Jump to content

Monash Med Centre vs. Jessie McPherson
Public vs Private - pregnancy care


  • Please log in to reply
7 replies to this topic

#1 Handsfull

Posted 18 April 2012 - 08:04 PM

Hi All

Just a quickie.  If you were deemed 'high risk' due to high blood pressure and Type II DM and a few other issues, do you feel it is better to go with Monash Med Centre as a public patient or through private OB at Jessie McPherson.

Just wondering if anyone has been deemed 'high risk' and went public at Monash Med Centre and how did they find it, appointment times etc, waiting rooms, same Drs/nurses each time or different etc.

Their website says what their protocol is but was wondering if it really is that way or not.  Don't know whether to pay big management fee to private OB if care will be similar.  Also how will the private OB care be different.

TIA. biggrin.gif

#2 Handsfull

Posted 19 April 2012 - 11:44 AM

anyone?

#3 Missmarymack

Posted 19 April 2012 - 11:54 AM

If I was deemed high risk I'd personally prefer to start in th public system - the likelihood of a high risk pregnancy being transferred to public from private is pretty high, so I'd rather start there anyway.

#4 belsy

Posted 19 April 2012 - 11:59 AM

Hi OP,

I didn't go through either but take DS for regular blood tests which is next to the maternity services unit.  From my experience it always very full and you can also have a fair wait for the blood and other tests you need.

I have to say you can have a long wait at an OBs office as well.

I had a friend who had 2 babies at Jessie Mac, it was really good and great care, had own room and shower.  She had two VBACs there.  I understand if there are serious medical conditions with the baby they will transfer them to the Monash part anyway.

I have had one private and one public - you generally see the one OB when private, with public OB (I had to see in later part of pregnancy) this can vary depending who is on the clinic duty.  The longest I had to wait at private OB was just over an hour, public was over 2 hours.

I prefered the private, mostly because I had my own room and shower facilities and DH could stay overnight.  I was aiming for a VBAC second time round and went public but ended up with another c-section.  I had a trainee doing the staples, which were too deep and ended up with infection.  With the private OB, he did a great job on incision and staples and he came everyday to my room to check up on me.

It's also important to remember that generally a private hospital will not admit you if you have baby before 36 weeks.  I am not sure if this is the same with Jessie Mac since it is co-located though.

Good luck with your pregnancy, I don't know if I helped much.



#5 MothershipConnection

Posted 19 April 2012 - 12:07 PM

For me personally I wouldn't ever go back to MMC to give birth as a high risk patient.  I'd go Jesse Mac.  I had a horrible experience at MMC.  I had no "voice".  The nurses/midwives barely spoke to me, wouldn't discuss my own care with me, and seemed hell bent on getting my baby out as quickly as possible even if it meant increasing the risks to me and my baby.  

I should clarify that I was deemed high risk because I had gestational diabetes and my local community hospital does not have an anaesthetist at the hospital 24 hours a day.  But he is "on call" and he told me that if I needed an emergency C section in the night I could end up in real trouble and so he recommended I go to a tertiary hospital, so I did.

I was induced for no medical reason despite protesting.  My labour was progressing at a normal rate in comparison to my previous 3 labours.  Short of leaving the hospital and going somewhere else in the middle of labour I was given no alternative.  I was made to wear a monitor even prior to being induced and because I kept moving around (trying to get comfortable as well as re-positioning to open up my pelvis) and so the monitor kept losing my son's HB, but everytime the strap was re-positioned his HB was perfect.  The nurses also called a doctor in to deliver my son by forceps with no discussion with me and for no medical reason.  His heartbeat was fine, but I was upset because they kept wanting to do thing "to me" instead of treating me as a person and talking to me.

The first I knew that the doctor was there to deliver with forceps was when I saw him unwrap the kit.  The midwife looked at me and told the doctor was here to give me a little help.  I was shocked.  Really shocked and not happy.  I thought he was there just to see how far I had progressed because of the induction.

Anyway, I didn't need the forceps...I pushed my son out quite quickly after I saw those things..tore pretty badly too, but I didn't want forceps anywhere near me unless it was absolutely necessary.

I really felt like a faceless person with no voice and no way out.  I felt trapped and unsafe.  It was not a nice feeling.

My waters had actually broken not long before midnight late in the evening and I went to the hospital soon after as it is a 40 minute drive for us so didn't want to leave it until it was too late.  I really believe because I was dealing with night duty nurses/midwives my care was compromised.  I just don't think they could be bothered with me.  

On the other hand, I've worked as an agency nurse at both MMC and JM and feel the nurses at JM take more care with their patients in general.

Someone else will probably come in now with an opposite story (L) but there is mine for all it is worth.  HTH.

Edited by MothershipConnection, 19 April 2012 - 12:12 PM.


#6 MuminMtEliza

Posted 19 April 2012 - 12:45 PM

Hi OP,

I would definitely go private with Jessie Mac if I was deemed hi risk. I've had both my children at Jessie, once I was transferred there after my waters broke at 34 weeks (the hospital I was booked into wont accept you before 36 weeks), and with the second, I decided to be prepared at book in at Jessie from the start. My DS who was born at 34 weeks was admitted to Monash NICU but was treated as a private patient. Only difference this made was that our DS had the same paed looking after him all the time - not just whichever doctor was on duty. The hospital requested we did this so they could recoup some of the expenses from our PHI. My DD, was born at 35 weeks and went straight to Jessie's SCN.

The main reason I would go private is continuity of care. I was also admitted twice to Jessie before my DD was born - once at 33 weeks for PE and again at 34 weeks for pneumonia. Both times I was in a hospital bed as soon as I arrived - not sure whether there would have been a longer wait at MMC.

My cousin gave birth at a large tertiary hospital as she was diabetic and needed extra care, however when her DS was born, he was put in SCNto monitor his insulin levels, and she was in a room with 5 other women and babies. Its hard enough not having your baby in the room with you, but then to have 5 other babies in the room, all crying and feeding at different times night and day, is pretty hard to take.

Only downside at Jessie is their food - it is disgusting but it is the same food as MMC. However, most women won't choose Jessie for their food or rooms etc, more so that they have a SCN, access to NICU and are experts in hi risk pregnancies. Good luck.

#7 Guest_bottle~rocket_*

Posted 20 April 2012 - 06:05 PM

QUOTE (handsfull @ 18/04/2012, 08:04 PM) <{POST_SNAPBACK}>
Hi All

Just a quickie.  If you were deemed 'high risk' due to high blood pressure and Type II DM and a few other issues, do you feel it is better to go with Monash Med Centre as a public patient or through private OB at Jessie McPherson.

Just wondering if anyone has been deemed 'high risk' and went public at Monash Med Centre and how did they find it, appointment times etc, waiting rooms, same Drs/nurses each time or different etc.

Their website says what their protocol is but was wondering if it really is that way or not.  Don't know whether to pay big management fee to private OB if care will be similar.  Also how will the private OB care be different.

TIA. biggrin.gif


I think the standard of care for your pregnancy complications would be the same if you went public or private, it's just that you would have more continuity of care if you have a private obstetrician.

I haven't been to MMC as a public patient but did go through private OB and was a patient at Jessie McPherson.  My OB had a lot of patients, and I waited over an hour sometimes for appointments and they usually lasted 5-10 minutes.

The Birth Suites at MMC are used by both private and public patients, so I'd assume it is the same midwives providing labour and delivery care for both types of patients.  

The difference is that during your postnatal stay in Jessie Mac you are more likely to have a private room than in the public section, although even there most women stay in a shared room for at least the first night after birth before being moved to a private room.  

I can't comment on the protocols on the MMC website, but if they don't follow protocol then at least you can refer to this if you are negotiating certain things with them.  
If you have a private OB then the type of care you receive is more dependent on your OBs preferences.

Edited by bottle~rocket, 20 April 2012 - 06:19 PM.


#8 Freycha

Posted 20 April 2012 - 11:41 PM

I recently gave birth at MMC and 2 weeks later my sis also had her bub a Jessie Mac.  These are the main differences i found:- yes you get a private room in Jessie mac and your DP will have the option of staying overnight (I was actually glad my DH went home to get a proper sleep so he could be nice a rested to help me during the day....and he snores! Ha!)- food is better at JMac but all hospital food is a bit yuk so much of a muchness really. My fam brought me in food (there's fridges in MMC so you can store your own food!) - you get more free samples of baby products at Jmac...- JMac has carpet...
Birthing suits are used by both public and private so same midwives for all patients. My experience with the midwives was excellent. I was in there for 30+ hours and they were just amazing and even had a few visit me on the ward. I was induced, had epidural and bub was assisted delivery but i never once felt I wasn't fully informed or in control of my decisions. Terrible that others didn't get the same experience. I also knew my bub had some minor birth defects and the hospital was fully prepared and had all the relevant specialists at the delivery which was comforting.  
YES you have to share a room at MMC but you form a bit of a bond with the other ladies in your room and it's nice when you go into the nursery to feed and have people to chat to.
The public ward nurses were lovely and very helpful and offer exactly the same care as the JMac nurses so I don't think the aftercare should be a factor for you.
I do agree a private OB will be able to offer you the continuity of care that you just can't get from public leading up to the delivery. It's whether the $ is a factor for you. We did find it a minor bother having to explain every visit to a different person about DS defect but in the bigger scheme of things it wasn't a huge deal.




0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users

 

11 things that will happen when you're breastfeeding

After having three children and various degrees of success feeding them all, there's one thing I can tell you: virtually nothing will go as planned.

Surgery for baby born with a tail

A baby born with a tail has had it removed after doctors feared the birth defect might cause long term damage to his lower body.

When 'skin to skin' becomes a family affair

An adorable photo of a little boy and his dad enjoying skin to skin contact with newborn twins is melting hearts everywhere.

35 hilariously weird 'top tips'

Who would have thunk it? We never knew there were so many uses for feminine hygiene products. 

Pregnancy skin woes: acne, dry skin, itchy skin

Here are some of the most common skin complaints in pregnancy and how to tackle them, face on.

Watch this fun dance class for babywearing dads

Is there anything sexier than a babywearing dad?

Parents, this is how to cut grapes to avoid choking

One mum has learnt a harrowing lesson about the best way to cut grapes to make it safe for toddlers and little kids to eat.

When your kids have totally different temperaments

Sometimes it has felt like whiplash parenting. She perches watchfully while I vacuum; he tries to climb on and go for a ride.

How do our stress levels influence our baby?

Since having my second baby a number of people have commented on how placid, content and settled he is and, similarly, many have commented on how this is a reflection of how I am with him.

Separation anxiety isn't just for kids

Despite its prevalence, most doctors tend to be reluctant to diagnose adult patients with separation anxiety.

A charm bracelet, a boy, and my beliefs questioned

I was staring at the face of my son, realising that my once steadfast decision to be open minded was quickly unravelling at the seams.

Why I'm so grateful for Hayden Panettiere's PND honesty

There are baby steps and giant leaps forward. But there are steps backwards, too. And, oh, how they can hurt your heart.

The heartbreaking story of little Moko

The mother of 3-year-old Moko Rangitoheriri said she should have picked up on the signs. {Warning: distressing content}

Kate Beckinsale and teen daughter recreate birth photo

Kate Beckinsale has recreated her daughter Lily's birth photo, 17 years after she was born.

The adult-size stroller you'll want to test drive

It's one of the biggest baby related purchases they will make, so it makes sense that parents-to-be get a chance to road test a stroller.

Pregnancy announcement shows the reality of IVF

It's a long way from baby booties or bump shots people have become accustomed to in social media pregnancy announcements.  

Soleil Moon Frye welcomes fourth baby

"Punky Brewster" is a mom again, for the fourth time. Soleil Moon Frye announced the birth of her baby boy, Story, on Instagram Wednesday.

Mum breastfeeds baby found abandoned on the street

A woman has been praised as a "beautiful mother" after breastfeeding a baby which had been abandoned at the side of a street. 

A birth with a difference: the 'natural caesarean'

We've shared stories of gentle caesareans before, but a new video shows a new option called a 'natural caesarean'.

Baby name inspiration by music genre

If you're all about the music, then you'll need a musical name for that baby. We've got all the lists for you by music genre.

Giving effective instructions to toddlers

One of the most common errors made by parents is in how they give instructions to their children.

 
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.

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

 

Vintage Toys

The toys of your childhood

Take a trip down memory lane with these vinage and retro toys that you may have had in your childhood or your parent's childhood.

 
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.