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 R2D2

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 Mozzie1

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 lisles

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

 

Life with anxiety

At times, I feel pretty worthless. In those moments, all I want to do is curl up into a ball and hide in the dark. I can try to quiet my mind, but it won?t shut up.

IVF leaves woman pregnant with another couple's twins

An Italian woman has been told the twins she is three months pregnant with are not hers.

'My mother-in-law found out our baby's gender behind our backs'

My husband and I mutually decided that we didn?t want to know our baby's sex before the birth, but his mother couldn't handle that.

What you need for the 'fourth trimester'

In my opinion, the first three months after the birth are the most intense. Here's what got me through that time after welcoming my baby.

Weaning a toddler off a dummy: a 15-day plan

Weaning your child off the dummy can be a traumatic experience for both of you. Here are some tips to help you through.

Choosing to be a solo parent

Two women share their stories of longing for a baby so much that they each decided not to wait for a partner before becoming a mum.

Asphyxia link another piece of the SIDS puzzle

An Australian study has uncovered information which could lead to a better understanding of why babies die from Sudden Infant Death Syndrome.

Rescue dog Zoey and BFF Jasper star in adorable pics

Photographer, self-professed "crazy dog lady" and mum Grace Chon takes photos of rescue dog Zoey and her 10-month-old son Jasper together. The results are just too cute. See more on Instagram @thegracechon.

The ultimate travel stroller: the Mountain Buggy nano

We tried the Mountain Buggy nano and give it an enthusiastic thumbs up. As the ultimate travel stroller, it's practical, has great features, and looks fab, too.

Mum's heartbreak as son dies in road accident

Daly Thomas and her two young sons were walking home from church on Tuesday afternoon. Her youngest son never made it.

New Kate Spade baby bag designs

Don?t adjust your screen: this bright beauty is coming to you in full colour.

Easter gifts for babies, no chocolate in sight!

If this is your little one?s first Easter you might want to mark the occasion with something a little extra special. Here are 10 Easter gift ideas, which won't harm little teeth.

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 the brand new phil&teds vibe

Check out the good looking new release of the Vibe 3 and the Verve 4-wheeler inline strollers. To celebrate their release, we have a Vibe with double kit to give away.

Baby sleep

From birth to one year and beyond, read about baby sleep, soothing techniques, routines, and sleep school experiences.

Easter gifts for babies, no chocolate in sight!

If this is your little one?s first Easter you might want to mark the occasion with something a little extra special. Here are 10 Easter gift ideas, which won't harm little teeth.

7 tips for a kid-free trip, not a guilt trip

Although I?m jumping out of my skin to take my child-free holiday, I?m dreading the goodbye. But I?m determined to make the most of it without tarnishing it with guilt or sadness about leaving the kids.

Itchibubs: clothes for babies and toddlers with eczema

Parents of children who suffer from eczema will know only too well the scratching that occurs around the clock. A new clothing range aims to help make everyone more comfortable.

Ear piercing: what age is best?

What is it that shapes our opinions on what?s an 'appropriate' age for our children to get their ears pierced? Parents share their views on how young is too young when it comes to piercing.

Caring for kids helps grandmothers stay mentally alert

Looking after grandchildren can help grandmothers ward off brain disease - but it's also possible to get too much of a good thing, researchers say.

Why I loved my third home water birth

After two water births at home, I was determined to give birth to my son the same way. I just hoped this birth would be quicker than my last two.

Revealed: 7 ways food marketers try to trick consumers

If you?re confused by food labels, you?re not alone. Next time you?re shopping for food, look out for these seven common labelling tricks.

'My mother-in-law found out our baby's gender behind our backs'

My husband and I mutually decided that we didn?t want to know our baby's sex before the birth, but his mother couldn't handle that.

 

Free Printable Activities

Keeping little hands busy

Free printable acitivity pages like colouring in, cutting, word finders, mazes, maths activities and puzzles.

 
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.