Koen Deurloo is a gynecologist and obstetrician in Utrecht, the Netherlands, who has spent over a decade quietly rewriting what a cesarean birth can look like. Not by changing the surgery, but by changing who is at the centre of it.
In this episode, Koen introduces the MAC method, or Mother Assisted Cesarean, where the mother herself lifts her baby out of the womb with her own hands. He explains how it started with one woman's request, why the data shows it is just as safe as a standard C-section, and why it costs little more than a pair of sterile gloves and four extra minutes.
But this episode goes far beyond one procedure. Koen speaks honestly about what it took for him to become a doctor who truly listens, including a moment early in his career where he pushed a woman into an induction she didn't want, and what that taught him. He talks about why the Dutch system produces different outcomes than other countries, what the role of midwives and doulas should be inside hospitals, and why preparing for plan B might be one of the most powerful things you can do before you give birth.
If you have ever felt like a patient waiting behind a drape instead of the woman bringing her child into the world, this episode is for you.
"The change is not going to come from doctors. It is going to come from women."
Koen Deurloo on Instagram: @koendeurloo
Book: Door de ogen van de gynaecoloog (Dutch) https://tinyurl.com/4nmxcxhj
The Macazine (English and Dutch) https://tinyurl.com/3z423pv8
MAC method information https://www.mamamoonapp.com/blog/mother-assisted-caesarean-mac