Giving Birth In Public Hospitals

cathryn

Registered User
Hi,

I wonder if anyone could help me. I am moving to Hong Kong at the end of February by which time I will be 17 weeks pregnant. I have heard you need to book your private hospital very early. So I am thinking I might be too late to get into a private hospital and will have to go public.

Can anyone tell me of there experiences of having their baby at a public hospital, I have read they take the baby away and put them in a nursery and you only go to see them every 4 hours! This worries me immensely as I would hate this, I need to be with my baby to be able to bond.

Please can anyone help and hopefully tell me this information is incorrect!

Many Thanks
 
From what I understand, you are more likely to have the baby taken away and put in a nursery in some of the private hospitals in Hong Kong. In most of the public hospitals you are "forced" to room-in with your baby whether you like it or not. I think this may have something to do with manpower shortages but I'm not sure.

I am registered in a public hospital (8 1/2 months pregnant right now) but I am also registered in a private hospital because my in-laws are concerned about the quality of care in emergencies in the public hospital (this is my second birth and I hemorrhaged after giving birth to my first child--I was in a hospital in the United States at the time).

My parents-in-law are concerned with the fact that in the public hospital you aren't provided with one doctor throughout your pregnancy (unless you are a high-risk case and then you might see the same specialist or two consistently throughout your pregnancy). So, the day you step into the hospital to give birth you will meet whoever is on staff--which could be a very talented and experienced doctor or someone who is nearly an intern.

So, my husband and in-laws feel more comfortable with me giving birth in a private hospital so at least I know my doctor and he knows my medical history well. Also, I have a close friend who nearly died in a public hospital in Hong Kong because she was bleeding internally from an undiagnosed eptopic pregnancy and none of the doctors would take her seriously--they just kept telling her it was "all in her head" and to "go back and lay down and we'll come to you when we're ready." After repeatedly passing out from blood loss and pain her husband transferred her to a private hospital and they performed emergency surgery immediately which saved her life. So, I just don't want to risk getting into a situation where doctors and staff don't take me seriously.

I've had the experience in the public hospital so far (just going for checkups) that often the doctors don't even look at my file so they aren't up-to-speed on my case and I have to actually remind them or sit down and explain over and over again certain things--which in an emergency would not be a good thing. However, not all public hospitals are the same in HK so others might have different experiences.

Anyway, at the private hospital I'm registered at, due to concerns about SARS and swine & bird flu I've been informed that the baby is taken away from you and sent to the nursery and if you want to breastfeed or hold him/her you have to go down to the nursery and do everything there--you can't return with the baby to the ward unless you have a private room for fear of "contamination." If you pay the extra $$$ (and apparently it's a lot) to have a private room then you can have your baby room-in with you but your baby cannot return to the nursery afterward, again, for fear of "contamination." I was also told that the head nurse is very pro-breastfeeding but that seems like a complete oxymoron because unless babies are allowed to room-in with the mother breastfeeding is just all that more difficult to establish. So, I am also very concerned about this.
 
Thanks for all the info, I don't really understand how any concerns with Sars and Bird Flu etc would mean a baby would have to stay in a nursery, what difference would that make, if they are worried of the baby catching something from a visitor of yours, then surely you could catch it, then take it to the nursery and pass it on to all the babies! I find it very odd and I'm also really worried about the breastfeeding thing, because if you aren't in the room with your baby how are you supposed to hear your baby crying to be fed, when I had my son in the UK he didn't leave my side and when he cried I fed him.

Sounds like your friend didnt have such a good time in the public hosp! The not seeing the same person wouldn't worry me so much as that's what I experienced in public hospitals in the UK so I am used to that.

Oh well I think I am just going to have to wait until I get there, I ended up having a c-section with my first, so I don't know how they do things in Hong Kong, I want to go for a natural but think they may say I have to have a c-section, so this may change my chances of getting into a private hosp if they can say the date for definite that I will be there. Also I need to see through my husbands work and the private health ins whether I can get a private room.

Well good luck hope it all goes well for you wherever you end up, let me know how it works out.
 
Depending where you live, and which private hospital you go to, 17 weeks may not be an issue for getting in. I gave birth at Union hospital in the NT last May and there was no problem securing a private room. Deposit not paid until 23 wks I think it was. Baby can room in no problems in a private room, but not in the shared rooms. Of course, private does cost a lot....
 
you are not 'FORCED' to room-in. you have a choice in the public hospital (at least i always had)! they offer you the use of the nursery (which is located in the centre of the ward and not miles away). you can choose to have yoru baby beside you or go to the nursery. BOTH of my kids stayed at my side the entire time.

the only time you may have to go to "visit" your baby is if your baby needs the special care or NICU. in that case you will have to go to their ward. my daughter was in the special care unite for 24 hours after her birth as she was born while i was under general anesthesia and her reactions were a little slow, she was also techinically pre-mature.
 
i think that there is a lot of mis-information out there about the public hospitals. yes, they do have their drawbacks, but for ANY case where the baby might require a NICU, then the public hospital is where you want to be. ex. matilda hotel, oops, i mean hospital is beautiful. yes, you can have pretty much any birth experience you want there BUT if there is something wrong with the baby... baby is transferred to Queen Mary Hospital, a public hospital, as Matilda is not equipped with a NICU/special care facility.
 
you are not 'FORCED' to room-in. you have a choice in the public hospital (at least i always had)! they offer you the use of the nursery (which is located in the centre of the ward and not miles away). you can choose to have yoru baby beside you or go to the nursery. BOTH of my kids stayed at my side the entire time.

I think this is just another one of those things that it depends on which hospital you're at. My friend gave birth at public hospital near Mong Kok and asked if she could put her baby in the nursery because she was exhausted from labor and was told no and that she had to keep her baby with her at all times. In the public hospital "training videos" (y'know, the "awesome" ones you watch to learn about thing like breastfeeding and hospital protocol) the babies are always with the mothers in the room and the hospital nursery is never shown.
 
I think rooming in with your baby is encouraged, but I had my baby at Queen Mary and my baby had to be in special care for a week so I had to go visit her on a different floor as much as I wanted to. Of course, they preferred you come at feeding times, but they didn't turn you away. There was also a nursery where you could put the baby to get some sleep. I thought my experience at QMH was really positive except for one nurse in the general ward. I was sooo jealous of the new moms that had their babies by their side. It was nice the first night as I was exhausted, but after that, I really wished she didn't have to be in special care.
 
I've had two children at Queen Mary and overall had a positive experience. My first pregnancy was completely normal, my waters broke and I still had no regular contractions 24 hours later so their policy is to induce at that point. Due to the induction, the contractions were extremely painful so I requested an epidural and it was administered promptly. Also their policy is that if the baby is born more than 24 hours after waters breaking, the baby needs to be monitored in Special Care in case of infection - so she was up there for the first day which was rough since I wasn't expecting it, but the next day she was down in the ward with me and rooming in. The hardest part was her being in special care, but I know that IF she DID have an infection (she didn't), them catching it early would have helped her to get over it quicker and easier.

My second pregnancy was going well until I was 17 weeks and we discovered on ultrasound that my daughter had a form of dwarfism that at the time, they were not certain that she would be able to survive. They offered an abortion but we didn't want one and they didn't pressure us which I'm thankful for. I was monitored very closely throughout my pregnancy and before the baby was born, I'd already met with the NICU team and a geneticist who ended up diagnosing my daughter's condition. Their care was very good and I even stopped going to the private doctors because they weren't adding anything that I wasn't getting in the public system. My delivery with her was induced at my request at 41 weeks - they would have allowed me to go another week if I wanted, but my mum was here and I wanted the baby born before she went back! Again, I cannot fault my delivery (although I had an annoying nurse who, I think, was wanting a routine day and didn't like the complexity of my case falling on her - thankfully her shift was over half way through my delivery and she was replaced with a MUCH nicer nurse!). I knew when my daughter was born that I would be leaving the hospital before her, so I requested an early discharge and I was discharged when she was only about 15 hours old. She was in NICU for four months and overall, we had a good (but sometimes frustrating) experience there.

In both my pregnancies, my main frustration with QMH was that they were overcautious. I don't really think that my first daughter needed to be separated from me and taken to Special Care, I think she could have been monitored from the regular ward and taken up there if she had shown signs of infection. My second daughter, I think, could have been home at two or three weeks old rather than four months old. But ultimately, it's a MUCH bigger problem when doctors are not cautious ENOUGH compared to when they are too cautious, so I'm thankful that through it all, I've got two healthy daughters :)

If I was going to a private hospital, the ONLY hospital that I would consider is Matilda because to me, rooming in with my baby is MUCH more important than how comfortable the beds are, who actually does the delivery (even in private hospitals, the "doctor" is only there for maybe the last 15 minutes or so anyway) or even what the visiting hours are. And most of the private hospitals here have policies that I really don't agree with. So for me, it's a choice between Matilda and public.

And I agree with Carang - you aren't generally forced to room in with your baby, at least at QMH - many babies are in the nursery at various times. I put my first baby in there a couple of times to go and eat outside the ward, and they made it clear that I was welcome to use the nursery any time I wanted. I wanted her to room in though and she did pretty much the entire time I was there.
 
Thanks for all the info Nicole. I was going to look into the Adventist Private Hospital, can you tell me why you would particularly go for Matilda? Do you know anything about Adventist?

Thanks
 
@ cathryn

I remembered that one of my director's boss whom is a mainlander came to stay at QM before. As she does not hold a HKID she need to pay $100K as refundable deposit also the room rates are very high. I remember she said it's equalivent to shangri-la HK per night or even more than that.
 
yes, mainlanders have to pay that fee. it's because they were coming over the border in droves to give birth, many times without any pre-natal care and were costing the hk gov't so much money. they had to stem the flow somehow.
 
I delivered at United Christian in Kwun Tong and did not have the baby with me round the clock for the first two nights. I have to say i was grateful because I was zapped after the delivery and maybe because my milk hadn't come in or something my baby would gnaw away at my nipples for TWO HOURS! The practice there seemed to be to take the baby away adn bring him in for scheduled feeding times for the first couple of days, and for the third day encourage mums to keep the baby with them. I guess it depends which hospital...but I have to say they are very pro-breastfeeding. After two hours (which really I think was a stretch) the nurses would come and ask if I wanted to feed the baby formula. If I said yes, they would cup feed him so there is no nipple confusion. The first time I said no, and they accepted that.
 
Thanks for all the info Nicole. I was going to look into the Adventist Private Hospital, can you tell me why you would particularly go for Matilda? Do you know anything about Adventist?

Thanks

It's mostly because Adventist is not significantly cheaper than Matilda but I've heard overall MUCH better things about Matilda. I'm not 100% sure if the baby is able to room in in a shared room at Adventist, but the baby is definitely allowed to room in in a shared room at Matilda. To me, that is a "make or break" issue though. I think probably Adventist is the "next best" to Matilda from what I've heard though.

I know someone who had a poor experience at Adventist though. She delivered by C section but the maternity ward was full so she had to be in the surgical ward and was therefore separated from her baby. I know that is an unusual situation and it's not the norm for Adventist, but still it puts me off.

For me personally, rooming in is THE main issue in what I look for in a hospital, particularly over here, and it is practically guaranteed at Matilda and public hospitals (except for medical issues, which public hospitals tend to be more cautious about, putting the baby in special care over some relatively minor things in my opinion), but not so much in most of the private hospitals (although if you get a private room in a private hospital, I think many places will allow you to room in - just not in shared rooms...)
 
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It's mostly because Adventist is not significantly cheaper than Matilda but I've heard overall MUCH better things about Matilda. I'm not 100% sure if the baby is able to room in in a shared room at Adventist, but the baby is definitely allowed to room in in a shared room at Matilda. To me, that is a "make or break" issue though. I think probably Adventist is the "next best" to Matilda from what I've heard though.

I am registered at Tsuen Wan Adventist and the baby is taken away from you and placed in the nursery. This is their protocol to avoid cross-contamination as the wards are public wards. To avoid this you can book a private room and pay a lot more for it but then the baby is only allowed to stay with you and can't go back to the nursery. I don't know about the other Adventist hospital--possibly the same.
 
Thank you everyone for all your information and help. Nicole - I have decided to try the Matilda first after what you have told me to see if I can get in there first, esp as I had a c-section with my first child so I may well need one with the 2nd, so your friends experience didn't sound good.

So I contacted the Matilda and they have told me I need to book an appointment with an obstetrician first who will then try to arrange the booking in. They have given me a list of obstetricians who frequent the hospital, so can anyone recommend any of the following)

Dr. Chan Patrick Sai Lock
Dr. Cheung Grace Wai Yan
Dr. Doo Alexander Kenneth
Dr. Ferguson Sally Anne
Dr. Ghosh Arabinda
Dr. Lord Lucy
Dr. Stevenson Robert

Thanks alot
 
My baby was delivered by Dr Patrick Chan. Experience with him is quite pleasant though I'm uncertain if the sunction bruise on my baby's head is caused by him? However, thinking deeply it might be just to do with what I prefer. I told him I had strong preference for a vaginal delivery. Anyway, I'm a bit off topic. He is a very nice man, spend time on consultation, answer all your questions and etc. He always give you stats like the percentage of this occurring and so on. When I'm due and page him he return my calls like less than 2 minutes. Only once, it takes him more than 15 minutes. Guess, his caught up on something. He didn't stress me out during my whole pregnancy which is quite important as I had miscarriage before.

To make things short. I highly recommend him. :)
 
I also highly recommend Dr Patrick Chan. I saw him with my second daughter and he was fantastic with me. He is also good for if you deliver public, some private doctors don't like to see public patients but he treated me just as well as if he was delivering the baby. I can't speak highly enough of him!!
 
yes, mainlanders have to pay that fee. it's because they were coming over the border in droves to give birth, many times without any pre-natal care and were costing the hk gov't so much money. they had to stem the flow somehow.

Yes, and some (though not all) mainlanders would leave without paying their already low public hospital fees.
 
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