You have to keep in mind that there's quite extensive screening on eligibility and low barrier to refer to a hospital, as well as medical care will be available

You have to keep in mind that there's quite extensive screening on eligibility and low barrier to refer to a hospital, as well as medical care will be available (experienced and well-trained midwifes are present during birth, GP will usually be on stand-by). If there is any major risk of complication, it will be a hospital birth. Living too far from a hospital? You better go there to give birth. Midwife and/or GP doesn't trust it anymore during birth? An ambulance is called and hospital it is (and you'll be there in time, as you live close enough). The distances in The Netherlands are extremely small compared to the USA, it's not like you're giving birth in the middle of nowhere. A more recent trend is that of the 'geboortehuizen' (birth houses), which are literally what the name says: special places just for giving birth. Instead of the clinical atmosphere, it is more like a home but advanced medical care is close-by, as most of them are affiliated with the hospitals. It's seen as a good balance/compromise between the risks of giving birth at home, while still having a more quiet, 'gezellige' atmosphere.