Public Hospital Costs

echance

Registered User
I have read several messages about the cost of childbirth here in Hong Kong. My wife and I want to go with public hospitals and general wards but I am a bit confused and have several questions:

1. What are the costs for prenatal care?
2. What are the costs for delivery in a public hospital?
3. When you go to a public hospital does simply any doctor available perform the birth? Or do you have to specifically ask for your doctor? Do you have to pay the doctor separately from the hospital?
4. I have seen messages stating that public hospital delivery is HKD 400. What actual service is HKD400? Just the facilities or also the doctor's fees? Can you go to a public hospital for both prenatal and antenatal care?
 
answers to your questions....

1)costs of prenatal care?
-nil...if you use the public system...you don't even pay for any needed medication(i was on blood pressure meds for the last two months and didn't pay for anything)
2)costs of delivery in pub hospital?
-nil....it's all included in the per day charges
3)any doctor available?separate charges?
-a)yes, any doctor that's there...
-b)no, everything is included if you use general wards
4)$400?
-that is the estimate of total charges...
-you pay the hospital on a per day basis(+$50 admission charge)...so if you're there for 3 days, you pay $350 EVERYTHING INCLUDED!....you do not pay for follow up visits generally...however, there may be a nominal fee for follow up for mum($60)
-i had a complicated pregnancy, was hospitalised 4 times throughout it, the last time was for 15 days(including the birth)...totally i paid $2400(that's for 25 days for me and 3 for baby)
-i had an emergency c-section obviously with epidural and that was my total paid including antenatal and so far post natal visits!


i hope that helps!
 
I paid $250 total for delivery 16 months ago, everything included. There were about 3 times during the prenatal care that I had to pay $80, like for scans maybe. And the medical care is really good, if a little old-fashioned at times by western standards. You can search this forum for other threads about what the public hospitals are like and how to register. Good luck!
 
Qmh

Hi,

I paid HK$630 for a ten day stay at Queen Mary (I stayed longer as I was being induced... several times before the baby figured on making an appearance).

Other than that... pre natal was at Tsan Yuk and that was free except when I had a scan and they cost $60 a go... but if you pay something like $250 you get a picture to take home.

If you have any other questions on Queen Mary feel free to ask!
 
you must have had your baby before they raised the prices... it used to be $68/day... it's now $100/day....
the photo of the scan is $290....i had my baby on feb 12, 2005, so my info is quite up to date...
 
Public Hospitals - Questions

My husband is quite anti-public hospitals, but as we don't have insurance, I'm trying to convince him that delivering in a public hospital will be ok. His main concerns are:
- will he be able to stay with me during labour?
- will he only be able to visit me and baby for 4 hours a day during visiting hours. He wants to spend time with us in the first few days which he feels is critical.
- will they let him hold the baby as soon as he/she is born?

I've read previous threads on similar topics, but things seem to have been very different pre-SARS. I spent 3 months in PYNEH last year and we found the visiting hours to be difficult and the staff to be very inflexible.

Appreciate recent experiences that can answer my questions.

Cheers
 
QMH is very strict with visiting hours... they are 12-1pm and 6-8pm...he would not be able to stay with you outside of those hours unless you leave the ward and sit in the "fathers' room"
 
Re husbands staying in labour. There are two stages to talk about here:

1. Before you are admitted to the delivery room. Here, you will be in a general ward with other labouring women and officially your husband will only be able to visit during normal visiting hours. However, I have heard of lots of husbands persuading the staff to let them stay with a curtain drawn around the bed (you will not be able to get approval for this in advance though, and it's at the discretion of the staff who happen to be on duty). Also, you can minimise the chance of being a long time in labour by yourself by waiting longer at home before going to hospital. This has the advantage of your labour hopefully progressing faster in the relaxed surroundings of your own home. In some countries like the UK there is a shortage of beds in public hospitals (this doesn't seem to be the case at QMH maternity ward) and they will send you home until you are at an advanced stage anyway! Some people in HK hire a midwife to look after them at home if they are nervous about something going wrong with this plan.

2. After you are admitted to the delivery room, which is when you are more than 3 or 5cm dilated (it's not an exact science) and there is a room available, husbands are allowed to stay with you the whole time, unless you need to have an emergency c-section.

Re spending time with you and baby in the few days after the birth. I was in QMH for just over 48 hours and I must say I was glad not to have more visitors! If everybody had more visitors it would make the ward very noisy, for a start, plus I was too tired to make conversation. Most babies sleep a lot during this time, recovering from the exhaustion of the birth. I know from the father's point of view 48 hours can be a long time if you can't think of anything else but the baby, but not a lot happens compared to when you get home. From a selfish point of view, I also enjoyed the time by myself to bond with the baby and learn to breastfeed, without my husband fussing around, worrying whether she was still breathing or my breast might be suffocating her (which is what happened when we got home), and after 9 months of pregnancy surely what suits the mother counts for something!

Re holding baby ASAP after birth. If you write a "birth plan" in advance, this is usually possible unless there is a medical emergency. I did request to hold my baby straightaway, but in the end it was a couple of minutes while they checked her vital functions (in the same room) before me and my husband got to hold her. I have heard of others holding their babies more immediately if they made that wish explicit in advance. Fathers can even cut the cord! (Again, need to express this wish in advance.) If you are intending to breastfeed then QMH will support that by encouraging the baby to go on the breast as soon as possible after the birth, and during that time we were left alone by the nursing staff for quite a while, maybe half an hour, before I was moved to the ward.
 
I am afraid that it really depends on who you get on duty. I heard lots of horror stories and positive stories about QMH before I gave birth and I thought I was prepared for every problem. As it turned out, there was nothing more we could have done to make our birth the birth we wanted.

1. I was induced so didn't have the option of staying home!
2. My husband was locked out in the hallway all night, he only made the birth because he snuck in when the nurses were too busy changing shifts and despite my birth plan and what I was asking I gave birth flat on my back.
3. Once she was born, the nurses decided that they wanted to warm her up. In more modern-thinking hospitals babies are put on their mother's tummies as skin to skin contact has been proven to be the best method of keeping them warm. Instead, I wasn't even allowed to give her a proper breastfeed after she was born - the most important feed for establishing feeding. Luckily my OB walked in just after she was born and she overruled the midwife but I still only was allowed to let her latch on for a minute before she was taken away for 8 hours!
4. My baby was born just before SARS and it was a great help having my husband there to help with changing the baby etc. while I got some kip. I didn't sleep at night as my daughter was feeding just about constantly all night long. Every baby is different and mine was not sleeping non stop!

Please note that I had a completely natural birth with just 30 mins of gas and air and my daughter's Apgar scores were 9 and 10! Nothing medically went wrong and I didn't even have stitches. Despite this, our birth was everything we didn't want - no husband then no baby!
 
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