Jump to content

Elective C Section
Private? Public? Insurance?


  • Please log in to reply
12 replies to this topic

#1 MissingInAction

Posted 22 January 2013 - 08:06 AM

Due to anxiety issues, I would strongly prefer to have a C section birth.

Can you elect to have a c-section?
How do you go about this?

Can you have an elective C section in a public hospital? What about private?  I have private health but am not sure whether elective c sections come into this?  Has anyone been down this road before?  Please help!!



#2 littlesticky

Posted 22 January 2013 - 08:21 AM

I had one through the private route, I think it's a lot harder if you go public. More expensive, but absolutely no regrets.

#3 pandamum

Posted 22 January 2013 - 08:25 AM

QUOTE (MiaMoo86 @ 22/01/2013, 09:06 AM) <{POST_SNAPBACK}>
Due to anxiety issues, I would strongly prefer to have a C section birth.

Can you elect to have a c-section?
How do you go about this?

Can you have an elective C section in a public hospital? What about private?  I have private health but am not sure whether elective c sections come into this?  Has anyone been down this road before?  Please help!!



Hi there! I had an elective c section 9 months ago now. I had my baby at the Mater North Sydney (Private Hospital). I'm not sure if you can have an elective c section in a public hospital - I have a feeling you can't unless there is a medical reason. You'll have to check with your own health fund what exactly is covered. My hospital charges were fully covered, you'll be charged seperately for the anaethetist which should be partially covered. I think from memory our total out of pocket expenses for the surgery, anaesthtist and obstetrician fees was around $5000-5500. You'll need to get a referral to an obstetrician and discuss your options. I have heard that some obstetricians do more elective caesars than others. I discussed my options with my obstetrician and although he encouraged me to have a vaginal birth, as I am healthy and low risk he allowed me to make my decision based on all the information he provided me. I was anxious about a vaginal birth and felt that having a elective caesar was the right choice for me, and I have absolutely no regrets.

#4 Cat Burglar

Posted 22 January 2013 - 08:28 AM

Subscribing to this!

I have had a friend in SA with anxiety issues (documented history, on meds) who was refused a c section for that reason in the public system.
I would only have another baby if I could guarantee an elective c-section at about 38 weeks due to severe antenatal depression/anxiety issues but I dont have private health. So I would love to hear anybodys experience if they have had an elective c-section for this reason in the public system.

#5 joy6328

Posted 22 January 2013 - 09:02 AM

I was always under the impression that to have an elective C-section Privately, you needed to find an OB that supports that. Some are amazingly pro-vaginal birth. Others love the convenience of booked Caesars. You are paying for a service, you just need to find the right provider.

With Public I had been "told" that you need to have a reason. Be it anxiety, health concerns etc. You can't just ask for one. You may need to have a mental health referral or some other way to back it up other than just "wanting" one. If you can't do that - I would imagine you'd need to use your Private insurance...?


#6 lucky 2

Posted 22 January 2013 - 01:02 PM

If you don't ask you wont find out, I'm talking about the public system here.
If you have reasons for the c/s and this is seen to be the best option for you and your baby then you may just get it.
There are risk factors with vaginal and c/s births, more with c/s, for both mother and baby.
It's also more expensive to have a c/s and it is appropriate that unnecessary and costly surgical procedures are avoided.
It's a risk:benefit situation.
Be prepared to explain yourself well so you are can make your carers clear about your concerns.
You sound like you could do with some counselling during the pregnancy and post birth as having a c/s is not an anxiety free experience, it just depends how your body and baby respond.
If you have a therapist who knows you and your particular issues then a supporting letter to the OB/Hosp will be an excellent place to start the ball rolling.
All the best.

#7 kay11

Posted 22 January 2013 - 01:21 PM

QUOTE (lucky 2 @ 22/01/2013, 01:02 PM) <{POST_SNAPBACK}>
There are risk factors with vaginal and c/s births, more with c/s, for both mother and baby.


Risk factors are best discussed with your obgyn and doctors that know your medical history rather then getting from the internet. It is certainly not the case in every situation and my understanding is that c-section actually has less risk factors for the baby than vaginal birth. At any rate - don't take anything about this as gospel from the internet but discuss with your doctor.



#8 Louise2203

Posted 22 January 2013 - 01:28 PM

I had an elective c section in a public hospital in WA.
I was referred to the obstetricians attached to the public hospital, they went through the risks with me and let me choose. Nothing further was required.
I was advised that you have a choice in WA and a couple of other states, which I can't remember now sorry.
I sent an email to the department of that hospital explaining why I wanted the cs and it was from this that I was referred to the obstetricians.

#9 MrsLexiK

Posted 22 January 2013 - 01:42 PM

I am similar to you, I have very bad anxiety surrounding the idea of giving birth.  I will be talking to my OB's midwife about c-sections for this because I have not gotten better as the pregnancy has progressed.  I am terrified of having more damage down there (with all my issues it already is a mess) but to go back to the public or private

Private - as long as your OB is happy to do a c-section for anything other then health (and in some cases anxiety would be considered a health reasons, in other cases not) You will have the cost of an attendent at the birth, and perhaps all or just the gap fee or nothing for the anthesit. On top of any charge from the OB (delievery fee, management fee, appts etc).

Public - again whilst anxiety might be a health reason they may not see it that way so you would not be assured in some states/hospitals.  You wouldn't pay extra for it though.

#10 waawa17

Posted 22 January 2013 - 02:01 PM

The internet can be a great way to fill yourself in on background information - it gives you direct access to Pubmed, the Cochrane Database, Medscape, etc.

Risk to the baby can be lesser with C section with some complicated pregnancies, but a normal pregnancy is a very different situation, especially but not exclusively when the elective C section is done at an arbitrary early date before commencement of spontaneous labour. Maternal risks of complications and/or deaths are higher with C section, as are risks to any future pregnancies. When doing a C section for anxiety, the risks need to be very clearly weighed up, and alternatives to surgery at least considered. As a poster says above, in addition, abdominal surgery is a stressful experience in itself, not the magical stress and pain free wonderland that it's often treated as in popular culture and the news media. Even without major complications, neonatal respiratory complications and mother-baby separation are more likely, breastfeeding establishment can be more difficult, and post-op pain/minor infections/consequences of greater blood loss can be a bear to have to manage while you're just trying to bond with your baby.

A severe and unmanageable anxiety disorder may certainly be an indication, if it's truly more unsafe for the mother to even attempt labour and if all other avenues have been exhausted. It's just not anywhere close to an automatic indication or an equally safe option, and it would be unreasonable to treat it as such in a public health system that's supposed to be providing evidence-based care.

#11 lucky 2

Posted 22 January 2013 - 03:34 PM

QUOTE
Risk factors are best discussed with your obgyn and doctors that know your medical history rather then getting from the internet.

Yes I do realise that kay11, hence my suggestion to start talking to care providers, getting a letter in regards to anxiety issues to support the case for c/s.
A risk:benefit assessment is needed, as per my post.
Apologies if my post wasn't clear enough.

#12 bebe12

Posted 22 January 2013 - 03:50 PM

Hi,

I had and elective C/s at Public hospital but it took weeks before they would say yes. I got the green light at week 37 and had him two weeks later. Process was started at 30 weeks after bub had heart scan.
  
I had a difficult first vaginal labour that had complications, leading to mental health issue, and our bub had a heart issue and was breached and i still had to jump through hoops to get a yes.

#13 Soontobegran

Posted 22 January 2013 - 07:34 PM

QUOTE (Soccer Mum @ 22/01/2013, 09:28 AM) <{POST_SNAPBACK}>
Subscribing to this!

I have had a friend in SA with anxiety issues (documented history, on meds) who was refused a c section for that reason in the public system.
I would only have another baby if I could guarantee an elective c-section at about 38 weeks due to severe antenatal depression/anxiety issues but I dont have private health. So I would love to hear anybodys experience if they have had an elective c-section for this reason in the public system.


It is definitely possible for elective C/S to be performed in a public hospital but I am certain there will be some less likely to be compliant than others.
Psychiatric illness is as valid a reason for an elective C/S as any other illness however in the public system you will almost certainly be required to have an assessment from which the final decision will be made.
Because the public purse is paying for the surgery the hospital is made accountable for the number of C/S performed and funding could be impacted if it is noticed that there is an unusually large number of C/S happening that do not appear to be medically indicated.

Good luck OP, it is really important that you speak to your caregivers at length and know that the delivery you are choosing is right for you.





1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

RPA hospital contacting mums after discovering vaccine storage fault

Sydney's Royal Prince Alfred Hospital (RPA) is trying to contact women who had babies at the facility after discovering a fault in a refrigerator containing vaccines.

'Nutella' not a baby name, French court says

A French court has blocked parents from naming their baby girl after the hazelnut spread Nutella, arguing it would make her the target of mockery.

Why I'm never calling myself 'just a mum' again

I’ve grown three human beings. I feed them, dress them, teach them, care for them and love them 24 hours a day. Yet for eight years, when I meet new people and they’ve asked me what I do, I tell them: “I’m just a mum”.

Rosie Batty named 2015 Australian of the Year

One year ago, Rosie Batty could not have imagined she'd be where she is. Tonight the grieving mum who put domestic violence on the national agenda was named Australian of the Year.

Five reasons to hug more

Hugging – some of us thrive on it, even depend on it – and then there are those who don't care for it really. So, are they missing out?

Help - my three-year-old has started throwing tantrums

My daughter never went through the "terrible twos" but began throwing wild tantrums shortly after her third birthday.

That's commitment

First peek at Sonia Kruger's daughter Maggie

"She smells so good, I could eat her," Kruger tells co-host David Campbell.

Mum assists in own caesarean surgery

A mum who partly delivered her own twins during a caesarean has encouraged other women to take control of their birthing experience.

How to handle common childhood regressions

Regression can be a natural and common part of development prompted by a variety of factors, but that doesn't make it less frustrating.

Disgruntled dad's pram ad goes viral

When buying a second hand pram, there are lots of things to take into consideration. 

Man discovers he's a dad after finding 55-year-old letter

Discovering you are about to father a baby is startling enough - never mind finding out you have a 61-year-old son.

15 thoughts mums have during a tantrum

Ranging from mild to feral and triggered by events both minor and major, tantrums certainly keep life interesting.

Natural pain relief in the early stages of labour

While managing labour pains on your own can be daunting, there are a number of natural pain relief options to help you cope until you are admitted to hospital.

Forgotten Baby Syndrome claims the life of toddler

One baby dies every eight days in the back of a car in the US, victims of 'forgotten baby syndrome'.

For a brief time, I was touched by an angel

For a brief time, I was touched by an angel. You stole my heart, and changed me into the women I am today.

Chrissie Swan has reached her "sex quota"

Chrissie Swan says she and her partner have sex once a year due to her fear of falling pregnant.

Chinese woman gives birth to quintuplets

After six years of trying for a baby, a couple’s dreams have come true many times over after the mum gave birth to quintuplets this week.

Five-year-old shoots nine-month-old brother dead

A nine-month-old baby boy died on Monday after he was shot in the head by his five-year-old brother in their grandfather's home.

'Is that baby yours?'

She is my daughter. I gave birth to her. I nurse her. But she doesn't have any of my genes.

Episiotomy in childbirth: not just 'a little snip'

Episiotomies have a place in maternity care – and can occasionally save lives – but should not be performed routinely.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

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

Stars help save choking babies

It's an important lesson to learn, but one that busy new mums and dads might overlook until it's too late.

New Girl star Zooey Deschanel pregnant

Actress Zooey Deschanel is expecting her first child with her producer boyfriend Jacob Pechenik.

16 times 'dad reflexes' saved the day

Of course, in some cases they may be the ones who actually got their child into a precarious position in the first place, but we'll ignore that for now.

Couple's 'non-traditional' pregnancy announcement goes viral

Knowing you are not the father of your pregnant wife's baby would usually indicate a rocky relationship ahead for traditional parents.

The trials and tribulations of identical triplet newborns

Pip Donnelly is still playing spot the difference with her newborn identical triplets, Isabelle, Georgina and Frankie.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Earthquake baby thriving five years on

Jenny Alexis is lucky to be alive after spending four days buried in the rubble of the 2010 Haitian earthquake, but now she's a thriving five year old.

Please don't say I'm lucky because I was adopted

On the one hand I was having a regular life with friends and sports and sleepovers and school. But I was also always wondering: Did my mother love me? What was wrong with me?

An open letter to non-parents who offer advice on child-rearing

Kitty, when you’re the parent of my child you’re welcome to wade in with an opinion – but until then, I’d prefer you to have a supportive ear and a glass of wine ready.

Couple arrested over baby gun video

A US couple faces charges after investigators say they found mobile phone videos showing the woman's 12-month-old daughter putting a handgun in her mouth.

NSW Health dumps 10-year limit on frozen embryos

A 10-year time limit on storing frozen embryos that were created with donor sperm has been dropped by the NSW government.

How my happy-go-lucky husband became a monster

Sharan Nicholson-Rogers watched her husband change from a happy-go-lucky police officer into an unpredictable man prone to violent and emotional outbursts.

Dads-to-be experience hormonal changes, too

Dads-to-be experience hormonal changes in line with their pregnant partners, a new study shows.

'They were just doing their job': mum of toddler killed in police chase gone wrong

"They were just doing their job. I feel so sorry for them. It is all just too sad."

Miscarriages to be formally recognised by NSW government

Women who miscarry will be able to obtain an optional "recognition of loss" certificate as a formal recognition of their often heartbreaking loss.

Cafe cubby house 'too noisy' for neighbours

Teenage parties, domestic disputes, or raucous late night pubs are the things that usually come to mind when you think neighbourhood noise complaints.

Dad films baby playing with snake

Most parents would not consider a snake an appropriate playmate for their baby, but a US dad who filmed his daughter playing with a python has defended himself against criticism.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Back to School Offer

Findababysitter.com.au

We've got you covered for this school year. Use www.findababysitter.com.au to meet local nannies now.

 
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.