Jump to content

Explain how it works here please
public in Melbourne


  • Please log in to reply
7 replies to this topic

#1 lynneyours

Posted 18 January 2013 - 10:41 PM

Hi
I've had 2 DD's in London, and now live in Melbourne.  We're doing the should we/shouldn't we on #3 and have been for ages.

Please can someone educate me or direct me to a link as to how it works here for pregnancy care.  
I don't have private health insurance so would be public in Melbourne, I live close the the Royal Womens and Royal Melbourne Hospitals.

Previous pregnancy info:
DD1: HG, PE, scans at 12, 16, 22, 32, 36 weeks (one was in Fetal medicine a scan of her heart and I had a scan of mine, as I have a heart murmur).  Induced at 39.6, born on EDD by ventouse in a couple of hours (once I hit 4cm) with the cord round her neck twice.  Posterior and 2nd degree tear.

DD2:  PE and borderline OC.  scans at 12, 22, 32 weeks, again one of her heart in fetal medicine.  Born on EDD, 11 minutes after 4cm and waters broken.  Again posterior, cord round neck twice, 2nd degree tear.  Transverse with unstable lie until 39.5 when she turned cephalic.

ALL the above was free. I didn't pay anything.  I have all my medical notes from both pregnancies and births here.

I'd LOVE to have #3 and prefer midwife-led care.   How does it work in Melbourne?  How much does it cost? Do you pay for scans? Birth? Would I be an automatic high risk?

TIA for any help/advice.

#2 girltribe4

Posted 18 January 2013 - 10:49 PM

I had 2 babies in a major London hospital (2000 & 2001) then 2 babies in Adelaide (2004 & 2008)  Our London hospital did undergo a massive overhaul after we left but my experiences here in Australia giving birth in the public system were amazing compared to the facilities & care in the UK.
Much cleaner , larger private rooms each time (2 different Adelaide hospitals) .

I did need to pay for my scans about $300 I think but I got a large percentage of that back from Medicare , as far as I can remember that is all we paid for.

All 4 of mine were posterior , 3 epidurals , 1st was ventouse but others were born without ''help'' .

Edited by girltribe4, 18 January 2013 - 10:53 PM.


#3 lynneyours

Posted 18 January 2013 - 10:58 PM

Was it St Mary's?  My friend had children there and it was fairly average, when I went there, they'd refurb'd and it was great.  Clean. Light and bright.  
I had 1 other woman in my room with DD2, 2 others with DD1.  I didn't mind it - I liked chatting in the small hours when we were both awake feeding babies.

#4 RunDMC

Posted 19 January 2013 - 08:49 AM

Hi OP, We have just moved back  to melboune from London, currently 22 weeks and have only just had my first hospital visit. We are going public and as long as you have a medicare card you are all set and should not cost a thing.

Hospital: I found the easiest thing to do was look at the hospital websites and they detail how you 'apply' for the hospital, whether a GP needs to fill the form in or whether you can. The form for Sandringham and monash had boxes where you can select the type of care you would prefer:Midwife clinicVia the hospital doctors clinicSharecare with your own GP

On your first hospital visit they assess your level of risk and the appropriate level of care required, my appointment lasted 1.5 hours and they asked all about my previous pregnancies, medical history et al. Due to a small medical issue of mine that needs monitoring I have been placed in the doctors clinic care group, which is connected to the hospital. I was hoping for the midwife clinic.Either way you need to be pregnant and will need a referral from a GP to 'apply'. I just went to our local medical super clinic.


Scans: once a hospital accepts you, they will coordinate your scan referrals , sometimes the hospital radiology is full and they will outsource.
If you are still waiting on a hospital your GP can refer you for scans and blood tests.


The trick to remember is that you can use the scan referral anywhere not just the centre listed on the form. Ring or google around as the costs vary, some places will fully bulk bill costing you nothing, some will not. The Medicare rebate is only around $60, most places charge upwards of $150.
Hope that helps. Good luck

Edited by DMC_baby, 19 January 2013 - 08:51 AM.


#5 RichardParker

Posted 19 January 2013 - 09:06 AM

I just had a baby at the Royal Women's in Melbourne and I was really impressed.  

To start, go to your local general practitioner and he or she will fax your referral to the hospital. The hospital then sends a letter to you with the time of your first appointment. Then, at your first appointment (at about 22 weeks) you book in all the rest if the appointments.

You can either do 'shared care' with your GP, which is where you have half your appointments with your local doctor and the rest at the hospital.  The RWH also have a midwife program where you meet with the same midwives the whole way through.  I did shared care with my GP and was really pleased.

I'm happy to help via PM if you need any questions answered.  I know that figuring out 'the system' was the hardest part for me.

#6 lynneyours

Posted 19 January 2013 - 11:52 PM

QUOTE (*Greenbag* @ 19/01/2013, 10:06 AM) <{POST_SNAPBACK}>
I just had a baby at the Royal Women's in Melbourne and I was really impressed.  

To start, go to your local general practitioner and he or she will fax your referral to the hospital. The hospital then sends a letter to you with the time of your first appointment. Then, at your first appointment (at about 22 weeks) you book in all the rest if the appointments.

You can either do 'shared care' with your GP, which is where you have half your appointments with your local doctor and the rest at the hospital.  The RWH also have a midwife program where you meet with the same midwives the whole way through.  I did shared care with my GP and was really pleased.

I'm happy to help via PM if you need any questions answered.  I know that figuring out 'the system' was the hardest part for me.


Thanks for replying and congratulations Greenbag.  My friend had 2 in London and 1 here and said "it was a nightmare here" without specifying why.  We're trying to figure out HOW it's done here, as part of the decision-making process.

So, 22 weeks is the first appointment?  
In the UK, I'd already had the NT scans/tests, the fetal medicine heart scans and the 20-week abnormality scan by then - so is that then something the GP does here, or do you just organise yourself?
For DD's, I was referred to my hospital of choice by my GP, then attended the clinic at 12 weeks, and they did all bloods, scans, measuring, checking, S&S etc all there, at the same clinic, (except the fetal medicine scan) - is that how it works here too, or do you need to go to various places - if so, how/when do you get your results?

I do have a Medicare card, but didn't realise you could go to different places than where referred - useful to know!

Edited by lynnemine, 19 January 2013 - 11:53 PM.


#7 lucky 2

Posted 20 January 2013 - 10:06 AM

I think you need to be getting in the system well before 22 weeks as just like your experience in UK you usually would have had your scan etc prior to that stage, ie 18-20 weeks.
You'll work it out, once your in the "system" I would hope that every would go well from their.
All the best with your pregnancy.
I presume you have seen this but just in case-
http://www.thewomens.org.au/PregnancyCareOptions
Ring bookings tomorrow, the phone number is to the right of the page.

#8 ednaboo

Posted 23 January 2013 - 12:08 PM

I wonder if Greenbag did shared care with a GP, and saw her GP before 22 weeks?  Otherwise, the first hospital appointment would be earlier.  

When I had my first two at RWH I had to pay for the 12 week screening scan myself (it had to be done privately as they only did the 20 week scan routinely, or others if medically indicated).  This scan was about $150 I think but you get some back from Medicare.

There should be a schedule of visits/pathway on the RWH website somewhere.  I am pg with #4 and going to a different hospital.  I have to see my GP before 10 weeks for bloods and ultrasound form, they refer to the hospital and they will see me between 10 and 16 weeks.  The hospital will then decide if I can do Midwife Care based on risk level - I imagine RWH would be similar.

The 10 week ultrasound is the only thing I have paid for with maternity care.  When I did shared care with a GP the GP bulk billed those apointments.  I have been very happy with the care I have had in public (2 different hospitals).

I *think* you have to live in the RWH zone to birth there nowadays but it sounds like you definitely do.  RMH does not do maternity.

Edited by ednaboo, 23 January 2013 - 12:09 PM.





1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

WIN an exclusive performance from Sam Moran!

To celebrate the release of children?s musical series Play Along with Sam, out now on DVD, we?re giving one lucky parent the chance to have Sam perform at their child?s pre-school or day care!

The myths and truths of gender swaying

Here are a few popular methods hopeful parents-to-be use to try to get a baby of their preferred gender – and what an expert says about whether they really work.

10 easy DIY Christmas decoration ideas

It's officially time to get into the Christmas spirit. Why not branch out when you put up your tree this year and add a personal touch with a few DIY decorations? We've found the perfect easy-to-make ways to put more festive fever into your home.

The dangerous new trend of glucose challenge test refusal

A dangerous trend is seeing more mothers-to-be declining a relatively simple and painless test to check for gestational diabetes.

Office of Fair Trading reveals naughty toys ahead of Christmas

The Office of Fair Trading has pulled seven toys from shelves ahead of Christmas after they fail safety tests.

Video: Baby boy's trouble with twins

These twin girls will no doubt have fun fooling people in years to come, but nobody will be as confused as baby Landon.

Long-term reversible male contraceptive on its way

Men could soon have access to an injectable long-term contraceptive which works in a similar way to a vasectomy but promises to be easily reversed.

'I tried to kill my baby': one mum's story

After bathing and dressing her three-month-old son, Amanda had a rare moment alone with her baby.

Attack of the 'mummy brain'

I feel that almost every day, someone in my life - be they a friend, family member or complete stranger - feels the need to excuse my behaviour as I have other things on my mind.

Mum of baby who fell ill after drinking raw milk speaks out

A Melbourne mother has described how her son turned grey when he became seriously ill after drinking raw milk.

Australian divorce rate lowest since 1976

Modern newlyweds are now well into their 30s and marriage still offers something powerful a new book argues.

The aftermath of a traumatic birth experience

In Australia, 30 per cent of women find their birth experience traumatic, with 6 per cent going on to develop post traumatic stress disorder (PTSD).

Young mum burns 'from inside-out'

A young mum is in intensive care after she took a friend's antibiotic and wound up with an ailment that is burning her body 'from the inside-out'.

The disagreement that can break a relationship

If he doesn't change his mind, all I can hope is that I will. It would be a waste to spend the rest of my marriage mourning a baby that never was.

Co-sleeping or no-sleeping? Mum videos worst nap ever

One mother's futile attempt to sleep in caught on camera in a hilarious - and very cute - video.

Why children misbehave during the festive season

While we all like to imagine the holiday season as being a fun, loving and bonding experience; often our reality is quiet different.

I was fat-shamed by my doctor

The fear of being weighed is the most significant factor in women cancelling medical appointments - and now weight-shaming has happened to me.

End of an era: no more childcare

As we reach the end of 2014, we're closing the book on many things for another year, most notably childcare. Our last child has attended childcare for the very last time.

The 7-year itch is more like the 10-year itch: study

Contrary to popular belief, making it past the seven-year mark doesn't mean your marriage will be smooth sailing from there on.

Stop telling us that parenting gets harder

I’m sure that parenting will get harder. But life isn’t exactly smooth sailing for many of us right now, either.

Should children be forced to sit on Santa's lap?

We teach kids it’s okay to say no if they don’t feel safe, so why do some parents force their children to climb in to Santa's lap?

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Baby born weighing almost 14 pounds

Yes, the bouncing baby girl was born by caesarean section. And mum says no more kids.

The dummy debate

I'm the first to admit that when I used to see tiny babies with dummies in their mouths, I thought "Hmm, lazy parenting." And now I apologise.

WIN an exclusive performance from Sam Moran!

To celebrate the release of children?s musical series Play Along with Sam, out now on DVD, we?re giving one lucky parent the chance to have Sam perform at their child?s pre-school or day care!

'I thought I was an only child'

Imagine meeting your double at a school sports event, or regularly being mistaken for someone you haven't met. Separated twins Margaret and Joy tell their story.

Mums reveal their nappy bag essentials

Ever wondered what other mums carry in their nappy bags? We have, so we asked mums to tell us their must-have nappy bag items.

Toddler died because he wasn't given antibiotics soon enough

A 15-month-old boy would almost certainly be alive today if doctors had given him antibiotics sooner, a coroner has ruled.

VIDEO: moment a toddler falls on to train tracks in Melbourne

Shocking footage has emerged capturing the moment a pram carrying a toddler rolled off a platform and onto train tracks in suburban Melbourne.

Sold on natural birth? Read the fine print

In the excitement and anticipation of a first pregnancy, I ignored the fine print: some women, some of the time.

Child with alcoholic mum who drank while pregnant won't win pay-out

A young child is not entitled to criminal injuries compensation after her mother drank excessively while pregnant.

Superbugs killing India's babies, posing wider threat

A deadly epidemic that could have global implications is quietly sweeping India, tens of thousands of newborns dying because antibiotics no longer work.

Can you teach a toddler to sleep in?

Parents share their tips on getting their early risers to sleep in, even for just a little bit longer.

Keeping your relationship on track as new parents

About 70 per cent of couples experience a slump in their relationship within three years of having a baby. Here's how we tried to get back on track.

America's favourite baby names of 2014

Americans are turning to television, Netflix and sports for ideas for what to name their wee ones.

Carers admit to force-feeding children

As Sydney grieves the loss of Sydney siege victims Katrina Dawson and Tori Johnson, reports have suggested that both died as heroes.

 

How many weeks til Christmas?

On your To-Do list

Get the "Santa" shopping done without the kids in tow.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.