Wednesday, December 16, 2009

Choosing a birth place.

1) Private hospital

Pros :
  • You choose a private caregiver who looks after you for your entire pregnancy
  • Private hospitals generally have good facilities
  • You have your own private room
  • Your partner can stay the night
  • You have help 24 hours a day while you stay in hospital
Cons:
  • It is more costly, even with private health insurance you will still be out of pocket
  • Statistics have shown that more medical intervention (e.g. caesarians) occur in private hospitals than they do in the public health system
  • There are no facilities to deal with very premature babies so you will be moved to a public hospital if that situation arises

2) Public hospital

Pros:
  • It's free
  • Statistics have shown that less medical intervention occurs at public hospitals
  • A lot of public hospitals have great facilities now with birth centres fully equipped with things like baths, fit balls, etc and mid-wives rather than obstetricians
  • Public hospitals are better able to deal with unusual emergencies
  • You have help 24 hours a day while you stay in hospital
Cons:
  • You will see a different caregiver every time you attend a check up
  • There are no private rooms
  • Partners cannot stay the night

3) Home birth

Pros:
  • No medical intervention - all natural birth
  • You can choose to birth in a birth pool (hospitals will not allow you to give birth in a bath)
  • You choose your midwife and they look after all your prenatal care and birth
  • You birth within the comfort of your own home with whoever you want present
Cons:
  • If a medical emergency occurs you need to get to a hospital
  • It is costly
  • You don't have immediate help on hand directly after the birth but you can contact your chosen mid-wife for advice
My Choice

I chose to go with a private obstetrician for my prenatal and birth care because I wanted one caregiver throughout my pregnancy and I had good private health cover. I found an obstetrician whose clinic had three other obstetricians who all shared the care of each other's patients. Throughout my pregnancy I had appointments to meet each obstetrician so that if my doctor wasn't available at the time of birth I would already know the other doctors, one of whom would be present. I chose a female obstetrician (and the other doctors were all female too) because I wanted my doctor to understand what I was going through and what birth was actually like.

I also liked the private hospital I went to which had birthing suites with huge spa baths, showers, fit balls, big comfortable beds which could be converted into birthing stools, plus more. The rooms looked more like a nice hotel room than a birthing room. Unfortunately I didn't get a chance to use a birthing suite due to Em being in the breech position.

Also my private hospital was within a public hospital, which was important to my husband. It meant that if there was a big emergency I would be rushed a couple of floors away, rather than having to spend time in transit to another hospital. (Just before I fell pregnant there was a case of a woman dying after labour because of the time it took to transport her to a public hospital, hence why it was particularly important to my husband. It also means that if your baby needs special care they can be also be transported a couple of floors away, rather than to another hospital).

My final reason for going private was so that I would have my own private room (I am a light sleeper and I knew I would need my sleep) and so that my husband could stay the night. My husband being able to stay the night turned out to be very much needed when I was very sick for the first two days after birth and I couldn't get up to our daughter at all. He did all the nappy changes and brought her to me for feeding. Again the room was more like a hotel room than a hospital and we had a double bed to share. The staff were very helpful and there was a breast feeding room available during the day for women to go to for help from lactation consultants. Overall, I was very happy with my choice of hospital.

Thursday, December 10, 2009

Preventing Whooping Cough in babies.

Whooping cough (pertussis) is a serious, contagious respiratory infection, which can affect anyone but is particularly dangerous for babies. It is recommended that women planning on becoming pregnant receive a booster dose of the vaccine a few months prior to becoming pregnant, or the vaccine can be given soon after the birth of the baby. Fathers should also have the vaccine prior to the baby's birth. This protects the baby during their first few months of life when the illness is most serious for babies and when parents are the primary people in contact with the baby.

You can read more here.