Royal Hospital for Women in Randwick - Public
First Time Mum Considering RHW as Public Paitent
, Feb 20 2013 02:17 PM
7 replies to this topic
Posted 20 February 2013 - 02:17 PM
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.
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....
Posted 20 February 2013 - 02:30 PM
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).
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.
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.
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.
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.
Posted 20 February 2013 - 03:19 PM
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
Five new mums will join the Essential Baby Test Drive Team and discover great new baby toys from Fisher-Price & write a review to be published on Essential Baby.
Two young boys have been rushed to hospital after falling out a second-storey window of a home in Eastwood.
Thousands of same-sex couples with children will have the right to be jointly recognised as parents by Victorian law.
Cutest snap find on the planet - bee rompers, tees and dresses for babies.
A two-year-old girl who disappeared on Friday night from her great-grandparents' home in rural Ohio was found alive Sunday evening in a nearby field.
The transition from cot to big kid bed might be a little easier if every toddler had a bed like this one.
Woolworths appears to have taken the upper hand in its price battle with Coles after investing millions of dollars lowering the cost of groceries, according to new figures.
Parents say Australian babies are being "kept captive" and cannot come home after a ban on commercial surrogacy in Nepal.
If virgin women can become mothers through IVF, maybe we're ready for another miracle - genuine equality for men in the parenting debate.
What I once assumed about health and fitness is wrong.
I have two children: one living, the next an angel baby.
Planning a wedding can be stressful – and, as most newlyweds can attest, it can be very costly, too.
They had just decided on a name they both agreed on, but then the grandparents threw in an offer of $10,000 in exchange for choosing something else.
After 17 years of trying, this man had given up hope of having a family.
Actress Claire Danes found it difficult pretending to have postnatal depression in Homeland, as she had just become a new mother herself.
It's a heart-warming photo this family will treasure forever.
While every woman's breastfeeding journey is different, many hurdles are shared. Knowing what to expect will enable you to make informed decisions if - or when - you meet challenges along the way.
We do love ourselves some brand new designs in tried and true products. The renowned bamboo dinnerware from Love Mae has just had several more members join the family, in addition to a brand new website.
A mother-of-five who killed a paedophile has had her jail sentence reduced by a judge who described her case as a "truly exceptional" one.
We just spotted Geleeo, a brand new self-cooling pram liner you can buy in time for summer.
He might not utter a single word - but this toddler is having a great debate with his mother about nap time.
Fashion designer Stella McCartney has honoured her late mum, Linda McCartney, by designing a special bra for post-mastectomy patients.
Mark Harris has helped deliver 500 babies. And he's now telling fathers what to expect.
Being a calm parent takes a lot of work, sometimes more than is obvious to those around us.
It's cool, kind of like a second childhood. I love him to bits and think, on average, I'm an okay dad. But I also want to talk about the other stuff.
He may have only lived for 100 minutes, but that didn't stop baby Teddy from saving the lives of others.
A haunting reminder to stay mindful about babies in cars, especially as we approach summer.
Tongue-tie can cause feeding problems. However once it is diagnosed, the condition can be easily treated.
Some people move frequently, while others like to stay put. But everyone finds it stressful.
The birth of her first child should have been happiest of times for Campsie mother Phuong Cao, but friends say it marked the beginning of when her life began to unravel.
It was an experiment doomed to failure - they were looking for male cells in female bodies. And their search was stunningly successful.
A gorgeous photo series shows babies in the first hours after their birth - as they were positioned in the womb.
We don't know what he's saying, but this baby has a very clear message for his bulldog pal: let's walk - NOW.
Without a doubt, one of the best gifts for a toddler turning two or three is a play kitchen.
With a few simple tips you can take your images from random happy snaps to lovely clean images that create beautiful lasting memories.
Check out the Essential Baby Names section for some inspiration