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Some Q`s about Public System Antenatal care

  1. #9
    Shenzhennifer is offline Registered User
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    Jul 2008
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    Tsuen Wan
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    Thanks.
    I don`t mind going to private docs for additional scans - I`m not confident with just one:)
    Gataloca - in Canada, I believe we get 3, but could be as low as 2. Ultrasound machines don`t use radiation like x-rays do - they use high-frequency soundwaves that are then translated into images. There actually haven`t been any large conclusive studies done indicating that u/s are bad for the baby. But nevertheless many people are still cautious. I`d have less for this pregnancy than for my last, for sure.
    AmyH - great to know that you were supported to go ahead with the VBAC, though sorry it didn`t work out as planned. I guess I`ll wait and talk to the doctors to tell them my wishes. My incision is very low and horizontal, so should be ok.

  2. #10
    deasy_h is offline Registered User
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    Jun 2010
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    Hong Kong
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    Antenatal Check in TKO

    Hi Gataloca,
    I just went to TKOH to book my first antenatal check.
    Would like to hear more from you, if you don't mind.
    Is it ok to ask lots of questions at your first visit?
    Are the doctors and nurses nice & friendly?
    & I'm so glad to hear that the waiting hour will not be too long.
    I choose TKOH just because it's near from my place.
    Hope I didn't make a wrong choice.

    Thanks a lot.

    -deasy-

  3. #11
    charade is offline Registered User
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    Deasy... I'm currently visiting TKOH for checkups. I'm very happy with the public system. For my first check, I registered at the maternal clinic in Hang Hau. I was pleasantly surprised that all the nurses spoke English, although I was the only foreigner there. The doctor was young but very thorough. She asked me about medical history and how my pregnancy was (any bleeding, pain etc) and I gave her detailed replies. It's important that you tell them everything that you can and the doctor is very patient and listens. I had had spotting, a vaginal infection etc and she was attentive to all that, taking a swab to test again for infection although I told her I was cleared in my last test. She did a physical exam and spotted a polyp on my cervix and explained with a chart what it was, why and my options. I had been seeing a private doctor who did not spot the polyp, though to be fair, it could have sprung up in between. She also checked for a heartbeat with a Doppler. I was deemed a complicated case and tranfered to TKO Hospital. If you are a peaceful pregnancy, visits may continue at the maternal clinic.

    My next visit was at the hospital. It was again very smooth. The waiting time is not that long - I was done in two hours. Frankly, my private doctor sometimes takes longer. The doctor checked on the polyp and gave me the option of removing it. She removed it so skillfully, it was painless. Again, I introduced my entire medical history to her and she was attentive and patient. In a way, it's a good thing repeating the medical history so you're sure they haven't missed anything though they have it all on their computer. The nurses at the hospital too are very kind.

    I had a six week break between appointments so I decided to a private appt in between. Frankly, I was in two minds whether to bother because I was pretty happy with the public system but then I came down with what I suspected was a urinary infection. Both private and public doctors are used to people shuttling between the sustems so just keep them updated about what happened at the other appointment.

    I'm happy with TKOH and the public system adn the advantage of it being not one of the big hospitals (like Queen Mary or Queen Elizabeth) is that the waiting time would be less.

  4. #12
    deasy_h is offline Registered User
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    Hi Charade,

    Thanks for your info. I went to TKOH this morning and everything went smoothly except that I didn't meet a doctor but only a nurse instead. Perhaps because I'm just 5-week pregnant? A little confused about that. Did you have the same experience? FYI I haven't planned to visit private doctor yet. Should I?

    What about antenatal classes? The nurse gave me a schedule of antenatal classes hold in United Christian Hospital. Unfortunately, they are all in Cantonese. Any suggestions?

    Hope you & the baby are well :)

  5. #13
    kaikosmom is offline Registered User
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    Shenzennifer, if you had a previous c-section, the choice to go VBAC or not, is up to you. Weeks before your EDD, the doctor will explain the advantages/disadvantages/risks of the options. I went thru the public route myself and find them very thorough (35 y.o.). Not bad for the HKD700 we paid for 6-day hospital stay!

  6. #14
    charade is offline Registered User
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    Oh, I think what must have happened is that you just did a registration. My understanding was that they won't even register you before 10 weeks. So I guess they gave you an appointment to see a doctor at around 10 weeks?

    I did see a private doctor at about 5 weeks because actually I was being treated for a vaginal infection at the time. And I wanted to confirm that I was indeed pregnant. Then I started having some issues - like bleeding - so again, saw a private doctor. At the time, I was only seeing the private doctor and then decided to switch to public system (at 10 weeks) as I found my insurance only gives very limited cover.

    I don't think it's absolutely necessary to see a private doctor beforehand, unless you feel you want to and can afford it. At around six weeks, he could see a heartbeat which was nice. The good thing is they can confirm its not ectopic (where the pregnancy is in the tube). And if you have bleeding like I did, again there's little they can do that early except check on you using a vaginal sonogram... so its more for reassurance that things are fine.

    By the way, if you live around TKO, I can recommend a private doc who is much cheaper than the ones in Central that usually get posted on these forums.

    I'm wondering about antenatal classes myself. I didn't notice the schedule among the stuff they gave me... but a friend who delivered at United Christian recently informed me that if I want my husband in the labour room we have to do some class there. I have an appointment at TKO Hospital next week so planning to ask the doctor then. Will let you know what I find out. And if you find out anything in the meantime... could you post me a message here, or PM me?

    Good luck with your pregnancy too!

  7. #15
    lisa88 is offline Registered User
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    Hi Shenzheniffer, I gave birth at Prince of Wales shatin but had antenatal checks with a pr445ivate obstetrician. Also at the same time I had milestone tests at POW, eg 5th month scan of baby's devt and pregnancy diabetes testlater. In my last trimester I also had a few tests wtih the POW antenatal clinic. It is correct that you will not see the same doctor each time - sometimes a junior resident but sometimes even the most senior of the consultants, depending on the scheduling. I felt that the private-public antenatal care combination worked best. The waiting time at POW was a nuisance but once we were seen to, the care was good. My delivery experience was good. I planned a natural birth but ended up with an emergency c-section and we were very grateful for the good care. You can search the threads on POW where I have written some of my experiences. Remember that the public hosptials are very busy so as long as you can put up with a no-frills experience (not 5 star hotel like Matilda) you will be fine. I stayed 4 nights after giving birth. Good luck.

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