or not you prefer hormonal options. Together, we explore the options so you can choose what works best for your current stage of life. We reserve plenty of time for placing or removing an IUD or contraceptive implant. We use woman-friendly equipment and provide pain relief, so you can relax and feel completely at ease.

Come and see us

Whether you choose a prescription for the pill or the placement or removal of an IUD or contraceptive implant: we reserve plenty of time for you. We use woman-friendly equipment and provide pain relief, so you can relax and feel completely at ease during every appointment or treatment.

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Make an appointment

Preconception care

Are you hoping to get pregnant and do you have questions about your cycle, fertility or a medical condition? You and your partner are very welcome at our practice to start a pregnancy as safely and healthily as possible. No question is off-limits, and we take all the time you need.



Prior to your appointment, we ask you to complete the Zwangerwijzer questionnaire (a preconception health check). We discuss your answers during the consultation and refer you to the right specialist if necessary, such as a doctor, to ensure you receive the best possible care on your way to pregnancy.
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Get in touch

Register with Praktijk Vida

From preconception and pregnancy care to birth control and support through pregnancy loss, we provide comprehensive and personal midwifery care to women in Bilthoven, De Bilt, Maartensdijk, Groenekan, Westbroek and the surrounding area. Would you like more information or are you ready to register with our practice for personal guidance? Call us on 030 – 238 34 00 or send an email to info@praktijkvida.nl.

Registering with Praktijk Vida

At Praktijk Vida, you can come to us with all your questions about planning a pregnancy, birth control and miscarriage. We listen to your wishes and needs and look together at which care and support suits you best.

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Frequently asked questions

Yes, of course! We are happy to advise you on the form of birth control that best suits your body and situation. You can also come to our practice for the careful, unhurried insertion or removal of an IUD (or contraceptive implant), even if you have not been a client of ours before.

During a preconception consultation, we help you prepare for a healthy pregnancy. We look at your lifestyle, diet, use of folic acid and your cycle. We also discuss any medical history or hereditary factors in your family, so you can start your pregnancy feeling reassured and well informed.

If you have (or suspect) a miscarriage, we offer quick medical clarity with an ultrasound at our practice. We take all the time needed to calmly discuss the options (waiting for it to happen naturally, medication or a referral) and offer intensive emotional support and aftercare for as long as you need it. Our midwives are here for you.

No, you do not need a referral from your GP for our midwifery care, preconception advice, miscarriage support or birth control. You can contact us directly or schedule an appointment online.

Miscarriage support and midwifery care are fully covered by your basic health insurance and do not count towards your excess (eigen risico). Reimbursement for birth control (and the cost of an IUD) depends on your age and your supplementary health insurance.