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Which hospital to choose

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Comments

  • #52
    shesty
    Moderators, Recreation & Hobbies Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 6,914 Mod ✭✭✭✭shesty


    The 20 week scan should be included but isn't in (I hope) a small number of hospitals-seems to be related to staffing issues??It is important and should be done, and if you are deciding between three hospitals, then it's worth asking the question.If you are going public all those scans and appointments should be free, if private it's an upfront fee for the consultant that should cover everything (although I know this can vary slightly between hospitals, some have extra charges for bloods etc for private patients).

    I'd be a bit wary of stats too.I think there was a report on the C-section rate alright, but I haven't drilled into the numbers....so be wary of stupid distortions like Kilkenny may have had a 50% C-Section rate out of 200 patients (which is 100 in total), but say Holles St may have had a 10% rate out of 2000 patients, (which is 200 in total) so......it really depends on what data is being used.(pulling numbers out of the air btw.)

    As someone else said, you aren't sick.There is one outcome here, that a baby is delivered.If you really want to compare, I'd consider location and proximity to yourself, scans offered and if a NICU is in the hospital, maybe if a midwife scheme is offered if you would like that.Unless there is some major proven issue with a hospital that you are aware of, there isn't much else to consider.


  • #53
    Gatica
    Registered Users, Registered Users 2 Posts: 3,300 ✭✭✭Gatica


    shesty wrote: »
    As someone else said, you aren't sick.There is one outcome here, that a baby is delivered.

    I think for some people this is an important consideration beyond just getting a healthy baby. I don't think it's too much to ask to have a positive birth experience, where your wishes are honoured, where you have choices and controls over the type of care you receive, whether you end up with C-section or easy natural birth. Even where women are asked for consent for procedures or examinations and are made aware of it rather than telling them that this is what's happening and that's that, sign on the dotted line.
    If you want a medical approach with epidural and coached pushing, then your choices of care and, therefore, hospital preference may be different from someone who wants low-intervention, no pain relief unless they feel they really need it and to be allowed space and time to progress naturally. Obviously choice may be wider if you're up in Dublin or between 2 hospitals, and more limited if you're living right beside one already anyway.

    I do believe statistics are helpful in this regard irrespective of the actual numbers (unless you're talking 1 in 10 C-section, vs, say, 20 out of 200, as the number is too low to be statistically robust), as this may show a trend at a particular hospital and the attitude and culture of staff there.


  • #54
    shesty
    Moderators, Recreation & Hobbies Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 6,914 Mod ✭✭✭✭shesty


    I did consider saying a "safe" delivery but so many people have differing views on that-everyone wants a safe delivery and for some people that might eventually mean getting the baby out no matter what, vs people who are traumatised because their wishes aren't heard or they feel the process is done to them, so to speak.I don't know if there is any good way to judge that from the few reports that exist though.


  • #55
    blindside88
    Registered Users, Registered Users 2 Posts: 1,968 ✭✭✭blindside88


    Thank you everyone for your input, we met with the GP today who advised that in her opinion we should go between a Dublin maternity hospital or Kilkenny. Her reasoning was that if god forbid there was an issue, the child would be transferred to Dublin so picking here would mean the mother and baby are close by. Kilkenny being the easiest accessible hospital so choose here if speed of access is the most important. My wife was leaning towards Kilkenny as she works here and it’s close to home so she was conscious or being able to get their quickly in an emergency. In the end we decided that my wife being at ease throughout the pregnancy was most important so we chose Kilkenny to take one worry off her mind. Thanks again for the input


  • #56
    blindside88
    Registered Users, Registered Users 2 Posts: 1,968 ✭✭✭blindside88


    Also just to note, the gp advises that St Luke’s in Kilkenny do the anomaly scan at 27 weeks but we can request it be done at 20 weeks which we plan on doing


  • #57
    Abba987
    Registered Users Posts: 312 ✭✭Abba987


    [Deleted User] wrote: »
    I understand the hypocrisy. And the payment to avoid is worth it in my opinion. But again, I'm not talking about the delivery room, it's the run up to it.

    You don't have to pay to avoid it ?


  • #58
    shesty
    Moderators, Recreation & Hobbies Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 6,914 Mod ✭✭✭✭shesty


    blindside88 wrote: »
    Also just to note, the gp advises that St Luke’s in Kilkenny do the anomaly scan at 27 weeks but we can request it be done at 20 weeks which we plan on doing

    From past experience in the Rotunda, it apparently needs to be done between 20-24 weeks, as the baby grows too much for them to see everything they need to after that (just what I was told by the hospital, I don't know details I'm afraid), so maybe keep that window of time in mind when you request.I'm glad you found somewhere you are happy with.


  • #59
    iamwhoiam
    Registered Users, Registered Users 2 Posts: 16,155 ✭✭✭✭iamwhoiam


    shesty wrote: »
    From past experience in the Rotunda, it apparently needs to be done between 20-24 weeks, as the baby grows too much for them to see everything they need to after that (just what I was told by the hospital, I don't know details I'm afraid), so maybe keep that window of time in mind when you request.I'm glad you found somewhere you are happy with.

    I was at a scan recently with a family member and the Prof said the ribs thicken at about 24/25 weeks and its more difficult to see the heart after that

    ( this was not the usual anomoly scan which was done at 21 weeks )


  • #60
    shesty
    Moderators, Recreation & Hobbies Moderators, Social & Fun Moderators, Society & Culture Moderators Posts: 6,914 Mod ✭✭✭✭shesty


    Yes, I was told the above on my second where she was turned in an odd direction at the anomaly scan around 21 weeks and the sonographer told me I had to come back and it had to be by 24 weeks or she wouldn't be able to see the parts of the heart that she needed to, so sounds about right.


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  • #61
    jlm29
    Registered Users, Registered Users 2 Posts: 3,818 ✭✭✭jlm29


    shesty wrote: »
    Yes, I was told the above on my second where she was turned in an odd direction at the anomaly scan around 21 weeks and the sonographer told me I had to come back and it had to be by 24 weeks or she wouldn't be able to see the parts of the heart that she needed to, so sounds about right.

    It’s funny, because when I went for my anomaly, the sonographer couldn’t see the heart properly because of position, but she said that the later the better for me to find back, because it gets easier to see what they need to see.


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