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Warning about Public Hospital 20 wk Scan!

  1. #1
    Shenzhennifer is offline Registered User
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    Warning about Public Hospital 20 wk Scan!

    I was so happy to get the last booking for my 20 wk scan at Princess Margaret. Imagine my disappointment when it was performed by a MIDWIFE not the doctor who booked me into her alleged schedule.
    I commented on how I had never heard of a midwife doing that level of scan before and this one got totally defensive and spent the next 12 minutes (with my first at a private 20 wk scan it was about 30 minutes) defending herself more than telling me about my baby. In fact, the only reason I know my baby has arms is from a previous scan! She couldn't confirm the sex of my baby (even though private Dr gave me 99% surety), and baby wasn't in a curled up position at that time. She also told me twice that although the scan was 'thorough' it cannot detect all abnormalities, so there's still a chance my baby is not 'ok'.

    If I had known this BS would take place, I wouldn't have booked through them, I would have spent the money at a private hospital doing the scan. But now it's too late because you need to book ahead for these lengthy scans. Argh!

    I have to say that I have nearly lost all confidence in the public system and am really worried about giving birth there. Will an actual doctor deliver my child? And what will be the calibre of that doctor and accompanying nurses and midwives?

    Also, it seems that the public hospitals quite encourage VBACs (cheeeeaper!) and now I'm actually afraid to try for it because of the potential deadly consequences that can result in it. It's one thing to have the same doctor all through your pregnancy who knows what he/she is up against and who has the experience and expertise to prevent a potential tragedy. But now I have to get whichever Joe Blow Doctor who happens to be on duty (their first year as a doctor, perhaps, it will be around Chinese New Year), or perhaps another midwife (while her colleague scalds babies in the bath next door), and maybe they have little or no experience and will do things to me that will actually precipate a demise (like giving labour inducing drugs). And I am at their mercy.

    Forgive the rant, but I am REALLY not happy with this system now and there's JACK ALL I can do about it because I'm almost 22 weeks pregnant and of COURSE all private hospitals will be full. And we have no insurance. And it would use a big chunk of our savings to have this child.

    NOT LIKING HK AT THE MOMENT.

  2. #2
    banane76 is offline Registered User
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    Unfortunately through the public system, you get the doctor who is on duty when you deliver. That really sucks though that you had such a horrible experience. I'm in my second pregnancy and going to deliver public, but going to get my antenatal care with my chosen private doctor so I can get all the important scans with him just so I can get better explanations of my baby. That's weird they would have a midwife do your scan though...usually it should be a qualified technician at least.

  3. #3
    TheQuasimother is offline Registered User
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    Quote Originally Posted by Shenzhennifer View Post
    Will an actual doctor deliver my child? And what will be the calibre of that doctor and accompanying nurses and midwives?
    No. If you don't have a complicated birth, the doctor might not even pop in. I know of mums who didn't have the doctor participate in the birth (even at the end) in the public system. You'll be with the midwives most of the time and there is nothing you can do about it.

    A lot of mums schedule their ultrasounds with private doctors at that stage even those in the public system. You're lucky to have been given the allocated appt.! I know a mum who didn't! They just sent her away as they were busy on that day. And, they didn't reschedule! They simply couldn't given their caseload!
    “If you want to get to the castle, you’ve got to swim the moat.” Richard Jenkins in Eat Pray Love

  4. #4
    Shenzhennifer is offline Registered User
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    Yes, they have a quota system now. I got the last booking with the doc who saw me at the first trimester screening. I was really happy, but If I knew a midwife was going to do it, I would have gone straight to a private doc. Crazy, this system. My birth will be slightly more complicated since I had a c section last time, and they will try for a vbac. I wanted one before, now I'm scared. This is life or death for me and or my baby. I may be being a tad dramatic, I know, but the stakes are quite high. Kind of like Russian roulette in a dodgy casino.
    I'm nearly 22 wks now, quite late to get a booking with a private doc before my 24th week when they stop doing this kind of ultrasound. And way late to get a spot in a private hospital.

  5. #5
    TheQuasimother is offline Registered User
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    Just an idea. Why don't you look into being a private patient at the Queen Mary? At least you'll get the same OBGYN and better care? Or try to find an OBGYN who can get into a private hospital. I remember there are many cases of mums who move to HK mid pregnancies and have managed to find a bed at a private hospital.
    “If you want to get to the castle, you’ve got to swim the moat.” Richard Jenkins in Eat Pray Love

  6. #6
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    carang is offline Registered User
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    honestly, i can understand you being upset. you didn't get what you were expecting and you weren't happy with the alternative that they provided. that is completely reasonable.

    you are being a little overdramatic about the rest of it though. if you think about the numbers of babies that are delivered through the public system, so far as i know (and i could be wrong) there are not so many "problems".

    remember that if anything DOES go wrong witht he delivery in a public hospital (at least with matilda) the baby is shipped to a public hospital anyway. the private hospitals are not equipped for very complicated situations (baby-wise).

    there are dozens of private OBGYNs out there, maybe you'd be able to find another one just to do the scan?

    as for your confidence in the public system, not much i can say to dissuade you.

    i do hope that you have another 20 weeks of uneventful pregnancy, though. good luck!

  7. #7
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    Gataloca is offline Registered User
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    Agree with Carang. I had my 20 week scan as a public hospital, and yes, they do not tell much, but usually no comment means that everything is normal. Also your midwife is right about the scan not being able to detect all abnormalities. No test or scan can guarantee that. But if you are really that worried, try calling different doctors to see if there is anyone that could do the scan for you.
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  8. #8
    shuchisingh is offline Registered User
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    two separate things actually - i would be very upset too if my 20th week scan was done by a midwife. it's a very important scan and a midwife has zero expertise and qualifications for it. i would have gotten the scan done again - either insist on another appointment in the public system or go private.

    regarding your delivery - the fact is normal uncomplicated vaginal births are handed to a large extent by midwives here. i have had friends who have delivered at matilda with their gynae coming in and going out. in one case the baby was delivered by the time the gynae arrived. i am not sure going private would help there.

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