I help women and their partners who are overwhelmed to navigate their options and find pregnancy, birth and postnatal care that works for them

 
 

Are you deciding where to have your baby and trying to understand what your options are?

 

scroll down and you will see where i have described a whole range of options and what they might look like in practicality

there are always other options or variations in different areas so please feel free to let me know if i have missed something and i will update this.

*Some private obstetricians may have midwives, nurses or other professionals they work with included in their care.

* Registered midwives in Australia Collaborate and refer with obstetricians and other health professionals if pregnancy has complexities or there are concerns

* None of the below are to be considered recommendations. I have simply listed most known options in the interest of complete and free information and not censoring your knowledge of choices. 

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These are called 'models of care' in birth industry speak

1. Private obstetrician in a private hospital

PREGNANCY CARE:

Usually in private doctors office

BIRTH CARE:

Either in theatres or in birthing suite in hospital. Cared for by a midwife in labour. Doctor called for any complexities, and usually present for birth (about 70% chance)

CARE AFTER YOU HAVE A BABY:

Hospital ward with midwives and nurses. Doctors might visit a couple of times during your stay. Often a private room, sometimes shared.

2. Private obstetrician in a public hospital

PREGNANCY CARE:

Usually in private doctors office

BIRTH CARE:

Either in theatres or in birthing suite in hospital. Cared for by a midwife in labour. Doctor called for any complexities, and usually present for birth (about 70% chance)

CARE AFTER YOU HAVE A BABY:

Hospital ward with midwives and nurses. Doctors might visit a couple of times during your stay. often a private room, sometimes shared.

3. Midwives clinic in a public hospital

PREGNANCY CARE:

Might be a clinic where you have the same midwife each visit, or may see different people. usually in a hospital but sometimes clinic is at a different location

BIRTH CARE:

Either in birthing suite in or theatres in hospital. Cared for by a midwife in labour. Doctor will be available if needed.

CARE AFTER YOU HAVE A BABY:

Hospital ward usually with midwives, sometimes nurses. Doctors might visit if needed. After leaving hospital midwives may visit you at home for a week or so after you have your baby


 
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4. Doctors clinic in a public hospital

PREGNANCY CARE:

This is generally for women whose pregnancies have been flagged as "high risk". This might be a combination of seeing midwives and doctors, or you may see doctors exclusively. You might not 'opt in' for this care. you may be seeing a midwife for the first part of your care and then as a complexity arises be offered or recommended to move into this model of care.

BIRTH CARE:

Usually in a birthing suite in hospital. Cared for by a midwife in labour. Doctor called for any complexities, and may be present for birth if needed.

CARE AFTER YOU HAVE A BABY:

Hospital ward with midwives and nurses. Doctors might visit a couple of times during your stay. Often a private room, sometimes shared.

5. Midwives clinic/GP shared care

PREGNANCY CARE:

This is a combination of appointments with your GP (family doctor) and a midwives clinic. You may see the same midwife each visit, but might not. 

BIRTH CARE:

Usually in the birthing suite in hospital. Cared for by a midwife in labour. Doctor called if needed, usually midwife present at birth.

CARE AFTER YOU HAVE A BABY:

Hospital ward with usually with midwives. Shared room usually. After leaving hospital midwives may visit you at home for a week or so after you have your baby

6. Team midwifery/group practice midwifery

PREGNANCY CARE:

A group of midwives work together. You may have one specific midwife caring for you or may share your care among the group. 

BIRTH CARE:

In birth centre or birthing suite in hospital.

CARE AFTER YOU HAVE A BABY:

Birth centre and/or hospital postnatal ward usually with midwives. Shared room usually. After leaving hospital midwives may visit you at home for a week or so after you have your baby.


7. Public Birth Centre

*some birth centres are in hospitals, others are separate, called 'stand alone'

PREGNANCY CARE:

Usually in the birth centre.

BIRTH CARE:

In birth centre. (transfer to birth suite or external hospital if needed)

CARE AFTER YOU HAVE A BABY:

Often women stay a short time in birth centre (overnight) and then return home. Sometimes a longer stay happens in the postnatal ward (if birth centre is housed within a hospital). After leaving midwives may visit you at home. The number of times will vary.

8. Private midwife in hospital or birth centre.

PREGNANCY CARE:

Either at your home or the midwife's clinic in community.

BIRTH CARE:

In birth centre or birth suite in hospital.

CARE AFTER YOU HAVE A BABY:

Hospital, birth centre or at home (this will be planned in pregnancy). Your midwife will continue to care for you until about 6 weeks after birth.

9. Private birth centre (with group or team midwives)

PREGNANCY CARE:

Usually in the birth centre.

BIRTH CARE:

In private birth centre (transfer to hospital if needed).

CARE AFTER YOU HAVE A BABY:

You may stay in birth centre or go directly home. Some birth centres will welcome your family to stay with you. After leaving midwives may visit you at home or you may return back to clinic for postnatal care.


10. Private midwife at home 

PREGNANCY CARE:

Either at your home or the midwife's clinic in community.

BIRTH CARE:

At your home (transfer to hospital if needed).

CARE AFTER YOU HAVE A BABY:

At your home. Your midwife will continue to care for you until about 6 weeks after birth.

11. "Free birth" or no medical care.

PREGNANCY CARE:

No specific care. Some women will engage in antenatal care at a hospital, gp's clinic or with midwives. Others will do self-care to varying degrees. The main difference is that women as individuals decide when and how much they will engage in testing, observations and monitoring mother and baby.

BIRTH CARE:

At home. friends, families and other birth support may be present but no midwife or doctor.

CARE AFTER YOU HAVE A BABY:

At home

Additional care option:

Doula/ Birth and postnatal attendant

A doula is a non-medical person with skills and knowledge to help you in pregnancy, birth, after birth and with baby baby. Their focus is on physical, mental and emotional support all through.

They may also be antenatal educators, therapists or have other skills to help you. Doulas usually provide information and space to mull over your decisions. They do not direct you or recommend/discourage any medical interventions.

They can work with you in partnership over all models of care and at all places during pregnancy, birth and after birth.

A doula is employed by you personally and you can hire them at any time in pregnancy. The benefit to hiring a doula earlier in pregnancy is they can help you navigate through this time. Doulas are usually a good source of information about what is available in your local area.


 

Feeling the overwhelm?


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I am really happy to help!

I can cut out some of the noise and help you:

  • Research your options in your local area.

  • Give you some direction for what to ask and where.

  • Hook you up with the right professional for you.

  • Hold your hand step-by-step to find the best option for you in your circumstances.

  • Connect you to some caring and knowledgeable doulas in your local area.

  • Basically be your savvy friend to help you navigate your options.

 
 

How does this work?

1. Initial meeting. (50-60 minutes). We will spend this time via skype or zoom and discuss your specific thoughts, feelings and needs. We will take into account your needs around birth, your location and financial situation.

I will keep notes of this meeting to help me. At the end of this meeting we will make a plan regarding what you specifically nee me to help with and when this will be returned to you.

2. I will follow up with our plan.

3. A returned phone call for 20-30 minutes with detailed plan as discussed AND email with summary of options including cotnact details.

 

All you need to do is send me a quick email or call me and I'll guide you through the rest.