Dutch study urges greater empathy in unintended pregnancy care

It can happen to anyone

Healthcare providers must do a better job of listening to people facing unintended pregnancies and contraception doubts, according to a new Dutch study that challenges stereotypes and calls for more inclusive, non-judgmental care. 

The report — “It Starts with Listening” — was published by Amsterdam UMC, Rutgers, Fiom, UMC Groningen and Utrecht University, based on research commissioned by ZonMw on behalf of the Dutch Ministry of Health, Welfare and Sport. It finds that people often feel unheard or judged when seeking help with unintended pregnancies, leading to delays in care or avoidance altogether. 

“Unintended pregnancy can happen to anyone — not just teenagers or those in vulnerable situations,” said lead researcher Dr. Jenneke van Ditzhuijzen of Amsterdam AMC. “Many are adults with partners and children. The common factor is often a lack of communication and unmet needs in healthcare.” 

Negative experiences

The study highlights a mismatch between patients’ lived experiences and how healthcare providers approach conversations around contraception. Women, for instance, frequently stop using hormonal contraceptives due to side effects, only to be told they’re misinformed. “That undermines trust and prevents open dialogue,” van Ditzhuijzen added. 

Shame remains a major barrier, with many participants admitting they felt “stupid” for becoming pregnant. Co-researcher Wieke Beumer of Amsterdam AMC said reducing stigma is key: “People want to be treated with respect, not judgment. Those who experienced open, supportive care were far more positive about their outcomes.” 

Involving men

Another key finding: male partners are often overlooked in care discussions. The report calls for involving men not just as companions, but as active participants in preventing unintended pregnancies and sharing responsibility. 

The researchers are urging broader access to high-quality reproductive care, not only from general practitioners, but also from midwives, abortion doctors and public health providers. They stress the importance of offering support that respects personal preferences, cultural context, and emotional complexity. 

“It all begins with listening,” van Ditzhuijzen said. “That’s how people feel empowered to make informed choices, whether about contraception, pregnancy, or parenting.” 

You can access the full report (English summary to be found on pages 137-144) here.