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    Default Birth options -public? Private? Midwife led?

    Hi all. I'm sure this topic has been raised before, but just wanted opinions on why you chose the type of care you did when having your baby. I know this is an emotionally charged topic, so please be nice to each other.
    I went private with my first, mainly because I wanted choice of caretaker. I did find it quite clinical though. The main thing that puts me off public/ midwife care though is being discharged the same day as you give birth. There is no way I could have coped with that last time.

    So, experiences please, and again, play nice!!

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    Default Birth options -public? Private? Midwife led?

    We went public with a private midwife (shared care) and it was perfect for us! Continuity of care, home visits, she was meant to come to my house when I went into labour and would tell us when to go to hospital (this didn't happen but that was the plan!)... Perfect for us.

    We did leave hospital after 24 hours. This was a condition of them letting DH stay overnight with me and I did want to go. I could have stayed one extra night (without DH) if I wanted to. But it's two nights max if you have a vaginal birth with no or minimal complications.

    I'll be doing it exactly the same way again next time in terms of my care. Hoping the birth will be a bit different though, as I was induced and it was excruciating so I had an epi.

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    I looked at all the evidence and chose a large public hospital with a midwife led birth centre as I was low risk. It was lovely. Unfortunately I developed preeclampsia at 34 weeks and was transferred into the care of the obstetricians. I ended up with an emergency Caesar and was very unhappy. I had a big bleed and was quite sick. The post natal care was abysmal. My recovery after that Caesar was very slow and my bladder nerves were affected in a quite unpleasant way for about 18 months afterwards.

    For my second pregnancy I chose a different large public hospital with a one to one midwife program. I had the same small group of 3 midwives care for me through a moderately complex pregnancy. I had a phone number i could call 24 hours and speak to my midwives, i never waited for more than ten minutes in clinic and always saw my midwife. They were brilliant and although I still ended up with a failed vbac I felt I had been given a very good chance at it. The anesthetist and paed were great and although the surgeon took an age, he did a really good job. He somehow sewed my muscles up differently and I didnt have the same unstable core that i had after the first caesar. My baby was put skin to skin on the operating table and never left my side. I had a private room with a double bed, and although I went home on day 3 my midwives visited me at home until day 5.

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    I've chosen a midwife led birth centre. I can't speak of the experience itself yet but the main reason I chose to go this way is because I want a totally natural, intervention-free birth. I don't want episiotimies or epidurals, I don't want to be stuck laying on a bed and I don't want to be poked and prodded. I hate hospitals. I love that I will be home in my own bed within 4-6 hours if all goes well.

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    Default Birth options -public? Private? Midwife led?

    1st was public with midwives. was ok I guess - appointments always were late. set aside 4 hours each time :/ but the care was good & didn't feel rushed afterwards

    2nd was a different public hospital in a birth centre led by midwives. awesome experience with prenatal, labour & aftercare. was a quick birth (45min once we arrived) so did go totally natural & was allowed to stay in the room over night (double bed!) and go home the next day.

    hopefully doing the same for this bub

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    I have done public with all three of my children and found it fantastic, Tho I have nothing to compare it too.

    tbh, all hospitals have a duty of care, cleanliness standards, fantastic equipment, why bother going private, other then your own room. I loved sharing. Meeting and talking with the other mums. Made it all so much more exiting for me.. but that Me..

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    None of my pregnancies ( one caesar, 3 vbacs) were high risk, so therefore I didn't need an obstetric specialist (Ob), so that was never a consideration for me.

    I had no desire to go private, as there was no need for an Ob, I didn't care about having my own room/nice menu, as my Hospital's stays were so short.
    With all that in mind, I chose to have all my babies in the public system and fortunately for me, my last two pregnancies were with midwifery case load whereby I was assigned my own midwife for the duration of my pregnancy birth and post natal care.

    The case load midwife was available to me 24 hours a day with a direct mobile number where I could ring her at any time, nearly all ante natal appointments were in the comfort of my home (brilliant when you have other children), it was one on care, the midwife was at the births and the only other person in the room apart from my DH and the midwife visited me daily for 2 weeks after the birth to provide me with post natal care as well. I didn't pay a cent for any of this care, not even for the ultrasounds, so I cannot fault the public care that I have had (in the 3 different Hospitals I had my babies). I cannot speak highly enough of midwifery care, I always felt validated, supported and when I had to tackle the whole 'vbac' thing, my midwife was always advocating my wishes against the Obs who weren't as pro vbac as I may have liked. Fortunately that wasn't too often.

    Another thing I liked about the public care, was the fact that I could do a breastfeeding, vbac, physiotherapy, baby bathing etc courses if need b and access to a lactation consultant all with no cost. I thought this was so invaluable as a first time Mother and my husband as a first time Dad too. I also participated in few research surveys and data for medical students researching various pregnancy related issues etc.

    FWIW, out of 4 public births, I only ever had to share a room once and had my own direct telephone line etc, so it was more or less like being a private patient in that sense.
    Last edited by Mod-Uniquey; 22-11-2012 at 10:47. Reason: Eta

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    I've chosen to go private in a public hospital with my own ob and I've opted for a c-section. This is our first and am happy that I'll be in hospital for a little bit to get the hang of having a newborn and having my own lactation consultant will be great too!

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    Default Birth options -public? Private? Midwife led?

    Thank you for all the opinions ladies. Have given me some things to think about. Appreciate you taking the time to answer.
    Unfortunately living in Darwin, options are a little but more limited, but I'll give the birth centre a call today as well as the ob and see what they both say.

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    If you're wanting to go down the midwife led/birth suite route, ring asap as there is always a high demand for a place and more often the need outweighs the places. Sooner the better!
    All the best with whatever decision you eventually go for.

    ETA: I forgot to mention in my earlier post that although you have reservations about midwifery programs etc discharging you the same day or the like, keep in mind that unlike 'normal' birth discharge, when you are released from Hospital and there is no follow up usually (apart from your 6 week check up) with midwifery care etc, in lieu of staying longer in Hospital the midwife or health Nurse will visit you at home to do the relevant checks of you and bub and can be up to 2 weeks post natally if need be, so you won't be left to your own devices if you need help etc. They can also do the heel prick test and vitamin k injections etc (if that is your desire) at home as well.
    Last edited by Mod-Uniquey; 25-11-2012 at 17:49. Reason: dble up of post

  11. The Following User Says Thank You to Mod-Uniquey For This Useful Post:

    Annabella  (25-11-2012)


 

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