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  #141  
Old 23.07.2008, 14:08
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

To quote Josh Billings, “The trouble with people is not that they don’t know but that they know so much that ain’t so.”
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  #142  
Old 25.07.2008, 17:52
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

Does anyone have any recent experience of antenatal care/childbirth in Basel and surrounding area? We will be living in Pratteln and neither of us speak any German so would be looking for somewhere where the staff would have at least a basic level of English.
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  #143  
Old 30.07.2008, 11:12
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

There seems to be a lot of criticism of the UK health system here. I know that things are not necessarily the best but my wife had pre-eclampsia and had to deliver by c-section at 30 weeks. The twin boys are now 32 months and doing well. In an emergency the NHS do pull out all the stops!
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  #144  
Old 31.07.2008, 10:37
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

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There seems to be a lot of criticism of the UK health system here. I know that things are not necessarily the best but my wife had pre-eclampsia and had to deliver by c-section at 30 weeks. The twin boys are now 32 months and doing well. In an emergency the NHS do pull out all the stops!
I would say that there is a difference between ‘care’ and ‘emergency care’.


As explained to me by numerous Dr and nurses, British and ‘on consultative loan’ American to the NHS as well as our German midwife that worked there…

The NHS is probably the foremost provider of emergency care, its down to a huge raft of reasons, things like it treats military casualties, it’s a state system so doesn’t have to worry about the patient not being able to afford their much needed plasma and so on.

However, when it comes to general care, it is very poor, given that births are generally routine and not emergencies therefore we often see a very pitiful state of affairs, my sister in law just recently gave birth after 36 hours, 2 epi’s and it was a horrific experience, likewise, my sister is now pregnant at 5 months and IIRC still doesn’t know what a scan is..

An American Dr explained it to me in some detail that “things that we would treat as urgent in the US, like an ulcer are not treated as urgent in the UK”. The US logic is “lets tackle this before it gets worse”, the British logic is “its not urgent, take two pills, if it gets worse then we’ll escalate our level of care” which means that (a) care is perceived as worse when in fact it is well within “safety guidelines” and they know that if it gets worse, there is an excellent emergency surgery team to “fire fight” the problem. And of course they are excellent because they get all the practice they need because the care is ‘poor’…

FWIW, for day-to-day care and Doctoring, I would prefer to be a patient in CH or DE or FR. If its emergency life saving care we’re talking about, I would want to be in the UK. And then convalesce back in CH..

Lastly, nearly all Dr’s I’ve spoken to are very critical of the private UK birthing hospitals. I understand mostly because they get so many emergency calls from them when they cock up and the NHS has to save the baby/mother.
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  #145  
Old 31.07.2008, 11:21
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

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Exactly my point aimed at poster on post number 124 ("I had a 36 hour labor which I think would have been closer to three if I had stayed home as the constant intrusion of new staff and having to change rooms was what made laboring impossible in the hospital,").
While "post 124" could have been written a bit clearer there is a lot of truth in what she is saying. Remember giving birth is not just the "pushing part" which a lot of posters are referring to above.

There are 3 phases of labor, pre-labor where the mother can experience braxton hicks, period like pains and start dialation, the central phase (usually where dialation goes from 3 - 10cm) takes place and the final phase (the infamous "pushing phase").

Also the uterus is made up of 3 layers. One layer of vessels/muscle which is responsible health of the baby and amniotic fluid. A second vertical of muscle and a third horizontal layer of muscle. It looks a bit like a chinese latern!

During the first 2 phases of labor ( pre labor and the central phase) the vertical muscle pulls up the horizontal muscle causing the cervix to open. For this to happen smoothly and successfully it is important for the mother to be relaxed. If the mother is not relaxed she can clench and unwittingly work against the birthing muscles as she is preventing the horizontal muscle moving up. So by the mother becoming nervous (which could be triggered by a noisy hospital environment) a 3 hour labor can become a 36hour labor as she actively prevents the horizontal muscle moving back and ironically causes her contractions/surges to be more painful. It is important for a birthing environment to quiet and peaceful and also important that the mother doesnt have to change environment too much so that she can concentrate on being relaxed.

For anyone who's really interested in this and interested in natural birth - I can really recommend hypnobirthing.

I gave birth in hirsladen in Zurich - they were very good and considerate to our birth requirements.
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  #146  
Old 31.07.2008, 12:17
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

Did you say Hippobirthing?

http://farm1.static.flickr.com/31/54...29df90.jpg?v=0

Sod that...
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  #147  
Old 31.07.2008, 12:28
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

In fact, here's their thing on the web:

http://photos-h.ak.facebook.com/phot...177639_580.jpg

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  #148  
Old 31.07.2008, 12:45
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

LOL - very funny -
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  #149  
Old 01.08.2008, 20:45
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

A very hot tip for "to be mums" in Stadt Zürich. I hope it is still valid. If you have an "allgemein Krankenkasse" but your gynacologist is private, he will still have to assist you at birth. All private doctors have a certain amount of "allgemein" patients they have to "assist". Just ask him/her straight out if he/she has done their amount of "allgmein" patients this year

I found that out as I was chatting to my best friend in a tram telling her that my doctor wasn't going to assist at birth if I didn't have 25'000 francs. The lady behind me, tipped me on the shoulder and gave me this information, which I used and "abused" My Gyno assisted the birth of my babies and it cost me "nothing"
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  #150  
Old 02.08.2008, 17:36
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

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A very hot tip for "to be mums" in Stadt Zürich. I hope it is still valid. If you have an "allgemein Krankenkasse" but your gynacologist is private, he will still have to assist you at birth. All private doctors have a certain amount of "allgemein" patients they have to "assist". Just ask him/her straight out if he/she has done their amount of "allgmein" patients this year

I found that out as I was chatting to my best friend in a tram telling her that my doctor wasn't going to assist at birth if I didn't have 25'000 francs. The lady behind me, tipped me on the shoulder and gave me this information, which I used and "abused" My Gyno assisted the birth of my babies and it cost me "nothing"
In Bern my doctor is semi private, and i believe the law here is just that, if your doctor is from a certain hospital, they have to admit you in thier hospital for the delivery. Since my Doctor works through Lindenhof, i can deliver at Lindenhof... Ahhhh, nice healthcare, much less crowded, and much better then the Frauen clinic here in Bern. I hear that the inselation is soo weak there, the neighbors can hear the women screaming through thier deliveries. I think i would be scared hearing a women down the hall screaming at her husband in german "dont you ever put that thing near me again, im gonnna cut it... ahhhhhhhhhhhhhhhhhhhhhhhhhh!!!!" lol
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  #151  
Old 02.08.2008, 19:29
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

Well, I don't know about the islolation there, but it took me 1 entire week to deliver my first son and I know they could hear me OUTSIDE the hospital, down the road lol!
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  #152  
Old 02.08.2008, 20:02
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

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Well, I don't know about the islolation there, but it took me 1 entire week to deliver my first son and I know they could hear me OUTSIDE the hospital, down the road lol!

Sorry to hear that. Of everyone i know, it took a few days for thier first to be born, but yours is the first i heard of that took a week. He was just afraid of the light down the tunnle ).
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  #153  
Old 03.08.2008, 08:47
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

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There are 3 phases of labor, pre-labor where the mother can experience braxton hicks, period like pains and start dialation, the central phase (usually where dialation goes from 3 - 10cm) takes place and the final phase (the infamous "pushing phase").
You seem to have forgotton that the last stage of labour is actually the delivery of the placenta. I completely fogot about this at the time and said "and what are you doing now?!!"
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  #154  
Old 03.08.2008, 08:56
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

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You seem to have forgotton that the last stage of labour is actually the delivery of the placenta. I completely fogot about this at the time and said "and what are you doing now?!!"
Ahhh, the second birth... Tea´s up!
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  #155  
Old 16.12.2008, 19:37
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

hi,
Forgive me if there are already answers to the questions in the thread. Too long, too many for me to check all. The questions are:

1. I have been told by my insurance agent that my wife needs an additional insurance to cover complications during the delivery. I think I roughly know what it is -- something beyond normal delivery needs I guess .. example premature birth etc. I thought this was already in the insurance coverage she has. It came as a surprise to me. Do I really need it? All other friends that I asked, have no idea about it.

2. Until today, I thought that all costs related to birth covered by the insurance 100%. Now, I have been told by my insurance agent that I need to bear 20% of the total cost for max of 4000CHF for semi private room, and up to 35% or max 7000 CHF for private room. Opps .. another surprise. Does any one else share the experience with the cost? btw, how much is does Caesarean cost roughly ???

Both my wife and I have a CSS insurance.

Thanks for any insight into this. We have to sort all this out asap as the baby is due 3rd week of Jan.
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  #156  
Old 16.12.2008, 19:48
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

Well hopefully someone who knows more about the insurance thing will come along but I would be wary of your insurance agent. I have never heard of needing extra insurance for birth complications. If you want a semi-private or private room though I wouldn't be surpised if you have to pay extra unless you already have that option on your insurance.

Have you thought about a home birth? You get all the privacy you want there and don't even have to get out of bed to go home afterwards!

Hope everything goes well.

Mairi
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  #157  
Old 16.12.2008, 20:19
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

Hi well for me all that insurance told you is not correct.(well my company maybe is diferent)
For some "extras like private or semi private room you normally need make the contract before the pregnacy ( 12 months)
Also the conplications are supposed to be covered by the insurance company...the only thing you need is make before your baby make the ensurance contract.
i have Avanex.
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  #158  
Old 16.12.2008, 21:39
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

My insurance has certainly not mentioned I need to pay extra in case of complications and they have paid up for all my doctor visits and scans so far. I know you need to take out baby's health insurance before the birth. We've just done it and I'm not due till the end of February.

When I visited the hospital they ran through the costs if I wanted to upgrade to semiprivate or private room. To be honest my hospital's basic room only has three people in it so personally I don't think it's worth the money.
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Old 16.12.2008, 21:56
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

I am no expert but I also would be VERY cautious about what your insurance agent told you. My knowledge of the system is that a routine healthy pregnancy, birth and after-care is covered by the government. This means the scheduled monthly appointments, blood tests, scans and supplements (eg. iron tablets) during the pregnancy. The birth is also totally covered for as is the after-care of up to 10 home visits by a mid-wife (either appointed by the hospital or personally chosen by yourself).

The only time you pay extra is if you are on a "low cover" and you wish to up-grade. For example although I had 1/2 private we did not meet the qualifying period, therefore effectively I was on the most basic cover of health insurance. So I was seeing a ob/gyn at the local hospital. This hospital offered an "upgrade option". It meant we paid 800CHF to have a private room. Otherwise I would have shared with another mother.

I think if you choose to have a c-sec you also pay but I am not sure how much. I was told the cost of elective c-sec is cheaper than paying the 12months of half or full private cover. But then again this is second hand info passed on to me.

If you need a c-sec you are covered by the government.

Good luck with it all...enjoy the last few weeks with your wife. Sleep in, indulge in going out for a meal/movie/shopping, spend lots of lazy hours on the couch and just enjoy each others company...
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Old 17.12.2008, 02:04
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Re: Birth experience in Swiss hospitals/clinics -advice/tips/stories?

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I am no expert but I also would be VERY cautious about what your insurance agent told you. My knowledge of the system is that a routine healthy pregnancy, birth and after-care is covered by the government. This means the scheduled monthly appointments, blood tests, scans and supplements (eg. iron tablets) during the pregnancy. The birth is also totally covered for as is the after-care of up to 10 home visits by a mid-wife (either appointed by the hospital or personally chosen by yourself).


Really? Because that doesn’t match a single iota of our experience. I got a CHF 14K bill from the hospital which went straight to the Insurance Company. I also got a bill from the Doc, that was about 2.5K and that went the same way. The Insurance company then billed me for about 4K being about 25% of the hospital bill which is an agreement of our policy (75% coverage or some such up to a max of 10K or something – I’m not a accurate about the numbers because I just seem to pay bills every sodding day in this country).

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Good luck with it all...enjoy the last few weeks with your wife. Sleep in, indulge in going out for a meal/movie/shopping, spend lots of lazy hours on the couch and just enjoy each others company...


Well that’s one idea, or the other could be to go out with the lads as much as possible because you won’t be doing that again for a very very long time!
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