59 2 RISK AND THE POLITICS OF BOUNDARY WORK Declarations Ethics approval Ethical approval was requested from the Medical Ethics Review Committee of VU University Medical Centre. The approval was waived because the Medical Research Involving Human Subjects Act did not apply to this study. Availability of data and material In order to protect respondent confidentiality, we are unable to share the interview transcripts. Although we anonymised the transcripts, they contain other identifiers which could be traced back to an individual participant. The SGKL’s minutes and associated documents can be accessed via the National Archives of the Netherlands. Notes 1. In Dutch; Ziekenfondsbesluit. Provided for compulsory health insurance for low and middle income people covering curative health services (Kenniscentrum Historie Zorgverzekeraars [KHZ], 2. In Dutch, primaat. 3. In Dutch, Ziekenfondsen. Provided the health insurance for low and middle income people. As such, the Health Insurance Funds carried out financing and contracted with health care providers either on a per capita basis or on a fee-for service basis. The Health Insurance Funds were supervised by the Health Insurance Council (KHZ, 4. In Dutch, Werkgroep Verloskundige Organisatie. 5. In Dutch, Werkgroep Bijstelling Kloostermanlijst. 6. In Dutch, Ziekenfondsraad. Since 1999 known as the National Healthcare Institute. This statutory body was entrusted with the supervision over de administration of the Health Insurance Decree (Zorginstituut Nederland, 2017). 7. In Dutch, Geneeskundige Inspectie. Since 2017 known as the Health and Youth Care Inspectorate, is part of the Dutch Ministry of Health, Welfare and Sport and is entrusted with supervising and promoting good and safe care ( 8. The Dutch Association of Midwives. In Dutch, Nederlandse Organisatie van Verloskundigen, NOV. Since 1998 known as the Royal Dutch Organisation of Midwives, in Dutch, Koninklijke Nederlandse Organisatie van Verloskundigen, KNOV (Koninklijke Nederlandse Organisatie van Verloskundigen, 2013). 9. The Dutch Society of Obstetrics and Gynaecology. In Dutch, Nederlandse Vereniging voor Obstetrie en Gynaecologie, NVOG( 10. The profession of GPs was represented by a professional organisation, representing their professional interest (Landelijke Huisartsen Vereniging,, and a scientific society, working on substantiating their work with research (The Dutch College of General Practitioners, 11. In Dutch, kraamverzorgende. These caregivers are trained separately from nurses and assist the midwife during birth and help and advise the new mother with the baby during the postnatal period at home (van Teijlingen, 1990). 12. In Dutch, inhoudelijk. The English translation of this term is not straight forward. In this case, it means an argument based on substance, logic and reasoning, explicitly excluding professional interest. Acknowledgements We would like to thank Catherina Schrader Foundation ―Loes Schultz in particular —, the National Archives of the Netherlands —Hanno de Vries in particular —, the Dutch Professional Association of Midwives, and Marianne Amelink-Verburg for providing us access to historical sources. We also like to thank Rose Hilhorst for transcribing the interviews. Health, Risk & Society 21