Jump to content

Private or Public for first birth
North Shore/North West Sydney


  • Please log in to reply
18 replies to this topic

#1 Zanbam

Posted 19 February 2013 - 12:57 PM

Hi

I have just found out I am pregnant. My DH is more than happy to pay for private (we have health insurance) but I kind of figured that we'd save the money and I use the Midwife Group program at Hornsby Hospital.

Today I found out that I would have to use the midwife clinic at Hornsby instead so rather than have the same midwife the whole way through I would see various midwives and sometimes see Drs instead at the clinic. I would still be ok with this and would consider hiring a doula for constancy of support/care but I thought I would check out local Obs anyway just so I have all of the facts.

My main concerns with going public are the quick release after the birth, I'm nervous that if I do have issues with feeding then I won't get the support I need when I need it if I leave hospital after 2 days, maybe it would be better to go private where I can stay for 4 days.

I'm also concerned that the care and support isn't as good in the public system, as this is my first I don't know if I will be confident to just get on with it on our own until the grand finale and I have heard that it can be hard even finding someone to come and check on things when that is wanted.

So if you think I should go private please let me know (bearing in mind this is my first) and if you can recommend a Ob at the San then please pm me.

TIA

#2 Anonymous12

Posted 19 February 2013 - 01:22 PM

Not something anyone can really recommend for you, but I couldn't fault the breastfeeding support I had when I had my baby at a private hospital.

I often wondered if breastfeeding would have got off to such a good start if I hadn't gone private. For this reason alone I thought it was worthwhile.

Edited by Anonymous12, 19 February 2013 - 01:23 PM.


#3 opethmum

Posted 19 February 2013 - 01:32 PM

If you can afford to go private then do so.

#4 Beancat

Posted 19 February 2013 - 01:33 PM

Again, agreee with PP, only you can decide.  But in the meantime, book in with a private ob now for your  10 week appointment, while you are making your mind up.  Many of the good ones are booked out by the time you reach around 6 weeks.  You can always cancel the appointment before the first visit if you decide to go public

Personally I would never go public if I could afforde private.  This will be my third child but i have had three miscarraiges, 2 of which required D&Cs.  I have also been hospitalised for mastitis and post partum preclampsia.  I have had GD too.  My perception is that if you have a trouble free pregnancy and birth you may not feel like private was worth it, but believe me, once things go wrong and the s$%t hits the fan, you want to be in the care of a private ob.  Also, as per your concernes re breastfeeding, I stayed in 5 days with the previous two and had tremendous help.  i found this to be most useful as I dont have a Mum and at the time didnt have any friends or family who could help with the breastfeeding

Edited by Beancat, 19 February 2013 - 01:34 PM.


#5 CallMeFeral

Posted 19 February 2013 - 01:34 PM

I had both of mine at Hornsby and cannot fault the care.

What's the story with the midwive group as opposed to clinic? It was 4 years ago so things may have changed, but I did the midwife clinic and saw the same (WONDERFUL) lady each time with no guarantee she'd be there at the birth - or I could have done the 'team' thing and seen different ones BUT one of them would have likely been on shift at the birth.

Also, when I was there, the 2 days was if you wanted to be visited at home by the midwives (which I believe is not available in private), you could stay 3 days if you didn't want this.

I haven't been private, but the care and support at Hornsby was excellent. I'd say better than private, because the lactation consultant was free for however long afterwards you needed to come to see her, and she was absolutely wonderful. They also had the free physio and other classes post birth.
I think it's mainly the swishness of the facilities you pay for by going private - Hornsby is lovely but they are short on cash and the food might not be as good etc (I don't eat hospital food anyway). I don't think you compromise on care at all.

Personally, unless you have an excellent obstetrician that you want for the birth, I would save the money and go public.

I will pm you the name of my wonderful ob, if you do go private. At the time he worked at both Hornsby and the SAN so it wouldn't limit your options.

Edited by lucky 2, 19 February 2013 - 06:09 PM.
r/o names of staff, although only the first name was given it is still identifying enough, see red writing above


#6 cheekymonkeysmum

Posted 19 February 2013 - 01:38 PM

I have only birthed public and couldn't fault them at all.

Ds needed to go straight to Nicu and our private hospitals only have scn not NICU and the doctors nurses and midwives were brilliant I was able to get a lactation consultant at the public and she helped so much as ds was tube fed for the first couple of days then the LC helped me feed ds and I fed him till he was 12 months.
The midwives helped at all hrs and even let me sleep and they watched ds for a couple of hrs.
Then I got this itchy stress rash and the midwives got me some cortisone lotion and helped so much and made an appointment with a dermatologist at the public hospital so see if it was something more (which luckily it wasn't).

I really could not fault the public system at all everything and everyone was great and I even stayed for 2 wks and they weren't shoving me out the door (ds was in Nicu for 2 wks) they did ask if I wanted to stay at Ronald McDonald house but since I just started feeding ds and he needed to be fed every 3 hrs they were understanding and let me stay on the ward.

#7 CallMeFeral

Posted 19 February 2013 - 01:41 PM

QUOTE (Beancat @ 19/02/2013, 02:33 PM) <{POST_SNAPBACK}>
My perception is that if you have a trouble free pregnancy and birth you may not feel like private was worth it, but believe me, once things go wrong and the s$%t hits the fan, you want to be in the care of a private ob.


Just to clarify on this OP - there is nothing holy about a private obstetrician - most of the ones who work at the public hospital also have private practices. The difference is that you don't know who you are going to get, at the public, until the day - whereas at private you know. And at public, you may be seen by a trainee/registrar and the consulting obstetrician gets called if there are issues.
So if it is someone good, you know you are getting someone good by going private (unless they are on holiday that day, or attending to another birth as happened to my SIL, etc etc). So I guess it's more that you increase the chances of having someone good - there's still no certainty.
But if it is just someone who you have found in the yellow pages and have no idea about, you might as well get that for free at public wink.gif  



#8 Chief Pancake Make

Posted 19 February 2013 - 01:43 PM

If you have a straight forward pregnancy and birth there is no benefit of going private over public except you will get your own room and better food.    If you are having trouble breast feeding they will let you stay longer (I stayed 4 days) and give you plenty of follow up to make sure every thing is going ok.

#9 SnazzyFeral

Posted 19 February 2013 - 01:46 PM

I gave birth at RNSH. I had breastfeeding trouble and was kept in for three days. I was very ready to go home when I did. I had twice weekly appointments with the LC for a few weeks post birth too.

There are generally better birth out comes in public hospitals.
http://www.abc.net.au/radionational/progra...ocument/4432252

#10 epl0822

Posted 19 February 2013 - 02:14 PM

Giving birth can still cost you many thousands of dollars, even with health insurance. You still need to pay any gap payment for an anaesthetist or assisting surgeon (should you require their services), and there is the pregnancy management fee (around $3-5k depending on where you live) which is not covered by insurance, and you will only get a couple of hundred bucks back from Medicare.

Spending lots of money isn't a guarantee you will have a good experience. Look at the hospital itself and their reputation and stats and feedback from other mums, not just whether it is public/private. I went to an excellent public hospital and they were really attentive to first time mums, and in fact they were advising me to stay longer due to feeding issues.

Hope you find a good hospital you like original.gif

#11 elizabethany

Posted 19 February 2013 - 03:08 PM

I have complicated pregnancies, due to a number of conflicting health issues.  I have gone the public route twice due to the level of communication between various specialists, and the ability to see them all at my appointments, not having to run around to see each one seperately in their rooms.

Since I at one point had 5 specialists I was seeing fortnightly, it would have cost me a fortune as well.  DS was sick when born, we would have been transferred to the public tertiary hospital after the birth anyway.

I was lucky the first time and got a single room in public, and now they have renovated and they are all single rooms for public, so I wouldn't even get that bonus.

You can get both good and bad experiences in both public and private, and neither is a promise of a easy birth.

#12 CharliMarley

Posted 19 February 2013 - 03:18 PM

My daughter had her baby at the SAN and they were marvellous. She was able to stay as long as she liked to get the breastfeeding up and going, as her daughter was in the NICU for a while being tube-fed, but she managed a suck feed before she went home and the staff were just so supportive. So, if you can afford it - go private. Better food, private room and longer stay than the public hospitals give you.

#13 Lickety Split

Posted 19 February 2013 - 03:18 PM

We went private with DD. It costs us nearly $10k in out of pocket expenses, even with top level cover (anesthetist fees, pediatrician fees, OB management fee, etc). We went public this time and it's been great. No complaints from me so far (yet to birth him though!).



#14 axiomae

Posted 19 February 2013 - 03:23 PM

I really don't think private is necessarily any better - it may be newer and more aesthetically pleasing perhaps but the care isn't necessarily superior - talk to other mums and take their advice on board. Consider your finances too, it's a lot of money.

I had a great experience in the public system seeing the midwives and I never once saw an OB during my whole pregnancy or labor. I didn't need to. Straightforward pregnancy, straightforward birth. Would have been a waste of money for me! I did go home the first night (my choice, there was no pressure at all to leave) and in hindsight would have stayed to help establish breastfeeding etc.

You can have a great experience in the public system - sounds like the PPs recommend Hornsby so that's something to consider original.gif



#15 katniss

Posted 19 February 2013 - 03:30 PM

I went public for both my boys and had no issues at all. With my first I stayed 6 days - no pressure at all to leave. With my 2nd I did leave the next day but only because I wanted to and I had a midwife visit me everyday for 4 days after to check on things. The food was fine, staff were great and I had a room with just one other woman.

I would only go private if I wanted a specific OB to deliver but even then it's not guaranteed if they take holidays or get sick.

Edited by katniss, 19 February 2013 - 03:32 PM.


#16 MrsLexiK

Posted 19 February 2013 - 03:35 PM

QUOTE (Chief Pancake Make @ 19/02/2013, 02:43 PM) <{POST_SNAPBACK}>
If you have a straight forward pregnancy and birth there is no benefit of going private over public except you will get your own room and better food.    If you are having trouble breast feeding they will let you stay longer (I stayed 4 days) and give you plenty of follow up to make sure every thing is going ok.

That is not true for all hospitals.  Everyone I have known at my local private has been kicked out after 6 hours unless it has been birthing complications.  

The only difference is not the food and your own room.  I would not be seeing the same midwife and OB at all of my appts if I was going public where I live, nor would I be 100% sure that I could stay in for 4 nights.

OP only you can deciede.  I have said to DH that if we do have another, whilst I would get my OB again I would probably go to the local public hospital because I don't mind too much if he can stay, if I have to go home early or whatever because I would have gone through it before.  I am a typical nervous anxious first time mum who has been calmed by seeing the same dr and midwife at all appts, and knowing my DH will not be thrown out.

#17 thatsnotmybelly

Posted 19 February 2013 - 03:44 PM

We had our first baby at Hornsby in 2011. My experience was that we had excellent care and I can't fault them at all. We were very happy.

The absolute best thing for us was the lactation consultants who visited after the birth. The two ladies who came to my house were both absolute geniuses at their job, and I had such fantastic one-on-one care (in my opinion, much better than the lactation consultants I saw while I was still at the hospital). I had as many visits as I needed and the visits were never rushed.



#18 Fairey

Posted 19 February 2013 - 03:56 PM

QUOTE (Zanbam @ 19/02/2013, 01:27 PM) <{POST_SNAPBACK}>
Hi

I have just found out I am pregnant. My DH is more than happy to pay for private (we have health insurance) but I kind of figured that we'd save the money and I use the Midwife Group program at Hornsby Hospital.

Today I found out that I would have to use the midwife clinic at Hornsby instead so rather than have the same midwife the whole way through I would see various midwives and sometimes see Drs instead at the clinic. I would still be ok with this and would consider hiring a doula for constancy of support/care but I thought I would check out local Obs anyway just so I have all of the facts.

My main concerns with going public are the quick release after the birth, I'm nervous that if I do have issues with feeding then I won't get the support I need when I need it if I leave hospital after 2 days, maybe it would be better to go private where I can stay for 4 days.

I'm also concerned that the care and support isn't as good in the public system, as this is my first I don't know if I will be confident to just get on with it on our own until the grand finale and I have heard that it can be hard even finding someone to come and check on things when that is wanted.

So if you think I should go private please let me know (bearing in mind this is my first) and if you can recommend a Ob at the San then please pm me.

TIA


Really??
I had my baby in a public hospital. They were fantastic. I had different doctors throughout my pregnancy in my rural town. Then drove to the capital city in labour (well, my husband drove and I had contractions and laboured away). I'd never even met the docs / obs or midwives who helped deliver my daughter. And quite frankly, in labour I wouldn't have given two hoots if an entire footy team was down the business end watching.
I had lots of after care support and home visits.

#19 lclb

Posted 19 February 2013 - 04:25 PM

As a couple of PP have said there is alot of out of pocket costs involved with going private. I would investigate these costs further, don't assume your private health insurance will cover everything.

I was approx $10 000 out of pocket going private at the Mater  for the birth of my DD in 2011. This was with top level health insurance. I had to pay $5400 for my OB ( approx $1500 back from medicare), had to pay for the assist OB for my C section, the anathesiologist, the pediatrician, $500 excess for the baby's stay in SCU for jaundice, blood tests for baby  and all of my scans. I did get some money back for these things from Medicare but not a lot.

For me this was worth it because I have a history of complications with my pregnancies and I want to see the same OB who has delivered all of my children.




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Tot meets his heroes, falls apart with excitement

Two-year-old Quincy finished his potty training last week, and as part of his reward he was able to meet his idols.

Beautiful in our eyes: Georgia's story

I will never deny the fact that grief has a place when you give birth to a child who brings a set of circumstances very different to what you imagined. Because for nine months, I thought I knew my Georgie.

'It's been phenomenal': widower dad of quads thankful for support

There was nothing Erica and Carlos wanted more than a baby.

Vin Diesel names daughter after actor Paul Walker

The actor said there was "no other person" he was thinking about when he chose the name.

How midwives can help women who experience domestic violence

More than half of women who live with abusive partners experience violence during pregnancy.

Mum describes giving birth during Cyclone Pam

A new mother was told she must flee Port Vila hospital with her baby as Cyclone Pam bore down.

6 signs you're done having babies

There were a few signs I'm never going back to the land of maternity jeans, breast pumps and bassinets.

Marta Dusseldorp reveals breastfeeding cost her an acting job

Australian actress Marta Dusseldorp has revealed she was forced to withdraw from a Sydney Theatre Company production because a director did not approve of her breast feeding.

Female celebs (or their babies) with traditionally male names

Looking for a name that's a little bit different for a girl? Turn to names that have been traditionally used for males, as these celebs (or their parents) did.

'If you're anti-immunisation ... take a look at this picture of my son'

Greg Hughes is "an absolute shell of a man" as he and his wife Catherine struggle to come to terms with the loss of their newborn son Riley to whooping cough.

How an extrovert can raise an introvert

Introverts are often misunderstood as shy, and sometimes even rude. A timid child can be difficult to build rapport with, but it's important we nurture their sensitive natures.

Sheryl Sandberg's advice

'Choreplay': Help out at home to get more sex, Sandberg tells men

Forget foreplay. The new and improved route to intercourse is "choreplay" - it's good for your spouse, good for your house, and comes with the imprimatur of feminist du jour Sheryl Sandberg.

How to play with your baby

The first time your child learns a new skill at playtime is very exciting - for both you and your baby! Play is important to your child's development for a variety of reasons - here are some simple ideas for you to try at home.

I'm a single mother by choice

For me, being the best mother I can be means being a mum alone, at least for now. Thinking of my friends with inadequate partners, I wonder why more people don’t choose single motherhood.

Awkward wedding photos

Weird poses, surprise photobombs, bizarre editing: these are the wedding photos that should have never seen the light of day.

Four-week-old baby Riley Hughes dies of whooping cough

The mother of a four-week-old Perth baby who died after contracting whooping cough says her family has been left devastated by the loss of her "gorgeous, sweet" son.

Win a Ben & Holly's Little Kingdom prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, we are giving away five DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Oh boy! Video shows family's reaction to baby surprise

Little Peyton Williams thought she was getting a baby sister named Charlee. But the two-year-old has had to settle for a doll dressed in pink after her baby "sister" turned out to be a boy.

How to help build up your baby's immune system

We all know that having a strong immune system is the best way to stay healthy – but what can we do to help it along?

'Nick, you need to call an ambulance': home birth mum's tragic death

A Melbourne mum who died after the home birth of her baby pleaded with her husband to call an ambulance because she felt she was going to die, the Victorian Coroners Court has heard.

When dads believe their baby doesn't 'like' them

Q: My two-month-old baby doesn't like me. He's perfectly content with my wife, but when I try to hold him, he gets upset and cries. I've backed off a little, thinking that he just needs a little time to get used to me, but that doesn't seem to be working. I'm starting to think I'm just not a very good dad. Is it too late for me to build a relationship with my baby?

When was the last time a stranger praised your parenting?

Wouldn’t it be great to get some nice feedback every now and then? After all, everyone likes to hear positive praise, particularly when it comes to parenting.

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

15 names on the verge of extinction

If you're looking to revive an older name, or don’t want anything near the top 1000 list, check out these rare monikers for your unique baby.

5 characteristics of great dads

It’s great to see a generation of dads who are more actively involved with caring, nurturing and loving their kids.

Why doesn't Australia have more breast milk banks?

When there’s no question that milk banks are important, why don’t we have more of them in Australia?

Carrie Bickmore announces birth of daughter

Television personality Carrie Bickmore has given birth to her second child.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Sign up to our 30 days of #PlayIQ challenge

Sign up to receive 30 amazing tips and ideas for play with baby during the month of April and submit a picture or tip on our social wall for a chance to win an amazing Fisher-Price prize pack.

Man faces jail after giving woman abortion pill smoothie

A Norwegian man is facing jail after putting abortion pills in his ex-girlfriend's smoothie, causing her to have a miscarriage.

'He's a blessing': family of baby born without eyes

Jordy Jackson was born without eyes. He has anophthalmia, which affects one in every 100,000 babies born.

Win one of 5 Cadbury Easter Hampers

With Easter fast approaching, Cadbury are giving away 5 Cadbury Easter Hampers. Enter Now!

Super fit model Sarah Stage defends her pregnancy body

Model Sarah Stage has defended her pregnancy body after critics claimed her slim figure at eight-and-a-half months pregnant wasn't "normal".

Win a Ben & Holly's Little Kingdom and Peppa Pig prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, Essential Baby and Entertainment One are giving away five bumper DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Why I post breastfeeding photos online

I love to take pictures of my children. In some of the pictures, my younger son is nursing.

The day I broke my baby

There are things I wish I didn't know. I wish I didn't know that companies make tiny braces, small enough to hold necks no bigger than a wrist.

The place just for dads of multiples

When a couple discovers they're expecting multiples, the dad can sometimes be almost forgotten in all the excitement and preparation. But one group offers a space just for dads of twins and higher-order multiples.

Brave mum calls for domestic violence law reform

A brave mum of two has shared details of the harrowing attacks she suffered at the hands of her partner in a bid to help other victims of domestic violence.

Why I had the new test for Down syndrome

Early last year I turned 35, and having just found out I was pregnant, I opted to have the new test for Down syndrome.

Geeky baby gear

If your family is more into Star Wars, gaming and the periodic table than most, you might want to check out these geek-chic baby items.

2015: the year of the sheep

According to the Chinese zodiac, babies born in the year of the sheep are creative and enjoy spending quiet time with their own thoughts.

Breakthrough genetic testing now available in Australia

Pregnant women will for the first time have access to locally analysed, accurate, non-invasive pre-natal genetic testing when the first Australian clinic to offer the services opens its doors next week.

Grandbabies: the babies born looking old

Not a day under 65 and a lifetime of struggle! That's the look of these newborns, who look adorably older than their real age. Social networking site Reddit recently featured user submissions of adorable grandbabies, here are our favourites.

Family kicked off flight after toddler seatbelt drama

An entire family was kicked off a Cathay Pacific flight when a misbehaving toddler refused to put his seatbelt on.

Stolen baby found after 17 years

A baby stolen from her mother's arms shortly after birth has been found through an astonishing coincidence.

53 creative pregnancy announcements

Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.

IKEA hacks for the nursery and kids' rooms

Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.

36 baby names inspired by food and drinks

A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.

Clever breastfeeding products

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

 

Sign up now!

30 days of #PlayIQ challenge

Receive a daily email from Essential Baby during April with great play tips and ideas, then submit your baby at play photos to our Playwall, Instagram or Twitter for your chance to win.

 
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.