Birth Experience Public and Private

BLWC

Registered User
Hi Mums and Mums-to-be, I'm currently doing research on having a baby in Hong Kong and the differences between the public and private systems. I had my son at Matilda so I know what that's like but I'd love to hear from anyone who has had a baby at any of the other hospitals in HK. Any information you could give me on your prenatal care, the birth and hospital care, would be much appreciated. I'd also like to know why you made the choice you did (ie. public or private) and whether or not you would make the same choice again.

Huge thanks in advance!

http://typhoonsandtantrums.blogspot.com
 
I delivered my first at a private hospital (Canossa) and will be delivering my third at QMH, which is public. I have to say that my experience at the private hospital was generally negative. They were doing massive renovations when I was there - apparently to upgrade the rooms for foreign parents able to pay top dollar. I was there for a week and it gave me a headache. Also, they were unhelpful when it came to breastfeeding. The nurses would run in every hour saying that the baby was hungry, so I would ask for the baby to nurse. They would give me only a short time before taking him away again. I learned later that although I had explicitly instructed them not to give formula, they went ahead to give him glucose water! No wonder he was trouble nursing with me! They never offered to watch/help me breastfeed and sent me home with a big container of formula, which they had given him after I found out about the glucose water, telling me I obviously didn't have enough milk. Took me six painful weeks to wean my baby off the formula completely. All this for HK$120,000 at that time (5 years ago)! And by the way, I ended up nursing my first for 17 months and my second for 20 months, until they were completely weaned!

On the other hand, my experience at QMH so far has been excellent. My first had jaundice which was noted by both the private doctor as well as the public one at the local Maternal and Child Health Clinic. The latter referred me to QMH who later noted that he also developed an inguinal hernia at 10 weeks at a routine visit for jaundice. They immediately referred him to A&E, then paediatric surgery and had him scheduled for an operation the next morning. Everything was done in less than 24 hours for a non-emergency surgery. I was able to room-in with my baby in a double room, but there was no one in the other bed. The entire cost of the operation including rooming was HK$450.

I was also hospitalized earlier this year for food poisoning. As I was pregnant, they ran the full range of tests, which I had looked up in advance on-line to know what to expect. They did not cut any corners for their public patients. I was there for less than 24 hours and the entire cost was HK$100.

I have been back for my antenatal visits, scans and tests and there has been no charges levied for these standard services. I needed some additional tests for a condition that I have, which they have charged HK$150 each time for two times so far, but have been told I will no longer be needing them. When I give birth, admission charge should be HK$100, plus another HK$100 per night, so for a vaginal delivery (no matter how complicated), the recommended stay is 3 days/2 nights, so it should be around HK$300. For a c-section, the recommended stay is 5 days/4 nights, so it should be around HK$500. I've had friends ask to stay longer without any issues. There are no additional charges for doctors, anesthesiologists, consumables/disposables, etc., for which you will be charged per item!

Also, please be sure to register the birth of your child at your local public Maternal and Child Health Clinic. They will administer all the necessary vaccinations as well as perform the development assessments for your child. They also have a lactation nurse as well as a nursing room, which you can visit anytime. I was living in Wanchai at the time, so I was going to Tang Chi Ngong MCHC, where everyone knew me and my baby by name! They were ever os patient with me and allowed me to come in anytime to weigh my baby to confirm that he is thriving while I was breastfeeding.

I'm sure this is a place for private hospitals, but it wasn't the place for me. I will never go back to a private hospital - at least in Hong Kong.
 
I heard that your husband can be with you for labor and delivery at private hospitals but not public- is this true?
 
My husband could not be with me in the labor ward, but he was with me in the delivery ward in the public hospital. The labor ward is "open" - each room containing about 8-10 beds, but the delivery ward is a single-bed room, so privacy is not an issue.
 
My husband could not be with me in the labor ward, but he was with me in the delivery ward in the public hospital. The labor ward is "open" - each room containing about 8-10 beds, but the delivery ward is a single-bed room, so privacy is not an issue.

See, that is actually one of my major problems with the public hospital. I do understand their reasons for having it this way. But, in my case, I was in labor for 43 hours and if I had been in the public hospital in Hong Kong, I would have been separated from my husband for 40-41 hours of that as I wouldn't have been put into the "delivery room" until I was fully dilated and ready to give birth. As my birth plan was designed with my husband as my birth coach--and his job was very important to keeping me calm and focused for this labor (which was 100% drug free and without intervention or IVs)--it would have been impossible to go throughout labor in this way unless I had his and my mother's support in labor. So, if you only end up with a few hours in the labor ward separated from your husband or your birth plans don't include him being a major player in the process then I can understand how it's okay. But, for me it is unacceptable for me to be separated from my husband as he would be my advocate throughout labor and I believe that to maintain my rights, wishes and dignity I definitely need an advocate there to do any negotiating to that might need to be done--as afterall, my job in labor is to give birth, not negotiate with hospital staff.

For this reason, I am thankful to have been able to give birth in the States with my son and give birth in a private hospital in Hong Kong this time around.
 
Hi, Just booked into QMH as a private patient. My husband really wanted me to be in a bigger hospital just in case anything went wrong. I was told today that my consultant can not gaurantee who will deliver the baby its whoever on call that day/night. As a private patient you pay for everything, I am wondering would i be better off going as public patient as would save us alot of money? I am a first time mum/ newish to h/k and a late starter so any advice would be greatly appreciated
 
Actually, you go to the delivery room when you're 3cm dilated, not when you're ready to push. So the majority of active labour is in the delivery room.

With both my girls, I had to have pitocin so the whole thing pretty much was in the delivery room. With the 2nd, I was getting some pretty decent irregular contractions and I was alone in the labour ward overnight - but I can't say I really missed my hubby that much actually. And if I did, I could have always walked with him outside of the labour ward.

Chuckles - I wouldn't bother with QMH as a private patient personally. I don't think that the care is that much better, and the cost is a LOT more expensive!! That's just me though...
 
chuckles, the admission bed and the labour room, OT including staff (all including medical) are exactly the same as for the public patients. It is only post delivery that you receive your private room or shared (2 in 1 room), but the post natal ward is usually really, really packed and it is rather nice to have a bit more peace and quiet after the birth.
 
I delivered at QMH a month ago in the public section, and the care was very good. It's true that you go to the delivery room at 3 cm, not when you are ready to push, and you can leave the labor area any time before then and go out and walk with your partner (I labored at home as long as I could before going in, which I would recommend). Our insurance would not have covered private care so it was not really an option (our total bill was $250HK), but if your insurance will cover it why not have the comfort of a private room? But the public ward is fine, and if I were to have another I would not hesitate to go there again. Just be sure you are clear with them about your birth plan and if you want an epidural you have to tell them when you are admitted so they can run the proper tests. Do not wait until you get into the delivery room or you may not get it.
 
How are the doctors and nurses in public hospitals? For those of you who gave birth there, how much did it matter to you that you had to deliver with the doctor on duty (and not of your choice)?
 
For me I really didn t care.
For my first, after a long and painfull labour and 3h of pushing I just wanted it OUT!! :)) He was delivered by a midwife. The doctor came in a few times during the 3 hours.

For my twins the labour was 2h from the water breaking to the first one being born. I was happy they were delivered by a doctor and not the taxi driver...
 
The last thing I was thinking when the baby was coming out was "Are you a qualified doctor or only a midwife?"

If there are complications a doctor will be there. If it's routine, it doesn't matter if it's a doctor, a midwife, or even someone not qualified at all really!!

I had a "decent" experience in the public system two times. Of course it wasn't as comfortable as the private hospitals, but it was good enough and my complaints were nothing about the medical aspect of things, more to do with the visiting hours and things like that... bureaucratic stuff...
 
Same as Nicole - no complaints about the medical aspects and no concerns about not knowing who was going to deliver my baby either. In fact, for my second, me and my husband spent the majority of the time playing cards in the Starbucks at QMH. Contractions suddenly became very strong just as I was about to admit myself into the labour ward, so much so that I couldn't stand up. QMH staff were super efficient - came and wheeled me into the labour ward, got me checked and dressed into hospital gear, transferred me to delivery ward and out came baby. All of that happened in 20 mins and I can not be more thankful to how the staff managed the situation - it was all very calm and controlled. I would have no hesitation to go back there again. The ONLY reason why we wouldn't is if we decide to store the baby's cord blood, from what I understand, you cannot do this via public hospitals.

As for pre-natal care, I hated the long waits with the public system. Hence, I cancelled a lot of appointments with them and just went with private obs for check ups.
 
I gave birth recently at the Prince of Wales (public hospital) by cesarean section. The experience was okay, but I wouldn't do it again. My husband and I are already looking into insurance so that we can go private next time.

Overall, the quality of the physical health care was good. However, the lack of explanation, communication and considerate bedside manner was very difficult for me. Especially for a first baby and for a first cesarean section when you are very apprehensive and need a bit of TLC.

A post delivery summary of the advantages and disadvantages that stood out most for me. Might be useful for other people in their considerations.

Disadvantages / concerns
- A trainee surgeon undertook the delivery without supervision. It turned out okay but it caused me a lot of worry leading up to the operation (I found out just a week before that she was a trainee).

- It seemed there were many other trainees / junior staff in the room using me as a bit of a practice patient. For example, I had to have several IV lines inserted into my hands which took many failed attempts from two people to insert (leaving me with significant bruising all the way down my arms from attempted IV insertions that were abandoned). In the end the anaesthetist told the two people to stop because it was causing too much distress and he did the IV lines smoothly himself.

- I had asked in my birthing plan to have the procedures leading up to the operation and during surgery to be explained to me so that I knew what was going on. I was told shortly before the operation that this would not be possible. As it turned out, the anaesthetist did try and do this on behalf of the surgeon and the other team as well as his own work but the other members of staff (around 7 or 8 people including the surgeon) hardly spoke to me during the entire procedure. Without the anaesthetist I would have had absolutely no idea what was going on.

- The appearance of the wards and the staff uniforms as well as the hygiene of the toilets gave me cause for concern (e.g. dirty, stained old uniforms, the toilets were pretty dire etc.). Though the operating theatre was a very sterile and clean environment.

- They wouldn?t allow anyone to visit me after the delivery when I was on the post natal ward. On pressing, they allowed my husband to visit me and the baby for 15 minutes but would not let my mother in at all until visiting hours - which are only two hours a day and not for another 3 hours after she arrived at the hospital. They wouldn?t even let her in to see me for 5 minutes.

- Language difficulties proved to be some issue. For example they wouldn?t bring me toilet paper for a bedpan and for quite a long time (around 3 or 4 hours) they would not bring me any water despite the fact that I was very thirsty and could not get out of bed myself. I think both of these things happened because they didn?t understand what I was asking for (she kept saying there wasn?t any water).

- Nobody explained anything about my babies health or the vaccines they were administering and I had no choice to consider or turn anything down (for example, many western doctors believe a day old baby shouldn?t be given the hep B vaccine and give an option to do it when the baby is stronger). I asked to see the paediatrician but he wouldn?t explain anything to me either.

- I asked to see their lactation consultant on problems with breastfeeding. They said that they had one but she would be too busy to see me. On asking whether I could bring in my own lactation consultant, they would only do this during visiting hours ? the only two hours a day I had to spend with my husband and the baby.

- A smaller point but important when visiting hours are so short ? my mobile ran out of battery but they wouldn?t let me use hospital plugs to recharge it. They said I would have to go down to the 7-Eleven with my battery for them to recharge it, but of course I couldn?t leave my bed so I had to wait all day with no means of communicating with my husband or family until visiting hours for them to help me recharge the battery.

Advantages
- Despite having a trainee surgeon there was an excellent anaesthetist consultant in attendance. He really helped reassure me just prior to the delivery and he also tried to explain what was going on (as nobody else explained anything or even spoke to me during the procedure).

- The procedure/delivery was done very well in terms of physical care, despite the absence of emotional care.

- They followed my birth plan very well in terms of breast feeding. I had read so many things about hospitals feeding formula or sugar water, not allowing access to the baby etc. The staff at the POW were very supportive about my desire to breastfeed exclusively. They were also very supportive about working with me to room-in ? balancing my need for sleep with nursing and with rooming-in.

- I asked to be discharged early, upon proving that I was recovering well, and they were very amenable to this.

- The cost of the entire delivery was only about $350 or similar.
 
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