Tsuen Wan Adventist Hospital-My Experience

thanka2

Registered User
I am starting this thread because I was unable to find any other threads offering information about Tsuen Wan Adventist Hospital.

I am booked in this hospital and last night my husband and I went and took a tour. I'd like to share my impressions/experience so far. I haven't given birth there yet but maybe I can update this thread in the future.

First of all, I was surprised by how small the hospital actually is. I have never seen a smaller hospital in Hong Kong--the hospital is the size of a clinic in my opinion. It's about 4-5 stories tall and just very small.

It was a bit difficult to communicate with the front desk staff--both in English and in Chinese. The desk staff seemed to be quite young--almost like secondary students who were doing an internship or something. We finally were able to be directed to the right department.

The maternity ward is on the second (and I think third as well) floor. It's also very small. Everything is packed pretty tightly. The actual hospital is nothing any different than the public hospitals as far as decor goes. There is only ONE private room and it is available on a first-come, first-serve basis.

One of my biggest concerns with this hospital is that they don't allow rooming-in with babies and I had heard it was because of a fear of contamination and exposing the newborns to SARS or swine flu...that type of thing.

However, after speaking with one of the head midwives, I completely understand this policy now that I know how the hospital operates. I'm not saying I'm a fan of how things operate there or am very cool with the practice and even the head midwife explained that there needs to be a policy change soon but it will take time.

And...this is how it goes...almost all of the patients/clients in this hospital come from Mainland China. When they come to give birth in Hong Kong, they bring along all the relatives too. Since the hospital has open visiting hours every grandma, grandpa, aunt, uncle and friend crowds into the already cramped wards.

Most women are staying 3-5 beds/room. The rooms are packed like a can of sardines anyway (barely any space to even get out of bed and walk) but then you have to add in the fact that for every woman in those rooms there are at least 3+ relatives visiting, talking loudly and well, in my opinion, making a nuisance of themselves at all times of the day and night. The head midwife says that they tell them over and over again to be quiet and try to respect the other women in the ward but it doesn't really help. We witnessed this while we were there, actually. If you've ever taken the train in China and slept on the hard sleepers--you might have an idea of what I'm talking about. There is one communal toilette for every room that both the mothers and their fan clubs use.

As the midwife explained (and I could see with my own eyes) many of these mothers come from villages in Guandong Province where neither they or their relatives are aware of the standard of hygiene in Hong Kong (maybe don't wash their hands, wash their clothes, cover their mouths, refrain from spitting etc.).

So, at this point the hospital is trying to manage several risks. If newborns are allowed back in the room with the mother A) there isn't any room for a baby cot for the baby to sleep B) there is a risk that babies will be kidnapped because the security isn't high in the rooms and people are flooding in and out all day long C) there is a risk of actual exposure to illness which in a newborn can cause really bad issues like diarrhea and the hospital feels that they can't risk exposing the babies to all the relatives visiting.

In our case, of course, we won't have a ton of people coming to visit us and we do have an understanding of hygiene but if we are allowed to have the baby with us in the ward then that creates an issue of "fairness" and there will certainly be complaints. So, I guess all I have to say is that although the public hospital, in my opinion, goes overboard with their strict visiting hours--at least they have some sort of way to stem the tide of people coming in.

The labor rooms are super small--almost like a closet. The bathrooms are clean but kind of reminded me of a low-budget hotel--not that that really matters all that much because it's mostly a cosmetic thing but I noticed things like gaps in the trim along the floor with some insulation sticking out and a hole in the tile behind the toilette. When I'm in labor, I can guarantee I won't care very much about any of that but it did make me wonder where the massive amounts of money that the public hospitals charge is actually going.

Staff--I only spoke really with the senior midwife. Her name is Sharon and she seemed pretty cool. She has worked for about 25 years as a obstetric nurse in Hong Kong and spent about 6 years working at Matilda. So, when we came in with a birth plan that details a unmedicated, natural, vaginal, husband-coached birth, she actually was quite relaxed about that as she said she's had exposure and experience with that in Matilda. She gave us her word that she would support us 100% and make sure her staff does too.

However, she said that most of the midwives and nurses at the hospital don't have a clue of how to handle such a case so she needs to bring them up to speed on how things are done. She works during the day but is not on duty at night so I'm still not very confident that if she's not there we won't have to have clashes with the staff over what we're doing.

But, Sharon was quite open about actual practice and policy at the hospital and could give us some insight even into how our own doctor (whom she has observed attending births) operates which actually gave us some information and grounds to have a lengthy discussion with him last night at our checkup appointment.

It was a bit stressful, honestly to visit the hospital and then hash everything out with our doctor over a 1-hour+ consultation last night. I do feel more aware of everything now, though.
 
so, tell me, why are you choosing this hospital over a public one? sounds to me like the public one would have a higher chance for you to:
1) have the birth that you want
2) have your baby room in with you

from what i know about you, it sounds to me like when you compare the two hospitals, the public one would be more to your liking....
 
so, tell me, why are you choosing this hospital over a public one? sounds to me like the public one would have a higher chance for you to:
1) have the birth that you want
2) have your baby room in with you

from what i know about you, it sounds to me like when you compare the two hospitals, the public one would be more to your liking....

Honestly, at this point, it's not totally my decision.

My big issue with the public hospital I'm registered at is that when I asked at my 34-week appointment if my husband could accompany me in labor I was told that it was at the discretion of the doctor on duty at that particular time and they couldn't give me an answer--that wasn't a good enough answer for me and that is probably the biggest reason why my husband is against it. I absolutely refuse to go through labor without my husband's continuous presence, especially considering the marathon labor I had last time.

We've worked out some things with our doctor as well that take a lot of the time constraints off of me in labor.

Also, I want to avoid the dreaded lithotomy position (flat on your back continually hooked up to a fetal monitor). From what I've gathered at the public hospital I'm registered with, this is how things are done. I need access to hot water in labor as well--don't know how that works in the public hospital. Because "unmedicated" for me doesn't mean that I simply just grit my teeth and endure all the pain--you have to have pain management and water was the most effective form of pain management for me last time.

Also, simply location because the public hospital I'm booked in is just about as far from my house as you can get and I'm wondering if I'd be able to make it to the hospital if I happen to have a fast labor.

But, the baby hasn't come out yet so there is always time to adjust things and make a different decision but I keep mentioning public hospital to my husband and his parents and the answer is always a resounding "no!"
 
thanks for the clarification. i was asking more for other's information rather than questioning your decision.

good luck! i hope you get the birth you want and that your little girl is happy & healthy!
 
BTW, i remember HK Aventist is serving vegetarian, wonder if Tsuen Wan Aventist is the same? Only if it bothers you. You can rely on SOHO Delivery for sure! :)
 
Thanka 2,

When u mentioned that you want to access to hot water, do you mean hot tub?

Not really meaning a "hot tub" (although this is pretty much a standard provision of the hospitals where I'm from in the States). Actually, I mean the freedom and ability to get in and out of hot water (whether it be a shower or just sitting in the bathroom with hot towels wrapped around me as one of my friends did here in HK). There is a lot of research that points to the benefits of water for pain relief and relaxation (thus facilitating dilation and making birth go quicker and smoother for baby and mother) in labor. All the information I've been getting from the public hospital I'm registered with is that when you go in they expect you to lay down flat (preferably on your back--which totally will cause me to pass out at this point in pregnancy) with a fetal heart monitor continually strapped to you and progress through labor that way.
 
BTW, i remember HK Aventist is serving vegetarian, wonder if Tsuen Wan Aventist is the same? Only if it bothers you. You can rely on SOHO Delivery for sure! :)

Hmmmm....SOHO Delivery--to Tsuen Wan? Yeah, I don't care about food at all but we've run into so many snags today with this private hospital thing that I think we will have to give birth in the public hospital. Who knew that having a unmedicated, natural childbirth would be so difficult for so many doctors and nurses here--my doctor admitted to me that he has never actually seen this type of birth and the only position he knows how to deliver a baby in is the lithotomy position (with the woman lying on her back which is the absolute least conducive position for childbirth physiologically). To me, that's pretty sad when a doctor tells you, "The only thing I know how to do is give drugs and cut women open but when it comes to the simple stuff like, well, y'know, letting the woman's body just go through labor and produce a baby...yeah, I'm just really out of my league there" (paraphrased).

I am feeling quite disappointed and frustrated with the system overall in Hong Kong tonight but I can't say I'm surprised.
 
We've used the TW Adventist (not for maternity) and will only choose it as a last resort. I'd rather go to a public hospital than be there!

It is exactly as you said, dirty toilets, poor ward etiquette, poor communication - we were always avoided because we didn't speak Cantonese and there was always a wait for someone who could speak English, and nurses who don't seem to have their act together. Even the Drs who were too busy with private patients (or at their clinic) to consult inhouse patients.

It was definitely a public hospital experience at private hospital prices.

Good Luck Thanka2! I hope your experience works out better than your current impression (and my experience)!
 
We've used the TW Adventist (not for maternity) and will only choose it as a last resort. I'd rather go to a public hospital than be there!

It is exactly as you said, dirty toilets, poor ward etiquette, poor communication - we were always avoided because we didn't speak Cantonese and there was always a wait for someone who could speak English, and nurses who don't seem to have their act together. Even the Drs who were too busy with private patients (or at their clinic) to consult inhouse patients.

It was definitely a public hospital experience at private hospital prices.

Good Luck Thanka2! I hope your experience works out better than your current impression (and my experience)!

Wish someone had warned me that it's pretty much "the ghetto" there. But, as I said, I don't think that I can give birth there at this point as the information we were originally given has changed literally 2-3 times in the past 2 days.

If I could get on a plane and go back and give birth at the hospital I gave birth at in the States, I would do that but for now, we have to make lemonade with these lemons. Such a silly, outdated system going on here in HK.
 
oh, no! i'm so sorry... this is NOT what you need when you're about to pop!

is there any other hospital that you can go to?

really, public hospitals are not as bad as some make them out to be. i wonder what would happen if you showed up at QMH in the midst of labour? i don't think they'd turn you away, even if you are not in their catchment area...maybe you'd have more luck there? only problem would be getting your medical records there in time...
 
oh, no! i'm so sorry... this is NOT what you need when you're about to pop!

is there any other hospital that you can go to?

really, public hospitals are not as bad as some make them out to be. i wonder what would happen if you showed up at QMH in the midst of labour? i don't think they'd turn you away, even if you are not in their catchment area...maybe you'd have more luck there? only problem would be getting your medical records there in time...

Well, good for me that I am actually registered in the public hospital--at Pamela Youde in Chai Wan--Thank God for that! Originally, I had planned to give birth there actually but then my parents-in-law raised some concerns and we honestly were told that it wasn't a for-sure thing that my husband could be with me in the public hospital (told this by the staff there) so...

But, then we were reading documents from PY tonight that say that the husband is allowed. So, I hope what's in print overrides what we've been told when we asked. So, I've actually attended quite a few prenatal checkups at PY and they have all my files. But PY is waaaay over in Chai Wan which is just about as far as you can get from our house. Also, thankfully my parents-in-law live like about 5-10 minutes by taxi away from the hospital (in Shau Kei Wan) but I'm not so sure about actually going through labor at their house.

I was telling my husband tonight that maybe we just kick them out of the house and give them money to go stay in a nice hotel room :) Then we stay at their house and labor until I'm pretty much in pushing mode and then go to the hospital. For me, the big deal is being there after the baby is born so that if I bleed like I did last time someone can stick a few shots in me and make my uterus clamp down. Otherwise, I probably would just "accidentally" give birth at home. :)

It has been a bit stressful but honestly, I'm glad to find out now that the doctor is pretty flaky (even though he's a really nice guy otherwise) than to get into labor and realize he is way out of his depth.
 
i've only ever heard good things about PYNH! i am sure you will be fine. AFAIK, husbands are allowed unless there is an emergency c-section and even then it seems to be the luck of hte draw and i was unlucky...
 
Yeah, save your PILs 50-60k and go public. At least you'll be able to do more what you want, AND have unlimited access to her afterwards, for me, a match point.
As you know, my experience at PMH was far from the horrors I expected. Pre and post care(in hospital) were great, 90% of staff were great, and if you don't mind crying babies all around you for a day or two, I really don't see the downside for a natural delivery there.
I've been to TWAH quite a few times, and my husband stayed there for surgery for a few days. Their 5 bedrooms are more cramped than the public wards(by half), the single rooms are ok(there is more than one i thought), but not luxurious in any way, but right next to the nursery. The food is indeed vegetarian, is expensive and tastes disgusting(pmh waaaay better). The staff I came across was ok, not great, not terrible, but the public servants did speak more English for sure. The doctors are blood suckers(but I think that of most privates I have experienced here) and will charge your for unnecessary things.
It's a heck of a lot of money to spend for something that you are unsure of, regardless of who is footing the bill.
Oh, and you wondered where all the money went there. I'd have a look at the cars in the parking lot. The money clearly goes in the docs pockets:)
Whatever you decide, just know that it's only for a couple of days and that the end result is a healthy baby. You will most likely get over everything else when you bring home your little girl.
 
Yeah, save your PILs 50-60k and go public. At least you'll be able to do more what you want, AND have unlimited access to her afterwards, for me, a match point.
As you know, my experience at PMH was far from the horrors I expected. Pre and post care(in hospital) were great, 90% of staff were great, and if you don't mind crying babies all around you for a day or two, I really don't see the downside for a natural delivery there.
I've been to TWAH quite a few times, and my husband stayed there for surgery for a few days. Their 5 bedrooms are more cramped than the public wards(by half), the single rooms are ok(there is more than one i thought), but not luxurious in any way, but right next to the nursery. The food is indeed vegetarian, is expensive and tastes disgusting(pmh waaaay better). The staff I came across was ok, not great, not terrible, but the public servants did speak more English for sure. The doctors are blood suckers(but I think that of most privates I have experienced here) and will charge your for unnecessary things.
It's a heck of a lot of money to spend for something that you are unsure of, regardless of who is footing the bill.
Oh, and you wondered where all the money went there. I'd have a look at the cars in the parking lot. The money clearly goes in the docs pockets:)
Whatever you decide, just know that it's only for a couple of days and that the end result is a healthy baby. You will most likely get over everything else when you bring home your little girl.

Y'know, actually none of what I'm concerned about has anything to do with how comfortable the hospital is. I don't care how hard the beds are or how yucky/good the food is because in my mind, all those things can be overcome. (And in labor with my first, I couldn't eat at all I was so nauseous so food didn't have much importance to me--afterward, my husband brought me food that was yummy). I do, however, care about the amount of true respect that's shown to me as the one in labor and my husband. I do care that my wishes are followed (barring true medical emergencies--and of course we've adjusted for those in our birth plan). Because, giving birth to me, isn't "just another medical procedure." I think I could give birth in a barn on a stack of hay (like my ancestors were doing, ha!) But, it's definitely more of a philosophy about what birth is for me.

Yes, of course, everyone's goal is a healthy outcome for mother and child but from my own experience, I believe that the best way to ensure that for me and my child is to do things the way I've prepared to do them. It works. I've experienced it. I do have the advantage of this being my second birth so I'm not just dealing with theoretical concepts here. The evidence is there.

So, I don't care about crying babies or things like that--but in order for me to make it through childbirth the way that it needs to be done, I do need certain non-negotiables--maybe totally fine for other people to compromise--but to me, these are extremely important--just as important as rooming-in or breastfeeding are to some people, honestly. These non-negotiables (and I'll repeat again--everything changes in a true emergency--but often true emergencies can be avoided by not messing with the birth process in the first place) are:

-My husband is with me for the entire labor and birth--not only is he my birth coach, he is my advocate--I refuse to be left in the hands of doctors whom I don't know (and they may be the best in the world) without someone to speak on my behalf while I'm in labor. He is my security and my sense of calm and just as much a part of this baby-making and birthing process as I am.

-I will not be strapped down to a bed and tethered to a fetal heart monitor or IV (which my doctor admitted to me the other day--when the heart monitor shows that the baby is doing well it means the baby is well but if it shows any signs of distress the statistics show that the heart monitor is usually wrong 50% of the time--those are some sad odds, I'm afraid for a machine that many doctors put their full faith in).

-I will not be forced to give birth in a position that is not conducive to actually birthing a child (lying on your back) but is instead convenient for hospital staff. It's not rocket science to "catch a baby" when the woman is in an upright position. I mean, heck, my husband, who is not a medical professional "caught" my son when he was born--there isn't much too it. So, basically, the staff needs to adjust to what works for me--not the other way around--especially when the position they prefer is known to increase my incidence of complications--why do something that is unhealthy for mom and baby just because it's "traditional" (actually, giving birth upright has a far longer history around the world) and convenient for hospital staff (because they can sit on their nice little stool and don't have to actually move out of their comfort zone--I mean, heck, if I'm the one going through the discomfort of childbirth, the least they can do is be "inconvenienced" a bit)

-I will not be bullied or manipulated into inducing or augmenting labor just because a doctor pulls out the "fetal distress" card (which has a 50% chance of being wrong anyway). I will not be pushed to take medication--instead I need staff that respect and stand by me in my decision.

-I will not be put under stress because of arbitrary time limits. I realize that HK is a busy place and that maybe someone is waiting for my bed but, they'll just have to wait. Birth is something that should NEVER be rushed (and I'll repeat for the third time, except in case of true emergencies but again, sometimes it's hard to tell which came first--the intervention or the emergency--there is clear clinical evidence showing that interventions increase the risk of emergencies). It is absolutely counter-productive to the physiological requirements of labor (relaxation so that the body can dilate and open up etc.) to put a proverbial stopwatch in front of a woman's face while she's in labor.

So, for this reason, I honestly plan to arrive at the hospital as the baby is emerging from my body. There's not much they can do at that point except allow the baby to be born and then manage any bleeding I might have. I guess it will be win-win then :)
 
I was booked to give birth at TW Adventist Hospital, but eventually gave birth at PYNH in Chai Wan because I was on an outlying island, accessible only by ferry, when the labour began (at wee hours, around 10 days earlier than expected date) and I had to be helicoptered to the nearest hospital with a landing pad. They considered this as an emergency, so they had to take me in.

Nonetheless, I was a bit pissed that everybody told me not to scream despite I was so much in agony. (The pain of the contractions was so intense, and I was told it was too late for me to take anything to reduce the pain.) I was reprimanded many times -- during the check-up at the island's clinic and also later at the PYNH. After I gave birth, another mom was wheeled into the birthing room, and she whined a bit -- and she was also reprimanded! I wonder whether it was the custom here??

The nurses, the midwife and the doctor were very encouraging though when the baby began to come out. But before that, they were quite sharp!

BTW, yes, my husband was allowed to come along in the birthing room...
Not sure if you planned to save your baby's cord blood? Right after the baby was born, I asked the staff at PYNH about it, and they flatly said no.

PYNH has some private or semi-private rooms (more spacious than TW Adv.) and I was lucky that day they had one bed in a three-bed room. The food was very good. Half of the nurses could speak English, and the other half not. The drawback is really the distance from home and where my friends and relatives live.

thanka2, does TW Adventist Hospital allow you to do whatever you want when the labour comes? I discussed the options with my ob-gyn at the hospital, and I was told I had to go the conventional way. (Though in the end, it made no difference for me, because I could barely stand anymore after the contractions began.)
 
I was booked to give birth at TW Adventist Hospital, but eventually gave birth at PYNH in Chai Wan because I was on an outlying island, accessible only by ferry, when the labour began (at wee hours, around 10 days earlier than expected date) and I had to be helicoptered to the nearest hospital with a landing pad. They considered this as an emergency, so they had to take me in.

Nonetheless, I was a bit pissed that everybody told me not to scream despite I was so much in agony. (The pain of the contractions was so intense, and I was told it was too late for me to take anything to reduce the pain.) I was reprimanded many times -- during the check-up at the island's clinic and also later at the PYNH. After I gave birth, another mom was wheeled into the birthing room, and she whined a bit -- and she was also reprimanded! I wonder whether it was the custom here??

The nurses, the midwife and the doctor were very encouraging though when the baby began to come out. But before that, they were quite sharp!

BTW, yes, my husband was allowed to come along in the birthing room...
Not sure if you planned to save your baby's cord blood? Right after the baby was born, I asked the staff at PYNH about it, and they flatly said no.

PYNH has some private or semi-private rooms (more spacious than TW Adv.) and I was lucky that day they had one bed in a three-bed room. The food was very good. Half of the nurses could speak English, and the other half not. The drawback is really the distance from home and where my friends and relatives live.

thanka2, does TW Adventist Hospital allow you to do whatever you want when the labour comes? I discussed the options with my ob-gyn at the hospital, and I was told I had to go the conventional way. (Though in the end, it made no difference for me, because I could barely stand anymore after the contractions began.)

Thank you for sharing your experience. All I can say to the question about TW Adventist allowing you to do what you want is "heck no!" It has a lot to do with your doctor but the head midwife flat-out told me that her nurses have very little experience with anything else besides the standard: induce, epidural, continuous monitoring while you lie flat on your back, push the baby out and if it doesn't come use forceps and suction or a c-section.

So, y'know, hearing about your experience convinces me that I'll make sure that I arrive at the hospital as the baby is crowning. My husband went through an EMT (Emergency Medical Technician) course so I'm guessing he can handle delivering the baby in the taxi/car (our friend has volunteered to drive us). I've done a ton of research over the past four months about everything there is to know about home birth and unassisted childbirth. I've spoken with people who have done it and have a lot of good insight. We also have a practical manual/guide that was published by the US government describing the procedures needed as well as a full supply list. So, I'm going to stay home until I'm at least 4-5 cm dilated (and yes, you can check your own dilation--also not rocket science--quite easy to do, actually) and then go to the hospital and let what happens happen.

I can guarantee you that if anyone in the labor ward (doctor, nurse, midwife, whoever) tries to tell me how or when I can vocalize there really will be hell to pay for them and it will be delivered in fluent Cantonese by my husband. I'm also not above waddling my happy bum right out of the hospital and giving birth on the front steps if they honestly can't show respect. That's just how things are.
 
Good luck to your delivery. Hope it will go the way you wanted. Looking forward to you writing about how it went.
 
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