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Am I endangering my chances of healthy baby by going public?


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#26 whydoibother

Posted 16 June 2011 - 08:54 PM

I had DD in a private hospital and yes my doctor was great the midwives not so great sad.gif

With the boys, I had them here in regional WA only one hospital-went private with a GP/OB and it was excellent care original.gif Got private room and paid nothing original.gif

If you have complications etc you end up in a public hospital anyway

#27 Guest_BeachedAsBro_*

Posted 16 June 2011 - 08:55 PM

QUOTE (Oceans @ 16/06/2011, 08:34 PM) <{POST_SNAPBACK}>
"BeachedAsBro", if I went private in public, let's say RNSH, would the anaethetician/assistant surgeon fees be no gap? Or will I receive accounts from all attending doctors just like in a private hospital?


You would have to check, but I wouldn't think so because of the government subsidising their fees. In the private they can choose to charge what they like, which of course they then pass onto the patient, but in the public they can only charge the medicare fee, which is not passed on to the patient.

If you give the finance people a call at RNSH they should be able to answer your question about that cost.


#28 2_shoes

Posted 16 June 2011 - 08:56 PM

QUOTE (stelley @ 16/06/2011, 08:49 PM) <{POST_SNAPBACK}>
Wouldn't take the risk having to cross the Spit in peak hour or when the bridge is up -there's at lest 3 stories/year in the MD about deliveries on the side of the road at the Spit.


biggrin.gif  biggrin.gif  biggrin.gif  biggrin.gif

Thanks, you made me laugh. I heard a lot of good things about Manly, as well as a couple of horrible stories...mixed bag.

The time to the hospital could be a factor. I don't know if that's genetically handed down, but both of my mother's births happened in under 2 hours from start to finish...

#29 red in oz

Posted 16 June 2011 - 09:03 PM

QUOTE (MadamFrou-Frou @ 16/06/2011, 08:43 PM) <{POST_SNAPBACK}>
Word for word what I would have written original.gif Two healthy babies going public, I only paid for parking.


but boy is the parking expensive wink.gif...


QUOTE (rosiebird @ 16/06/2011, 08:45 PM) <{POST_SNAPBACK}>
My reason for going private was so that I didn't have to wait in the overcrowded antenatal clinics for an appointment. I honestly don't think there is any difference in outcome between public and private.


The only appointments I had to wait for were the Obligatory Drs ones at booking in and 34ish weeks, in fact my midwife was often early. It's definitley worth trying to get into a know your midwife scheme if you decide to go public, many are very well run and offer definite advantages because you see the same caregiver for the majority of your pre-natal care and they generally deliver your baby on the big day as well.

I know this may not be the case but if you are keen on a cesarean anywway (ref. your comment on anaethetists/surgeons etc.) then you will be better off going private as the public hospital will not easily give you a ceasar without sound medical reasons (can include mental health etc.).

And if you are 8 weeks pregnant already you really need to get booked in tomorrow whether you want to go private or public in your preferred hospital.

#30 fooiesmum

Posted 16 June 2011 - 09:03 PM

Northern beaches local - manly hospital is very run down and dealing with twice the number of patients than normal as Mona vale the other local hospitals maternity Dept is closed and has been for more than 12 months. I've had good friends birth at manly recently - my maternity experience at the San was very different.   I would expect more nursing care than my girlfriend received - no follow up on do barge and no continuity of care differing doctors (not obs) all telling her different things, certainly very stressful.   1 dr for high bp (she has pe last pregnancy) 1 dr for kidney problem - notes on her card not correct, just stressful.
Sure this is not always the case - low risk and unfortunately rnsh is not an option unfortunately

Sorry bad typing on iPad

#31 busymumof1&1/2

Posted 16 June 2011 - 09:04 PM

I was transferred to RNSH after booking at the Ryde Midwifery clinic because of complications at 20 weeks for DD. Because of another underlying complication I ended up with a private room, and as I wanted to go home early, I only spent 48 hours in the maternity ward anyway. I looked at the $'s in the following way. $5000 could mean that I could stay at home for another 3 months with baby, as opposed to going back to work, or stressing about money for the mortgage. Guess which one won out original.gif
The only down side is the waiting room in the public system. I did not have this for DD. I was seen in the maternal foetal clinic and so was seen pretty much straight away. This time I am in the waiting room. Take a good book, and have a rest. We don't often get a real sit down, without interuptions, during the day, treat this as an enforced break for you and bub biggrin.gif



#32 MJ2

Posted 16 June 2011 - 09:05 PM

I seem to recall reading something about your mother's labour times being an indicator....

I have had 2 babies at RNSH - one induction, one (finally!) came of her own accord. Fabulous experience both times, brilliant midwives, didn't have too much to do with any doctors so can't comment there. Even got a room to myself after Baby 2 although I hear the wallpaper is nicer in the private.

I was in similar situation to you - good health cover but just couldn't justify the out of pocket cost and in the case of number one literally spent those $$ on flights to the UK for all of us.

Having said that I live 5 mins from RNSH so no real travel risk for us .... Just don't leave it too long before you head off, and KNOW that bridge timetable off by heart!

ETA - I avoided the dreaded wait by doing shared care with my GP - only had to go to the hospital three times (and one of those was at 40 weeks so I had finished work anyway).

Edited by MJ2, 16 June 2011 - 09:06 PM.


#33 ~J.E.S.S.I.C.A~

Posted 16 June 2011 - 09:15 PM

Private hospital does not automatically equate to a healthy baby. Completely ignorant if you think that.

QUOTE (V&J @ 16/06/2011, 08:24 PM) <{POST_SNAPBACK}>
You'll be fine in public OP.  The doctors all have medical degrees and the hospitals have the same equipment.   Whether you have a healthy baby or not is mostly up to you and genetics rather than a doctor or hospital.


This.



#34 Liv_DrSperm_sh

Posted 16 June 2011 - 09:20 PM

very VERY simple answer......NO

#35 jmag

Posted 16 June 2011 - 09:30 PM

I would think the other way OP, I see public hospitals far better, equipped to manage a high risk pregnancy, yes some may look dilapidated but I know the funding goes straight towards facilities not fancy interior decor...

So for me my best interest was for my baby not myself...as I had DS public and DD private.....this one definitely public!

Some people like to see the same person for each ante visit too

Good luck

#36 meemee75

Posted 16 June 2011 - 09:31 PM

Op- Then I must be the worst mother in the world.

I Homebirthed my 2 babies roll2.gif

Public/ Private- Meh -all the Dr's and midwives have the same training and most work in both systems anyway.

So  NO NO NO You are not endangering your child by going public.

Weirdest thing I've read all day huh.gif

#37 Chocolate Mousse

Posted 16 June 2011 - 09:32 PM

Hi Oceans

I haven't read all the other posts sorry, but just wanted to add, that I've had three children, both at public and private, and I've had too many other procedures both public and private, and I have to say that I've been overly impressed with the public system, and quite surprised at how underwhelmed I was with the private system.  

The Private system, has a higher rate of caesars too (sorry I couldn't give you a reference for those stats, at being lazy blush.gif ) but when I had my last baby the stats for first time mothers having a caesar in a private hospital was something like 80%!!!

Anway, if I were to have another baby then I'd definately go public.  

Also IF  you were unfortunate enough to have certain issues with your baby then, you'd be transferred to the leading public hospital anyway, so I'd say that definately you would not neccessarily be in better hands in a private hospital / vs public.  But I haven't done the research.  I was just surprised when I was paying top dollar and booked into the private hospital with my private ob etc and then he told me if this or that happens then I'd have to go to the public hospital.....

Good Luck making your decision either way.

#38 jules095

Posted 16 June 2011 - 09:35 PM

I had a 2hr45min labour, with a high risk pregnancy & gave birth in a public hospital. My premature twins had the best from the start, already being at a hospital with NICU/SCN. I also had a private room, but was kicked out 48hrs after the birth.

IMO, then only reason for a private hospital would be the longer stay.

I was quite happy with my prenatal care & the care of my twins in the public system & would do it again.

#39 charliebean

Posted 16 June 2011 - 09:39 PM


I had DD at RNSH public and we both made it out alive  rolleyes.gif

#40 SeaPrincess

Posted 16 June 2011 - 09:53 PM

I've had babies in 2 states, and in both cases, the best care for a baby who needed it was in the public system.  Both private hospitals were for low-risk pregnancy/birth and if the baby required special care, it would either be delivered or quickly transferred to the public system.  In Perth, I would have had the same OB, just the delivery would have been at the public hospital, but that's not always the case.

What I got from being private was:
- Continuity of care - my OB in Perth delivered 2 of the children, my OB in Darwin got me through a m/c and DS2's difficult pregnancy and early birth.
-  I had a room to myself when I was hospitalised at 23 weeks with bleeding, so DH and DS1 were able to visit whenever they wanted and we didn't have to worry about disturbing anyone else
- DH was able to stay with me
- I roomed in with DS2 when he was admitted because he was born early (he didn't require any special medical care, so we stayed in the private room that I'd been in), whereas my friend whose baby was a smidge earlier but much bigger had to stay in the old nurses home adjacent to the public hospital.
- I wasn't rushed home with any of them, so with DD I had a chance to recover a bit before having to go home to 3 children under 4.

R

#41 India41

Posted 16 June 2011 - 09:55 PM

You said it!  BIG TEACHING HOSPITAL!

A nice big public hospital is what you want in the event something goes wrong. They have EVERYTHING there. If your baby needed to go to NICU, you & your baby would be transferred if you were private. The only reason to go private, is essentially for "room service."

I booked into RPA with my first DD (before the residential location rules came into effect). I had uncomplicated pregnancy until two wks before delivery where I developed high BP. Birth went well (v.fast for 1st baby!) and then ended up in NICU at day 2 for 2wks. Best care ever.

Then I became pregnant with twins. (what a shock!).  And the residential location rules were in effect... oh how I fretted... I spoke with the midwifery clinic there and they told me I need to get my GP to write a letter outlining the medical reason to go to RPA (rather than my local hospital). So I got my GP to write one outlining my high BP at the end of my first pregnancy and that I was having twins. My GP said that having twins would not automatically qualify me as my local hospital could deliver twins. He told me to write a letter too and attach it to his. I sent it to the Director of Obstetrics I think (check with his/her office of correct name & title).

When the doctors found that one of my babies was not thriving during a routine scan they booked my caesar (labour would've been far too stressful for DD2). Then they delayed it. Then booked it again. Then delayed it again. And so it went like this for a few weeks as DD2 while small, was stable. And I didn't want to deliver too early if it was not endangering them.

And so we made it to 35wks. DS and DD2 were also guests of NICU (2wks & 5wks respectively). Again, best care ever.

Stay sane. There'll be enough to worry about once baby arrives.

#42 2_shoes

Posted 16 June 2011 - 09:58 PM

Thanks to all who replied and was patient with my paranoia.

Please understand that I've been reading endless private hospital and obsetrician discussion threads on this forum, so I felt that that was a responsible thing to do, since I could afford it. I feel better now about making the choice to go public.

I guess I now need to decide for myself if going to my local Manly is the best care I can get, or whether getting into RNSH is something I should try!! I might give them a call tomorrow and see what my chances of getting in are.

I've only known for 2.5 weeks and already I feel that I should have made all my decisions yesterday...

By the way, I decided to see a private OB for a few appointments until 15 weeks, as the hospital would not see me until then and I don't know any good GPs in my area - a medical centre model is the true Achilles heel of Australian healthcare. Uninterested Dr who, when asked who should be looking after my health during the pregnancy, said it would be an obstetrician. I had to demand checking my blood pressure during that appointment, he could not care less! He did not ask what tests I've done by then, nothing! Just sent me off with a prescription for Maxalon (I did not take it) when I came in to see if there was a chance of any vitamin injection to lessen my MS.

So I think I will see a private OB between now and week 14 (it was hard to find one who would see me without making a commitment to the full pregnancy care) for all early pregnancy scans and diagnostics and then switch to a public model.

To be completely honest, I have already lost a bit of faith in the private OBs over this week. When I said that I had no Mater/NSP bookings, most would refuse to see me even for 1-2 appointments, saying things like "I'd rather take a girl who knows what she is doing". One very prominent OB, no names, left me in tears, so patronising she was over my reluctance to make private/public decision by this stage.

#43 Guest_BeachedAsBro_*

Posted 16 June 2011 - 10:08 PM

Well OP with all due respect, the OB doesn't have to see you at all if you're not committing to staying under their care. They have management fees to keep their practice going. Currently I pay $50 per appointment and then it was $2550 on top to be under his care. I can't imagine him being too impressed with seeing me for 15 weeks or so, then going public because I decided that they were 'better' IYKWIM.

I only saw him twice in the first 15 weeks anyway, I would recommend that you stick with a GP until the Ante-natal clinic picks you up. Unless there is an issue it shouldn't be too hard to arrange your NT scan via your GP anyway, it's a simple request form. Otherwise, give the ante-natal clinic a call and see what they do for the ladies who haven't started seeing them yet, because most ladies get the NT scan attended these days between 12 and 14 weeks.

#44 waawa17

Posted 16 June 2011 - 10:12 PM

QUOTE (BeachedAsBro @ 16/06/2011, 08:08 PM) <{POST_SNAPBACK}>
Well OP with all due respect, the OB doesn't have to see you at all if you're not committing to staying under their care.



Which is no excuse for calling a grown woman a "girl" and acting like a patronising git. That sort of behaviour doesn't augur well for respect for a woman at the pointier end of the pregnancy.

#45 libbylu

Posted 16 June 2011 - 10:16 PM

If you don't care about a private room, and are likely to have a low risk pregnancy, then go public.  You don't get the same consistency of care in that you will be seen by different Obs and Midwives during your pregnancy, but during the actual labour, if you are in a busy tertiary hospital you will have the most experienced staff right there if anything goes wrong.
ETA if you ring your local public maternity hospital they will likely have a list of GPs who specialise in doing 'shared care' for pregnancy, which means some of your appointments can be with the GP instead of at the hospital.  You don't have to do this model, but at least you might find a good GP.
This is precisely what I did in Melbourne.  Prior to becoming pregnant I just used to rock up to the 24 hour medical centre and see whatever overseas doctor happened to be passing through at the time.  The Royal Women's in Melbourne gave me a list of GPs in my area who are Family Doctors registered to do shared pregnancy care. Although I used the birth centre model of care at the Womens' rather than shared care, I did see my GP for an ultrasound referral and she did initial pregnancy bloods (check iron thyroid vit D Hep HIV etc).  I have been seeing her ever since.  You need to find a good family doctor anyway once you have a child, so might as well find one now.

Edited by libbylu, 16 June 2011 - 10:24 PM.


#46 Guest_BeachedAsBro_*

Posted 16 June 2011 - 10:20 PM

QUOTE (waawa17 @ 16/06/2011, 10:12 PM) <{POST_SNAPBACK}>
Which is no excuse for calling a grown woman a "girl" and acting like a patronising git. That sort of behaviour doesn't augur well for respect for a woman at the pointier end of the pregnancy.


OK granted I missed that aspect, but the point I was making was that their private practices are their business, so by putting the OP on the books for just a couple of appointments means that there is no room for another patient who will commit to staying under their care for the full duration of the pregnancy.


#47 kpingitquiet

Posted 16 June 2011 - 10:26 PM

In our area, the overwhelming majority of critical care for newborns is in public hospitals. Private patients are transferred to public N/ICUs. At least, that's what I was told when examining options.

#48 ekbaby

Posted 16 June 2011 - 10:29 PM

IMO you are better off in the public system- as PP mentioned, the rates of intervention go up significantly for those who have private care/private hospital (even accounting for the fact that higher risk ppl may choose private care) and when unneccessary, some of those interventions are actually increasing the risks to you and your bub!

Plus as others pointed out, if there is a serious problem you would often be transferred to a tertiary public hospital anyway where they have the highest level NICU and specialists.

#49 It'sbeenawhile

Posted 16 June 2011 - 10:34 PM

QUOTE
My biggest source of guilt, and worry if the baby has higher chances of being born healthy in private care?

Have not read all the 6 pages, but as a mother of 3 babies born perfectly fine in the public system, i was truely offended by that sentence.  mad.gif

#50 2_shoes

Posted 16 June 2011 - 10:39 PM

I am not sure I agree that an OB is correct not to see a patient who is not sure what they will do in the end. First of all, people change their minds and change OBs. It happens as evident on this forum. Secondly, the OB I am going to see charges $200 for the first appointment and then $100 for subsequent one. Seeing me 2-3 times to refer me to tests, review them and give me a professional opinion is hardly going to send him broke? Even without the pregnancy management fee, the appointments alone would bring in around $1300 over the pregnancy if I continued. Some OBs charge that for the entire service (not in Sydney, obviously).

Plus, what about the Hippocrates Oath? The duty of care? I just want to see a specialist to do early diagnostics and make sure I get the results reviewed by a reputable doctor...like I said, I don't know any good GP I trust.






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