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.





0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

Exclusive Black Friday Sale!

Get over 40% off selected products, including prams, baby carriers, cloth nappies, sleeping bags and much more! 24 hours only, on May 6 - register now for your special code.

Kelly Clarkson shares first photos of son

Kelly Clarkson has shown off the first photos of her son, Remington Alexander Blackstock.

5 childbirth myths that need to be busted

Birth is an unpredictable, mysterious process that intrigues us all, and there is a lot of misinformation out there.

Mum of three fatally shot by toddler while driving

A US mother has been shot by her toddler while driving on a highway in Wisconsin.

All you need is one minute to work out

The seven-minute-work out is old news. Research shows the effectiveness of going hell-for-leather for just one minute.

Pregnant women needed to join diabetes study

Pregnant woman in country Australia will help Adelaide researchers figure out why cases of type 1 diabetes have doubled over the past two decades.

Just announced: the Mountain Buggy Unirider

It's the perfect solution to combat those toddler meltdowns when they no longer want to be in a pram but can't walk long distances.

Authorities euthanise dog that fatally bit a newborn baby

A pit bull mix that fatally bit a 3-day-old infant last week has been euthanised, authorities said.

The push for Medicare to fund lactation consultants

While meeting with a lactation consultant can make an enormous difference to a new mother, it's not a service that is available through the public health system.

Why it's perfectly natural to dislike other people's children

Members of a popular forum are fiercely debating whether it is acceptable to dislike a friend's child.

Woman gives birth on plane, names baby after airline

A pregnant woman who unexpectedly gave birth on a flight has named her new baby after the airline, Jetstar.

Heartwarming photos show the joy of adoption after foster care

Children living in foster care can feel like their future is less than clear. But that uncertainty disappears the day they are adopted by their "forever family" 

'Oh my god, it's a baby!' Mum shocked to give birth

When the cramps started to kick in, Klara Dollan just assumed a painful period was starting.

Mum's Facebook plea: 'Help me find my daughter's father'

Kerryn has a unusual present planned for daughter Imi's 13th birthday celebrations - she hopes to be able to be able to give the soon-to-be the teenager her first ever photo of her dad.

Is it possible for your house to be too clean?

Our houses are cleaner than ever before. But how clean is too clean? Could a sterile home be putting your family's health at risk?

Millions of Monkeys: puzzles that grow with your toddler

Here's a puzzle that grows with them; the Puzzle Grow Pack by Millions of Monkeys.

Baby names from Britpop

If you grew up in the 90s you might want to look to the genre of Britpop music for baby name inspiration.

What to eat and drink when you have gastro

When you catch a bug that causes acute infectious gastroenteritis (gastro), your stomach and intestinal tract become inflamed, causing diarrhoea, nausea, vomiting, abdominal cramping and pain. The last thing you probably feel like doing is eating.

'To this day, I owe her my life'

Would I have survived if I hadn't crossed that street?

Why baby Sonny needs you to vaccinate your children

Caitlin is a firm believer in the importance of immunisation to protect children from harmful and deadly diseases.

Five-year-old's photo captures beauty of motherhood

There is no make-up or special outfits and hairdos, but the five-year-old boy who took this picture captured the essence of motherhood as well as any professional photographer.

Babies know whether you are naughty or nice

Studies have shown that infants in the first months of life try to avoid dealing with social wrongdoers - for example, sharing less with them and helping them less - and they expect others to, too.

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

The babies who are one in 70 million

Bethani Webb was excited to find out she was pregnant, but the first time mum did not realise she was carrying four babies not one.

Exclusive Black Friday Sale!

Get over 40% off selected products, including prams, baby carriers, cloth nappies, sleeping bags and much more! 24 hours only, on May 6 - register now for your special code.

Cafe offers breastfeeding mums a free cup of tea

A Sydney cafe is offering breastfeeding mums free cups of tea in a bid to show support for the right of women to nurse their babies wherever they choose.

To snip or not to snip? When the decision is not clear cut

Jamie Oliver, who considered a vasectomy, is to be a father again. A fellow dad reflects on his own decision 11 years ago

Doctors stunned by rare twins born almost six weeks apart

To everyone's surprise, Kristen Miller "kept doing better each day", keeping her second baby safe.

Baby book ideas for modern parents

Before my son was born I was given a lovely baby book full of blank pages waiting to be filled with weights and heights and first words.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

Mum tells how toddler 'nearly hung himself' in cot mishap

When Alison Johnson put her 18-month-old Caleb down for a nap, she had no reason to believe her son was in any danger.

Babies are still switched at birth? Yes, it can happen

All my panic and tears aside, my biggest question looking back is about the kind of security measures used in the maternity ward.

Doctors slammed for taking selfie with newborn

Everyone who visits a mum in hospital in the days following childbirth wants to get a photo with the new baby.

ergoPouch Twosie Sleepsuit for winter breastfeeding

Finally, there's a way to keep warm while breastfeeding through winter.

Health check: How long does sex 'normally' last?

What to do with this information? My advice would be to try not to think about it during the throes of passion.

When breastfeeding sucks: fixing common problems

From niplash to tight boobs, biting to milk supply issues, Pinky McKay looks at common breastfeeding issues and how to solve them.

10 things I've learnt in my first six months with twins

Six months on we're all still alive, and the more we get to know each other the easier the days become.

Mum's loving kiss leaves baby fighting for life

Kirsty Carrington thought nothing of giving her newborn son a kiss, little did she know it would leave the baby fighting for life.

When doing chores is your new 'me time'

After children, 'me time' looks a little different.

Get going: 14 travel strollers for families on the move

A stroller can make or break travelling with a baby or toddler. Here are 15 great single travel stroller options.

10 ways toddlers are terrific

It always pays to remind yourself of how terrific toddlers can be - they're little like this for such a short time

 

ENTER NOW

Do your kids love bananas?

This is the comp for you! We have $800 worth of Myer gift cards and boxes of Australian Bananas to be won. Entry is simple: just post a pic of your little one enjoying a banana in the comments of the FB post to enter.

 
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.