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  1. #31
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    Hi there, I have been private with all 3 due to a few factors:
    1. I wanted a particular caregiver (OB) who had been so highly recommended. I have had him for all 3- could not have recommended him any more highly. I had sever SPD (problems with pelvis and unable to walk for a few months before birth) with the last 2 and needed alot of help before and after the births- OB, as well as his secretary and midwife provided 24 hr service and could not fault it.
    2. I wanted choice from the beginning about pain relief/ birth options and so on.
    3. I wanted continuity of care- everyday, I would speak with the same caregiver, so I never had to repeat anything.
    4. Just remember- having private obstetric cover does not cover much, except giving you access to a bed in a private hospital. You will be out of pocket ALOT. eg: OB's management fee and private scans (This used to come under the medicare theshold, but no longer).
    5. I will say this- I had 2 very fast, uncomplicated labours with the first 2 at a purely private hospital- POWP. Loved it there. This time around, I was private at RPA- it was excellent in all respects, and being a huge public emergency hospital was reassuring this time as baby needed to come out early- baby needed to go to special care. So, when looking at hospitals, consider the facilities that you or baby may or may not need. eg: does it have a special care nursery.
    All the best

  2. #32
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    Default First baby - Public or Private - what are your thoughts?

    Quote Originally Posted by headoverfeet View Post
    Have you checked out the mybirth website? Be crazy to go private. A birth center is another option if you want to leave your home to birth.
    For the record, I'm not crazy lol. I am well informed and made a choice that was right for me based on my own circumstances and what is available in my area.

    OP - go with your gut. The main thing is that you feel comfortable and well cared for, and that you're confident your choices will be respected. You can get that in either system, depending on what hospital and/or care giver you go with. Ignore people calling you crazy or uneducated for whatever choice you make, you'll get it regardless of which option you go with. As long as you're happy that's all that matters!

  3. #33
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    Default First baby - Public or Private - what are your thoughts?

    Quote Originally Posted by kw123 View Post
    I DID like the mybirth website... Until I read something along the lines of if you took pethidine your kid was more likely to be a drug addict in later life. Sigh.

    So take it with a pinch of salt. The overall messages are good but some of the detail is a bit suss.
    Also not sure how up to date it is. My hospital opened about 3 or 4 years ago and it's not listed on the site. Stats are useful but I wouldn't make a decision purely on that.

  4. #34
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    Default First baby - Public or Private - what are your thoughts?

    I think the mybirth website has its place, but what i dont like is that it doesn't show what percentage of women actually chose to have a csection! I wouldn't get all freaked out that if you go private you will get a csection. When trying for vbac I asked my Ob if he would support that and he said, 'of course, why would I want to do all that work to get your baby out when you can push it out yourself?' I think that website was designed to try and reduce the csection rate, which is great, but it is a bit too one sided on midwifery care for my liking.

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    Default First baby - Public or Private - what are your thoughts?

    I know in Perth out private hospital for maternity only have single rooms?

  6. #36
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    sweetsugardumplin' is offline be the change you want to see in da world
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    With my DS, we initially decided to go private - but the high intervention rates of this hospital left me running across the road to the big public hospital.

    With DD, birth centre.

    ETA: both pregnancies and births were uncomplicated vaginal births with no intervention. The only time I saw an ob was during the share care program and being stitched for DS. The midwife stitched me for DD (big babies with boof heads )

  7. #37
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    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    It's actually been disproven that the reason for the higher c/s or intervention rates in private hospitals is due to the social make up of people who tend to use the private system nor is it due to the women being high risk.

    A study tracking nearly 700,000 women in NSW hospitals, and published yesterday in the British Medical Journal, confirms this rising trend. It found that those women giving birth in private hospitals, despite being of similar age and health to first-time mothers in public hospitals, were 20 per cent less likely to deliver their first child vaginally. Indeed, just 15 per cent of women in private hospitals gave birth with no intervention, as opposed to 35 per cent in public hospitals - figures study leader Hannah Dahlen said were ''horrifying' Read more: http://www.canberratimes.com.au/opin...#ixzz2DZPNEnYI

    A new study led by the University of Western Sydney has found low risk women giving birth in private hospitals in New South Wales are much more likely to have obstetric interventions such as inductions and caesareans compared to low risk women giving birth in public hospitals.
    http://www.uws.edu.au/newscentre/news_centre/more_news_stories/private_hospitals_drive_surge_in_caesareans,_induc tions

    The overall caesarean section rate in Australia (32%) is significantly higher than the OECD average of 25.7% of births. Despite the rising intervention rates over the past decade the perinatal death rate has not shown a corresponding decline. There is also growing concern that the short-term and long-term morbidity associated with major obstetric interventions such as caesarean may not be insignificant for the mother and the baby. http://apo.org.au/research/rates-obstetric-intervention-among-low-risk-women-giving-birth-private-and-public-hospitals

    But new research from the University of Western Sydney (UWS) suggests the number of women using private obstetricians and the private hospital system contributes considerably to the figures, and the best way an Australian woman can reduce the chance of having an obstetric intervention – such as a caesarean, induction, episiotomy or epidural – is to give birth in a public hospital. Read more: http://www.news.com.au/lifestyle/par...#ixzz2DZQ6tSKo


    The Risks of Cesarean Section
    http://www.motherfriendly.org/Resour...bruary2010.pdf

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    sweetsugardumplin'  (29-11-2012)

  9. #38
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    Default First baby - Public or Private - what are your thoughts?

    We went private for the following reasons.

    I wanted the mater in bris but was living outside the catchment so that was the biggest reason. Also :

    I liked my OB

    I wanted 5 days to rest up and learn to bf.

    I wanted my own room and DH to stay over

    I wanted great food and nice living accom

    I wanted a catholic hospital.

    Lastly. A good friend of mine is an OB in a public hospy in Adelaide. She often talks about as the only reg on duty she does e-cs because she isn't confident enough in difficult births. For her it's the safest choice to do. Whereas when she had her bub she went private with her consultant as her OB. Her birth was so damn complicated and long but she still got her vb because her caregiver was experienced.

    My dd1 was a long and hard posterior labour with face presentation. My OB worked hard to turn bub around and deliver her with minimal distress. A gf who is a middie at the hospy helped me thru my labour and said several times that if I was public I'd be having a cs.

    IMO you pay for the experience that the OB has. I adore my OB and would go to her anytime.

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  11. #39
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    Default First baby - Public or Private - what are your thoughts?

    Headoverfeet - I'm on my phone so cant go through all those links but was curious to know if the studies differentiate between interventions requested by the birthing woman or initiated by the hospital? Or are the stats controlled for things like availability of interventions such as specialist/patient ratios or access to pain relief? Just curious about whether these sorts of things influence the results.

    I still think you have to look at your own personal situation and the specific hospitals/services/caregivers in your own area, which is what the OP is basing her decision on. There are no guarantees that going public will give you a beautiful natural birth with no intervention etc. A friend of mine recently had her first bub in a local public hospital, she had a very similar labour as me but was encouraged to have a c/s due to failure to progress. I birthed in a nearby private hospital, also very slow to progress, and a c/s was never mentioned. This goes against the stats but is an example of why your own specific circumstances/location are more important than generalized stats.

    You prefer the public system and/or home birth but it's not for everyone. Just because someone opts for a different option doesn't make them uneducated 'crazy' fools. It probably just means it was the best choice for them.

  12. #40
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    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Quote Originally Posted by Cue View Post
    Headoverfeet - I'm on my phone so cant go through all those links but was curious to know if the studies differentiate between interventions requested by the birthing woman or initiated by the hospital? Or are the stats controlled for things like availability of interventions such as specialist/patient ratios or access to pain relief? Just curious about whether these sorts of things influence the results.
    Quote Originally Posted by headoverfeet View Post
    The overall caesarean section rate in Australia (32%) is significantly higher than the OECD average of 25.7% of births. Despite the rising intervention rates over the past decade the perinatal death rate has not shown a corresponding decline. There is also growing concern that the short-term and long-term morbidity associated with major obstetric interventions such as caesarean may not be insignificant for the mother and the baby. http://apo.org.au/research/rates-obstetric-intervention-among-low-risk-women-giving-birth-private-and-public-hospitals
    I've only had a chance to look into this one but here are the results from this study

    Results Among low-risk women rates of obstetric intervention were highest in private hospitals and lowest in public hospitals. Low-risk primiparous women giving birth in a private hospital compared to a public hospital had higher rates of induction (31% vs 23%); instrumental birth (29% vs 18%); caesarean section (27% vs 18%), epidural (53% vs 32%) and episiotomy (28% vs 12%) and lower normal vaginal birth rates (44% vs 64%). Low-risk multiparous women had higher rates of instrumental birth (7% vs 3%), caesarean section (27% vs 16%), epidural (35% vs 12%) and episiotomy (8% vs 2%) and lower normal vaginal birth rates (66% vs 81%). As interventions were introduced during labour, the rate of interventions in birth increased. Over the past decade these interventions have increased by 5% for women in public hospitals and by over 10% for women in private hospitals. Among low-risk primiparous women giving birth in private hospitals 15 per 100 women had a vaginal birth with no obstetric intervention compared to 35 per 100 women giving birth in a public hospital.

    I'm not sure what you mean by women initiated intervention but this gives a break down of the different interventions. I also have not had a chance to look regarding the second part of your question.


 
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