I gave birth recently at the Prince of Wales (public hospital) by cesarean section. The experience was okay, but I wouldn't do it again. My husband and I are already looking into insurance so that we can go private next time.
Overall, the quality of the physical health care was good. However, the lack of explanation, communication and considerate bedside manner was very difficult for me. Especially for a first baby and for a first cesarean section when you are very apprehensive and need a bit of TLC.
A post delivery summary of the advantages and disadvantages that stood out most for me. Might be useful for other people in their considerations.
Disadvantages / concerns
- A trainee surgeon undertook the delivery without supervision. It turned out okay but it caused me a lot of worry leading up to the operation (I found out just a week before that she was a trainee).
- It seemed there were many other trainees / junior staff in the room using me as a bit of a practice patient. For example, I had to have several IV lines inserted into my hands which took many failed attempts from two people to insert (leaving me with significant bruising all the way down my arms from attempted IV insertions that were abandoned). In the end the anaesthetist told the two people to stop because it was causing too much distress and he did the IV lines smoothly himself.
- I had asked in my birthing plan to have the procedures leading up to the operation and during surgery to be explained to me so that I knew what was going on. I was told shortly before the operation that this would not be possible. As it turned out, the anaesthetist did try and do this on behalf of the surgeon and the other team as well as his own work but the other members of staff (around 7 or 8 people including the surgeon) hardly spoke to me during the entire procedure. Without the anaesthetist I would have had absolutely no idea what was going on.
- The appearance of the wards and the staff uniforms as well as the hygiene of the toilets gave me cause for concern (e.g. dirty, stained old uniforms, the toilets were pretty dire etc.). Though the operating theatre was a very sterile and clean environment.
- They wouldn?t allow anyone to visit me after the delivery when I was on the post natal ward. On pressing, they allowed my husband to visit me and the baby for 15 minutes but would not let my mother in at all until visiting hours - which are only two hours a day and not for another 3 hours after she arrived at the hospital. They wouldn?t even let her in to see me for 5 minutes.
- Language difficulties proved to be some issue. For example they wouldn?t bring me toilet paper for a bedpan and for quite a long time (around 3 or 4 hours) they would not bring me any water despite the fact that I was very thirsty and could not get out of bed myself. I think both of these things happened because they didn?t understand what I was asking for (she kept saying there wasn?t any water).
- Nobody explained anything about my babies health or the vaccines they were administering and I had no choice to consider or turn anything down (for example, many western doctors believe a day old baby shouldn?t be given the hep B vaccine and give an option to do it when the baby is stronger). I asked to see the paediatrician but he wouldn?t explain anything to me either.
- I asked to see their lactation consultant on problems with breastfeeding. They said that they had one but she would be too busy to see me. On asking whether I could bring in my own lactation consultant, they would only do this during visiting hours ? the only two hours a day I had to spend with my husband and the baby.
- A smaller point but important when visiting hours are so short ? my mobile ran out of battery but they wouldn?t let me use hospital plugs to recharge it. They said I would have to go down to the 7-Eleven with my battery for them to recharge it, but of course I couldn?t leave my bed so I had to wait all day with no means of communicating with my husband or family until visiting hours for them to help me recharge the battery.
Advantages
- Despite having a trainee surgeon there was an excellent anaesthetist consultant in attendance. He really helped reassure me just prior to the delivery and he also tried to explain what was going on (as nobody else explained anything or even spoke to me during the procedure).
- The procedure/delivery was done very well in terms of physical care, despite the absence of emotional care.
- They followed my birth plan very well in terms of breast feeding. I had read so many things about hospitals feeding formula or sugar water, not allowing access to the baby etc. The staff at the POW were very supportive about my desire to breastfeed exclusively. They were also very supportive about working with me to room-in ? balancing my need for sleep with nursing and with rooming-in.
- I asked to be discharged early, upon proving that I was recovering well, and they were very amenable to this.
- The cost of the entire delivery was only about $350 or similar.