Jump to content

Royal Hospital for Women in Randwick - Public
First Time Mum Considering RHW as Public Paitent


  • Please log in to reply
7 replies to this topic

#1 Shells78

Posted 20 February 2013 - 02:17 PM

Hi all,

I'm 35 and expecting my first baby in October.

My very welcome but equally unexpected pregnancy news means although I have private health insurance, I won't be covered for my pregnancy or birth.

I'm therefore weighing up public at Royal Hospital for Women Vs private out of my own pocket. I'm leaning more towards public at RHW but have some concerns.

Perhaps its just my ignorance and naivety but, I've been given the impression that delivery at the RHW with the midwifery group as a public paitent means; little chance of pain relief or epidural unless absolutely necessary, a very short stay of possibly less than a day and potentially no episiotomy if required.

I would love to hear your stories and insights on good and bad experiences you may have had with the Royal Hospital for Womem in Randwick as a public paitent.

Thanks!
rolleyes.gif

#2 FeralR2D2

Posted 20 February 2013 - 02:28 PM

HI there, I delivered both as private patient at RHW. I just posted in someone else's thread about it - have posted that reply below.
I too was worried about pain relief. I was offered it, but it was my ob that made it happen, even lurking outisde theatre to grab an anaesthetist where really, a midwife would have rightly told me i was just too late.
Midwives were great, and not on the natural birth railroad track, but offered pethidine or gas, as that was what they could control...
Can't comment on episiotomy, although my doc monitored it closely but was incredibly quick to do it when needed- saved me a torn urethra. He also stitched incredibly well, i can't even tell i had one - no scar - despite the stitching taking longer than the delivery..



As a private patient, your ob attends, but everything else is the same - rooms, midwives etc etc. RHW has the best NICU, so if anything goes seriously wrong, you're in the right place. THere is no guarantee of a private room, it's first in and needs based, so you may well up sharing with someone.

Due to changes to reimbursement of ob fees, RHW is busting at the seams, so prepare to be a bit cramped, likely share a room, bit short staffed etc but still great place to deliver.

I have had friends deliver at POW and say it was v nice, you will get a more "private" experience there, and i believe they have the option of transferring to a hotel for a few days post birth with a midwife on call....

Midwives were fantastic at RHW, i only booked an ob because i am paranoid, and because i knew i would need pain relief, and much easier to get if you have a doc on hand - if i hadn't had him, i would not have had the happy outcome with number two - the midwives would have (probably sensibly) said it was all a bit too late and i should just grin and bear it....

#3 cherrybub

Posted 20 February 2013 - 02:30 PM

Hi

I had both my children at RWH as a public patient.  Both my experiences were great.

I was with the small midwifery groups (can't remember what they're called) and the support was wonderful.  I moved house between my two births so was with different groups each time and both were great.

I had access to doctors when needed and actually ended up with cholestasis with both pregnancies.  Both times I had my blood tested every 2nd day and spent time in the pregnancy day stay a few times a week to be monitored.

With the first birth I was induced as my waters broke and labour didn't start in the next 12 - 24 hours.  I had an epidural part way through labour and then ended up with an emergency caesarean after 18 hours of labour. The attention from everyone, midwives, doctors etc couldn't have been better.

My second pregnancy was similar in that I was seen by a small group of midwives, monitored closely when it seemed I had cholestsis again, pregancy day stay again to be monitored etc.  I ended up have a planned caesarean (or sort of planned anyway, it was decided on the Monday to do it the next day).  One of the midwives from my group of midwives was present at the birth to ensure I was comfortable and that everything was OK, and to help me with breastfeeding afterwards.

I was in the hospital for 5 days with both births and received lots of help from the midwives on the wards. After I left hospital for my second baby, the midwives also did home visits for me for another week.

I know other people will have had different experiences but mine was great (both times).

Good luck

#4 Chief Pancake Make

Posted 20 February 2013 - 02:32 PM

I think you are thinking of the birth centre.   To go to the birth centre you must be in group midwifery, but if you are in group midwifery you can elect to go to either the birth centre or the normal birth suites.

Even in the birth centre if you want an epidural they just take you up the hall way to the birth suites.  I gave birth in the bith suites about 3 months ago and had an epidural - just be prepared to be very firm about wanting it and dont let them talk you out of it.  If you do a search I have written about it acouple of times in threads in this section.

The alternative to group midwifery is GP shared care where you see your GP for most of your appts and the midwives for 3 or 4,  you will get a random midwife for the delivery.

#5 Feral Mozzie

Posted 20 February 2013 - 02:40 PM

I gave birth as a public patient at RPA recently. During the pre natal classes, we were told about the availability of all pain relief options. I ended up having an epidural, and had no issues in getting one.

I agree with the PP who talked about understaffing though - it was shocking in that regard. Most of the staff were wonderful though.

#6 ceeshell

Posted 20 February 2013 - 02:55 PM

I delivered both my girls at RHW as a public patient, firstly through the midwife program in delivery suite, secondly with the midwives in the birth centre.

I used gas with my first labour and I am confident that had I asked for an epidural I would have received one, but my labour was only 4 hours and progressed well so I didn't need one.

Second time around was an emergency induction so my plan of giving birth in the birth centre went out the window and I was taken down the hall to the delivery suites. The gas made me vomit so I ended up having DD2 drug free. My labour with her was only 2 and a bit hours, so again, I managed without an epidural. I am positive that had I asked for an epidural they would have given me one (as long as there was time, of course).

In terms of the episiotomy, they tried to give me one during my first labour and I asked them not to as I preferred to tear naturally if possible. They respected my wishes, but again, they weren't anti-episiotomy.

I was very happy with both experiences. I was not offered an epidural because there was no need, and my midwives were aware of my desire to do without one - but they are not 'anti' pain relief by any means.

My best friend had her son there last year and she wanted to labour without pain relief. In the end her labour went on and on and she was very fatigued and it was her midwife who gently convinced her to try the epi. She did and was happy with her decision.

I should add that I became ill just before the birth of my second daughter and ended up in acute care after her birth. The care I received there was absolutely second to none. RHW is absolutely the place to be should anything go awry.

I recommend the hospital 100%

Edited by ceeshell, 20 February 2013 - 03:13 PM.


#7 JaneLane

Posted 20 February 2013 - 03:06 PM

I had both kids as a private patient at RHW.  I saw my OB up in the Professorial Suites upstairs.  

Both were c-sections so I can't help with any info about pain relief etc going natural.  I also had a private room both times and everyone I saw there were all very nice and made my stay enjoyable (as far as a 5 day hospital stay can be!)

I have PHI so my entire stay was covered by them, it would be a lot of money to pay if you go private without using PHI.  OB fees were a lot too and only got a few hundred back from both Medicare and PHI.  With DS1 my OB fees were $6000 and DS2 they had gone up to $6500.  I would guess it has probably gone up another $500 since but I'm not sure.  I was out of pocket over $5500 & $6000 respectively after Medicare rebate and the very small amount my top hospital and extras PHI gave back.



#8 feralisles

Posted 20 February 2013 - 03:19 PM

Hi Shells,

We had our first daughter in RHW, back when it was in Paddington.  Of course a lot of what happened then is no longer relevant, but reading other women's comments about busy staff and overcrowding did bring back some memories!  One thing I wanted to add that you may not have considered is to look in to the early discharge programme (if it is still available).  We went home less than 24hrs after the birth, and had a lovely midwife come to the house every day for the first week.  She spent a lot of time with us making sure we got the breastfeeding established and that everything was going well.  From memory, she was there over an hour most visits and taught me lots of things I hadn't thought to ask about but was later grateful for.  I got way more help from her than I did from the hospital midwives, and was more comfortable at home than in hospital.  No yucky hospital food, and no being disturbed by roommates (or their visitors!)  It was a completely free service, and one I highly recommend.




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Toddler attacked at gym creche

Two-year-old girl Eva Ness was left with a black eye and bite marks on her face and body after an altercation with an older child at a health club's child-minding facilities. Now her parents are calling for the centre to be closed.

Carseats have twice as many germs as a toilet

Most parents know their child's carseat is not always squeaky clean, but they might not realise just how dirty it really is.

Doctors remove foetus from 'medical marvel' after 36 years

Doctors in India have removed the skeleton of a foetus that had been inside a woman for 36 years.

Nine months in six seconds: new parents' Vine clip a hit

We?ve seen some memorable time-lapse pregnancy and birth announcement videos before. Now one new couple has taken it to the extreme, capturing it all in just a six-second Vine video.

Sonia Kruger speaks of baby joy

Celebrity mum-to-be Sonia Kruger has spoken candidly about using donor eggs and IVF to fall pregnant at age 48.

Dressing to not impress: life through the eyes of a three-year-old

When it comes to getting dressed, my three-year-old has only one criterion: ?I don?t want to look beautiful.? And now I've worked out why.

Special nappies made with love for angel babies

Angel Baby Nappies make and provide tiny bereavement cloth nappies for pre-term stillborn babies and premature babies who pass away in the NICU.

Inside the brain of a tantruming toddler

What's going on in your child's mind in the lead-up to a tantrum? And what?s the best way to respond?

5 secrets to a long-lasting relationship

When it comes to keeping your relationship strong, it?s what you do - and not what you want - that really matters.

When 'furbabies' meet real babies

I am obsessed with my dogs, and can't imagine loving them any less once my baby arrives. But that doesn't stop everyone from telling me I will.

The least popular baby names of 2013

Looking for a baby name that?s nowhere near the top 10 ? or even the top 1000? Try the bottom five.

'I was so sleep deprived I crashed my car'

There are no laws regulating driving while tired, but statistics show that driver fatigue is one of the top three contributors to the road toll.

Why are there so few sexy maternity bras?

Rather than feeling ashamed of their post-baby bodies, women should be free to buy lingerie that makes them look attractive and pretty - no matter what stage of life they're in.

Toddler Alliyah one step closer to first trip home

She has lived the first 14 months of her life in a hospital intensive care unit, but Alliyah Broadby's parents hope to finally take their little girl home with them.

'Put people before IVF profits': IVF pioneer Alan Trounson

IVF could be done for hundreds of dollars in Australia instead of $8500 if clinics stopped charging what ''the market will handle'', a pioneer of the technology says.

Expectant parents urged to swap the pub for bub

Nearly one in five women drink while pregnant, but a current campaign is trying to drive down that unhealthy statistic.

Nutella supplies threatened by bad weather

There's bad news for fans of Nutella, the gooey, chocolatey hazelnut spread.

The cost of growing your own vegies

Does it make financial sense to grow your own veggies, or are you better off ordering produce from the local food co-op?

Breastfeeding mums less likely to suffer from PND, but all need support

A new study has shown the a complex relationship between a mother?s intention to breastfeed, her ability to do so, and postnatal depression.

The #loveyourlines Instagram account taking on body issues

A new Instagram account, LoveYourLines, has put the call out for to change the way we view stretch marks.

Mum gets diploma 51 years after being thrown out of school over pregnancy

Sandra Lantz was about six months pregnant and four months from graduation when she was forced to leave high school. Now, more than half a century later, she has finally graduated.

The lowdown on male midwives

How would you feel about having a male midwife assist your baby's birth? For a growing number of mums, the idea is a reality - and the experts all agree that it's something that should be encouraged.

Bomb threat at daycare centre

Worried parents took to social media yesterday after their children's daycare was evacuated due to a bomb threat.

Unusual celebrity baby names

Celebrities love to use their imaginations when it comes to naming their kids! Here's a gallery of some of the most memorable monikers in show biz families.

5 fears I've overcome since becoming a mum

Motherhood has a way of putting any phobias you had pre-parenthood into perspective: you either realise they?re a pointless waste of energy or they simply vanish in a sleep-deprived haze.

Win back some precious time and get FREE coupons

Membership to eBay's Bubs? Corner is free and includes a $10 coupon to spend on nappies each month - a win for multitasking mums!

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

Win back some precious time and get FREE coupons

Membership to eBay's Bubs? Corner is free and includes a $10 coupon to spend on nappies each month - a win for multitasking mums!

Do you suffer from Precious Firstborn Syndrome?

Testing ?no more tears? shampoo in your own eyes, warming cucumber sticks so they're not cold straight from the fridge, waking a sleeping baby to check they?re still breathing: these are all symptoms of Precious Firstborn Syndrome.

Ezra's tragic death not in vain, mum says

Little Ezra was a "Harry Houdini" who loved trying to escape the family home. Now, after his tragic death, his parents are doing what they can to help others.

7 mistakes old hands make with new babies

As I sat across the table from my friend ? me, a seasoned mother of three; her, a brand new mum ? I thought of all the mistakes an old-hand parent can make when visiting a newborn baby.

Video: When adults act like children

Ever wondered what would happen if adults were allowed to act like children? This dad's hilarious video clip will give you an idea of what life would be like.

Mums hit hardest as flu cases skyrocket

The number of confirmed cases of influenza in Australia has doubled the number for the same time last year - and women are 25 per cent more likely to get it.

The mum who had four babies in nine months

Feeling exhausted due to the demands of caring for a baby? Imagine the life of this mum, who gave birth to three boys and one girl in just nine months.

Everything baby at Big W

Lowest prices on everything baby, only at Big W. Sale starts August 4 and ends August 20 2014.

Smiggle is painting the town red!

We have 3 Red Smiggle prize packs to give away! Enter by posting a photo of something red to your Instagram.

Mum gives birth at school

My friend had just had a baby, and she wasn't budging: no visit until I had my shots. And it's not an unusual request.

Personalised baby gifts

We've scoured the internet to find gorgeous personalised keepsakes and nursery decor to record baby name and dates. They make great gifts for christenings, name days and birthdays! (All prices in AU.)

 

Mind, body, beauty, life

Making time for me

We look at your wellbeing, covering health, relationships, beauty and fashion, mind and body.

 
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.