Hygiene in public hospitals - experiences?

L

Liquorice

Registered User
Hello. Getting closer to my delivery date (c-section) and starting to think a lot more (and perhaps getting a bit more paranoid) about the impending operation.

Looking for some reassurance from women who have given birth via c-section in public hospitals - particularly Prince of Wales. I know it is supposed to be a very good hospital - it is a teaching hospital, has a neo natal unit etc. - but I am starting to worry a little bit about hygiene levels. The main reason is that the toilets in the Obs & Gynae ward are really unhygienic. There is no toilet paper, few of them even have toilet seats, there is always urine all over the floor etc. It is the same with the health clinic I visit in Ma On Shan for women that will deliver at the POW. I cannot help but see this as a reflection on the hospital and their attitudes towards hygiene and cleanliness. I know that a lot of women pass through the clinic but I can't believe the hospital don't do more to keep it cleaner.

Also, one of my local friends was praising the public system in HK, saying how good the care was but then remarked that the only thing I might find offputting is the hygiene, but "apart from that everything is good". Good hygiene is pretty essential in a hospital, particularly if you are having surgery.

How have other people found public hospitals in terms of hygiene? Once you are in the hospital proper, in the operating theatre / on the ward etc. I am hoping that there is no issue with hygiene at all? Can anyone share their experience?
 
I gave birth at POW in March 2009. I had planned a natural birth but needed an emergency C-section. Stayed for 4 nights. The toilets and wash basins were passably clean, with toilet seats all in place. Cleaners came twice a day if I remember correctly. The entire ward (I think 48 patients) all share the same toilets so it can get busy. When I was there the other patients were all civic minded and kept the washbasins and toilets clean. I also used the showers twice. Be prepared for the ward to be full so the only privacy you have is to draw your curtains. It will not block out the noise, so bring your eye mask and ear plugs if needed. The doctors, midwives and nurses were good, they were busy but did their best. I was allowed to have my baby beside me a lot of the time as the nursery was very busy too and I had wanted to get started with breastfeeding. Just remember that if anything bothers you, you will be home in 4 days. I thought of it as a no-frills experience and had no complaints at all about the medical or nursing care.
 
my suggestion would be to have your shower in the morning. i used to wait until the cleaner had finished and i'd be the first one in after that.... locals tend to have showers in the evening, so i'd always get it and it would be very clean.

if i EVER saw anything disgusting, i'd just let the nurses know and they would get the cleaner in right away.

totally, over 2 pregnancies, i was hospitalised 13 times for a total of about 3-4 months, so i got to know the routines quite well.
 
I gave birth by c/s in United Christian February of this year. I was there for 7 days as my baby was jaundiced. The hospital is kept very clean. Although, of course since you will be sharing the toilets with other patients, you cannot expect the them to be pristine everytime.
 
Having gone to QMH for my ante-natal visits and having stayed at the paediatric as well as women's wards, I've had no complaints. Toilet paper and seats have all been in place. The ones attached to the rooms tend to be neater (fewer people using them I suppose) than the ones available to the general public. Nothing fancy, of course, but for the public ones, you may want to provide some feedback to the hospital to get their attention to address them.
 
Thanks for the tips and suggestions. Grateful for any tips I can get! I know nothing about what I'm doing...

I don't mind if the toilets aren't perfect all the time, it is more that the ones at the POW clinic are pretty bad and I just want to make sure that this doesn't mean that hygiene in the operating theatre won't be so hot either.... Sounds like that isn't the case though, which is good to know.

48 people on a ward though. Wow, wasn't expecting that...but yes, it isn't for long...
 
After you have had a c-section, the question is whether you recover quickly enough to get up and go to the toilet yourself. If you can't get up, you will be using a bed pan and having sponge baths. Of course you are encouraged to get up and about as soon as you possibly can. Some mums don't feel well after their c-section: nausea from the anaesthesia and some pain from the c-section wound. A clean toilet and shower are pretty important, yes, but in those early days I remember being much more concerned about my baby being well, bonding with her, and getting started with breastfeeding, as well as getting as much sleep as possible. I do remember counting the number of beds: 6 beds in each bay and 8 bays in one ward so it was 48 beds. As for the operating theatre, I would expect the doctors have the usual sterile standards so it is really not the same as a third world hospital in Bangladesh or Nepal (not that I have been to those places).
 
Lisa88, so you had your baby with you for most of the day? I would like to do the same as I want to be able to breastfeed regularly while I'm in hospital. You aren't allowed your baby to sleep overnight with you though are you? How do you manage the feeding during the night if you don't want your baby to be fed formula? Do you express and give it to the nurses?
 
I had her with me much of the day AND night, certainly more than 50% of the time. I had not expected this but was pleased. I am not sure if that is the usual thing but I had put it in my birth plan that I wanted to breastfeed. When all the babies in the nursery were being bottle fed every 3-4 hours, the nurses would bring her to me to be breastfed. They would wake me up if I was sleeping but I didn't mind. After breastfeeding I put my baby back in the bassinet next to me and kept her with me as long as I could. They took my baby back to the nursery to bathe her, do the necessary tests/ vaccinations and sometimes to sleep. I noticed that other babies spent more time in the nursery, I don't know if it was because the mums had not indicated that they wanted to breastfeed. One nurse commented that they were really busy with so many babies so it was good if mums kept their babies with them and fed them (whether by breast or bottle).
 
i had both of my children with me almost the entire time i was in hospital...no problems.

although, i had general anesthesia with my second and was completely out of it for about 12 hours afterward. during that time, my daughter was in the special care ward (she was premature). by the time i was able to care for her, she was out of that ward and down with me.
 
Licquorce, I had my daughter by emergency c-section in POW. She spent the first night in the nursery as I could not walk after the spinal block but the next morning she was beside me and stayed there until I left 3 days later. The only time she was brought to the nursery was to be bathed. She also slept beside me at night.
 
I think if you indicate before giving births that you want to BF exclusively, they will do as you wish. In my case, I had C/S and had general anesthesia. When they moved me to the ward, they put the baby next to me and helped me so the baby will have a good latch. Afterwards, they put him back to the nursery and bring him back every 2 hours or so until I was able to walk to get him myself. He can room-in with you if want to.
 
Kaikosmum... I'm going to be delivering at United Christian very soon. Any tips? I went there on the weekend but couldn't go into the delivery room to check it out. There was a closed door through which you have to speak to the nurse. Couple of questions: 1) Did you call the hospital before going in?
2) Did you have to speak to someone through the intercom to enter the delivery suite?
3) At what stage did you tell them your preference for breastfeeding?
4) Do you know if it's possible to get a semi-private room?
5) There's a list of things to take to government hospitals on this site... like maternity pads with string. Does the hospital insist on any of this stuff? I don't remember getting a list of what to take from the maternal health care centre. Does the hospital provide anything?
6) Do you have to give them clothes for your baby or do they have standard hospital clothes?

Sorry for the barrage of questions... there's not that much info on United Christian on this site, so would be helpful for those of us who are going to deliver there to get some firsthand recent feedback.
 
1) Did you call the hospital before going in?
no, just show up
2) Did you have to speak to someone through the intercom to enter the delivery suite?
just buzz them if you arrive and the door is closed. besides, you don't go directly to the delivery suite. you go to the ward and they will transfer you to the delivery suite when it becomes necessary.
3) At what stage did you tell them your preference for breastfeeding?
go with a couple of copies of your birthplan, just in case there is a shift change during your labour. give one to the nurse upon admittance and then again to the nurse/mid-wife when you get to the delivery suite. have a spare copy just in case.
4) Do you know if it's possible to get a semi-private room? on a firs-come, first-served basis. also, they will charge you retroactively... so beware, it may cost a lot more than you are anticipating.
5) There's a list of things to take to government hospitals on this site... like maternity pads with string. Does the hospital insist on any of this stuff? I don't remember getting a list of what to take from the maternal health care centre. Does the hospital provide anything?
hospital provides nothing... that's why they tell you to bring it...
6) Do you have to give them clothes for your baby or do they have standard hospital clothes?
they will have standard wraps for the baby, but you WILL need to bring clothes for baby to go home in.
 
Ok, about the birth plan. At no stage during my appointments at the maternal health care centre or TKO hospital was I told I needed to make one or how to do it. Is this something you have to specifically request? Basically, I have only two points: a) my husband be there for the birth (which they told me I just need to inform the nurses about) and b) I want to exclusively breastfeed if possible. So I guess the plan would be only 1 point... but anyway, how does one go about making one?

Also, for what to take to the hospital... the list I got was from this site. But I wasn't given a list at the MCH. And the list on this site says something like old-style maternity pads, which are a pain to find. Are they really necessary?

So the hospital won't even provide a hospital gown? I need to take pjs or something?
 
they provide a gown and actually prefer you to wear their clothes. i just took the sticky bottom mat. pads. they didn't have any problem with it...
 
sorry, no idea. my first was born by emergency c-section and my second was a planned c-section with general anesthesia.
 
Carang / Kaikosmom, why did you have generals for your c-sections? Was it your choice or the aneasthetists recommendation? I'm not clear on the benefits / drawbacks versus an epidural or spinal block... Was it okay or would you do something different if you did it again?
 
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