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  #61  
Old 30.05.2017, 17:12
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Re: I am pregnant – What to expect when expecting in Switzerland

Thanks! Makes sense. I will try this.

Can I ask if you had to pay for your consultation appointments? Prior to deciding on which one to go with. Is this normal?
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  #62  
Old 30.05.2017, 19:36
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Re: I am pregnant – What to expect when expecting in Switzerland

No, I did not have to pay for them. The first one counted as a try out session for baby yoga (the midwife was also a baby yoga instructor), so it was for free. The other one also did not charge me, but might have charged the health insurance (as you actually have the right to consult a midwife while pregnant, covered by health insurance).

It was actually one of the toughest decisions of my life - they were as different as water and olive oil. One very young and very alternative, the other in her end 60's and more conservative. I went with the older one because, well, I'm not alternative and I loved the fact that she exhaled experience and confidence, and was also a lactation expert.

It might be in your interest to check for a mid-wife that is also a lactation expert, if you are intending to breastfeed.
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  #63  
Old 02.06.2017, 02:26
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Re: I am pregnant – What to expect when expecting in Switzerland

Hi there,

I am on my fourth pregnancy (third baby to be born in Switzerland).

you need to feel comfortable and the only way you will know which midwife is right for you is by asking questions. And ask yourself questions too and be honest!

really ask yourself these questions

do you want to deliver at home if possible or at a hospital
who do you want present at the birth
what kind of natural or medical ways do you want for comfort during the labour
do you want a water birth
do you want your spouse to be involved like cutting the cord, perhaps even being in the water pool with you
after the birth do you want to relax in a private room in the hospital for a couple of days where all your meals are served to you? or would this be just boring for you and you would prefer to go home as soon as possible to be with your hubby relaxing uninterrupted.

once you know what you expect out of your birthing experience then you can better ask the midwife questions to find someone or find the right place to give birth for you.

p.s. i have chosen to give birth at the hospital (frauspital in basel) and they are amazing all about natural child birth, and even have option for waterbirth. I will be doing my regular check ups with a midwife too at the hospital. My second son was born their and it was 100% natural. Really beautiful experience.


all the best, and good luck!
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  #64  
Old 06.07.2017, 19:38
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Re: I am pregnant – What to expect when expecting in Switzerland

Hello, I'm wandering if there is a common practice as far as general blood work for pregnant women goes. In my native country it's common, that the gynecologist sends blood for a check up. And they check the red/white blood cells count, thyroid hormones, cholesterol etc. Is that the same in Switzerland or does the woman have go to a general practitioner for that?
Thank you for your time&answer.
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  #65  
Old 06.07.2017, 20:54
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Re: I am pregnant – What to expect when expecting in Switzerland

Your gynaecologist will take blood samples on your first appointment (around 8 weeks pregnancy), and check for several things (among which iron levels, HIV and others). You will do blood test almost every consultation afterwards, but mostly to check sugar and iron levels only.

You don't need to do it in your family doctor.

Toxoplasmosis is not a default test. If you wish to be tested, you will have to pay it from your own pocket, as it's not on the list of included tests for pregnancy. It cost me 17 chf.
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Old 06.07.2017, 21:33
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Re: I am pregnant – What to expect when expecting in Switzerland

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Toxoplasmosis is not a default test. If you wish to be tested, you will have to pay it from your own pocket, as it's not on the list of included tests for pregnancy. It cost me 17 chf.
Mileage on that one might vary. My gynecologist has ordered it without being specially requested to, as part of her routine bloodwork at the beginning of all three pregnancies, and the (basic) insurance has always paid.
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  #67  
Old 06.07.2017, 21:42
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Re: I am pregnant – What to expect when expecting in Switzerland

I was the one who had to request it - since I am always surrounded by cats - and even though I have had cats since I was 9 years old, I was not immune In Portugal it's basically compulsory. I was basically forced to be away from the office cat, which was really hard

My insurance sent me the report of what had been paid, and they cited the fancy federal law of which tests *must* be covered, which basically means they scrubbed their hands in glee for escaping 17chf, simply because it's not "on the list"...

On the other hand, it's only 17chf
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  #68  
Old 06.07.2017, 22:09
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Re: I am pregnant – What to expect when expecting in Switzerland

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Toxoplasmosis is not a default test. If you wish to be tested, you will have to pay it from your own pocket, as it's not on the list of included tests for pregnancy. It cost me 17 chf.
Toxoplasma gondii IgG 17.40CHF, Toxoplasma gondii IgM 25.00CHF
In France test is every 4 weeks! In Italy at lest 3 times during the 9 months.
And yes, I can confirm: an entire life spent with cats, eating raw meat and you still can be not immune.
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  #69  
Old 07.07.2017, 04:30
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Re: I am pregnant – What to expect when expecting in Switzerland

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And yes, I can confirm: an entire life spent with cats, eating raw meat and you still can be not immune.
This!
I imagine people who have cats, don't just give them away if they get pregnant. They just practice normal hygiene. Especially if it's an indoor cat. Cats get it from food/earth as well anyway.
I also have a friend and she works as a volunteer with stray cats since she was 18. Plus after 20, 18 years in an animal shelter. Basically taking care of 100+ cats every day. Not all of them are healthy. Plus home assistance with other volunteers, cat hoarders etc. No immunity! So I'm not sure, what do you have to do. Perhaps eat the actual cat poop (from a sick cat in those first two weeks or so) as a kid maybe
Eating raw meat or unwashed veggies might be a bigger problem. Especially if you go out to eat. Luckily Switzerland is expensive

Last edited by Fuzzfriendly; 07.07.2017 at 04:41.
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Old 09.07.2017, 15:27
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Re: I am pregnant – What to expect when expecting in Switzerland

So far I've been getting blood work done every appointment. And yes, you can ask for extra blood work while you are there. I have not done the Toxoplasma test yet, mostly because even if they do detect it there is not too much that can be done at that point... and no telling if it is actually affecting your baby or how much.

I think I will do it next time. As we also have two young kittens. My husband changes the litter box and I take normal hygiene precautions.

I have another question. Once the baby comes when and how often do you need to go to a pediatrician? Also does anyone by chance have a recommendation of a good pediatrician in Winterthur?
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  #71  
Old 10.07.2017, 09:14
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Re: I am pregnant – What to expect when expecting in Switzerland

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I have another question. Once the baby comes when and how often do you need to go to a pediatrician? Also does anyone by chance have a recommendation of a good pediatrician in Winterthur?
Once your child is born, you will receive the child-health-book, with all the information, including when exactly to visit the doctor.

Your first appointment will probably be still in the hospital, or within the first week. Then, theoretically:

1 Month, 2 Months, 4 Months, 6 Months, 9 or 12 Months, 18 Months, 24 Months, 4 Years, 6 Years, 10 Years and 14 to 16 Years.

My paediatrician skipped some in between, since the sprout is healthy enough. In some of these the vaccinations will be done (hence the importance to find an appointment at the proper time).

It's important to contact the doctor of your choosing before the child is born to confirm they have a spot for you. Sometimes (actually rather often) good doctors can't take any new patients.

For the Swiss Vaccination Plan, you can check here (DE, IT, FR):

https://www.bag.admin.ch/bag/de/home...-impfplan.html
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  #72  
Old 14.07.2017, 09:53
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Re: I am pregnant – What to expect when expecting in Switzerland

Thanks! This is helpful! I'm 34 weeks pregnant and although I've been trying to stay ahead of the curve ... it just seems preparations are endless. So much to still do before this little bundle of joy arrives!
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  #73  
Old 16.07.2017, 12:24
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Re: I am pregnant – What to expect when expecting in Switzerland

Does anyone know, if any tests are made for assessing possibility of Down Syndrome? In my country they test every woman older than 37, if you are younger, you have to make an appointment and pay the test on your own. Not yet a concern, but just to know ... thank you!
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  #74  
Old 16.07.2017, 13:17
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Re: I am pregnant – What to expect when expecting in Switzerland

They will preform the nuchal translucency scan between the 10th and 14th week of pregnancy. There will also be a triple blood test between 11th and 16th week, which will give you a probability of trisomy - but these are still probabilities, not definite diagnosis. These are covered by your insurance. You may refuse to be tested if that is your wish.

If there are strong causes for concern, they might advise an amniocentesis. You can also do a DNA test through the mother's blood, but that one is a) not definitive as the amniocentesis is b) must be paid out of your own pocket (costs between 1600 to 2000 chf, depending on how many syndromes you test for).

Some insurances cover partially the tests for women over 35.
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  #75  
Old 16.07.2017, 21:50
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Re: I am pregnant – What to expect when expecting in Switzerland

Hi everyone,

I have some questions about how to pay your medical bills ( with regard to pregnancy ).

Firstly, I have basic insurance and supplemental insurance. The basic insurance has a high deductible. So, under normal circumstances we would pay everything out of pocket until we reach the deductible.

My doctor & midwife told me that everything will be covered by insurance after 13 weeks of pregnancy ( this includes any illness I would get , such as a cold. ) Basic insurance has also confirmed this.

I had the first trimester blood tests, ultrasound and a Pap smear done at the hospital by my doctor (around 10 weeks).

I got the bill for only some of the blood tests, and a separate bill for the Pap smear screening, and no bill yet for the ultrasound.

I sent both bills to both insurance companies ( basic and supplemental ) with 'Mutterschaft Kontrol' on the bills for explanation. I received a letter back from the basic insurance saying that the Pap screening wouldn't be covered as they consider it preventative care. However, the doctor did it as part of the pre-natal screening to make sure everything looked normal.

I haven't heard anything back about the blood tests yet (which should be covered as they are 'listed' tests), and I haven't heard anything from the supplemental insurance about either bill.

My supplemental insurance should cover some costs for doctor's visits ( but I'm not sure ).

So, my question is should I go ahead and pay for the bills or wait until I hear back from the insurance companies ? Usually, they only give 10-30 days to pay the bills .

I don't know if I should pay first and then I get reimbursed, or if the insurance companies should pay first and then I would pay what ever they do not cover.

Thanks,
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  #76  
Old 19.07.2017, 20:06
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Re: I am pregnant – What to expect when expecting in Switzerland

*Update*

I received a letter from the basic insurance today, and they will pay for the blood tests. Yay

In the past, my previous insurer has paid the bills directly, but this insurer has sent me a re-imbursement form to fill out and send back.

I still haven't heard anything from the supplemental insurance. So, I will have to contact them again and ask about the coverage for the pap smear screening as the basic insurance refused it.

For those interested, here is the Analysenliste updated as of 1 July 2017 (German) on the bag.admin.ch website .

https://www.bag.admin.ch/bag/de/home...ysenliste.html

I had found a short list online of the exact blood tests covered for maternity, but that was a month or so ago, and I can not find it again.

Also, on Swissmom.ch I found an article that talks about your first pregnancy exam and it states " Ein Krebsabstrich wird durchgeführt " a cancer smear will be carried out as part of the prenatal testing.

So, I wonder if I can appeal the decision of the Pap smear screening with my basic insurance ?

Here is the article on Swissmom.ch if you'd like to read further :
https://www.swissmom.ch/schwangersch...ntersuchungen/

HTH
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  #77  
Old 13.08.2017, 21:30
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Re: I am pregnant – What to expect when expecting in Switzerland

Help, I tested myself yesterday and got a positive on the little stick. This will be my first time, and I've got no clue about it all. I am new to Switzerland as well.

I am insured with the basic insurance. I'm still on an L Permit, waiting to be married in 2 months and then I can change to the B Permit.

Who should I see now? A GP? Should I find a hospital? A gynaecologist? Will I give birth at the same hospital where I go for my first visit?

My fiancé also has no clue, and I would need a doctor who speaks English. If my fiancé looks for the information it'll most likely be in German. We don't want to accnounce this news publicly yet since it's too early on, so he can't ask his other Swiss friends who have had the experiences yet.
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Old 13.08.2017, 22:28
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Re: I am pregnant – What to expect when expecting in Switzerland

Congratulations!!

You'll want to find a gynecologist, they will schedule you for an appointment based on when the first day of your last menstrual cycle was.

You dont have to see a GP and your gyno will provide you with all other relevant information.

Since you are on an L permit I assume you are already insured? I don't believe a change in permit from L to B will chance anything but someone else can comment on this.
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  #79  
Old 13.08.2017, 23:18
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Re: I am pregnant – What to expect when expecting in Switzerland

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Who should I see now? A GP? Should I find a hospital? A gynaecologist? Will I give birth at the same hospital where I go for my first visit?
You want to visit a gynaecologist. You do not need to go to the GP beforehand, go directly to the gynaecologist. They, however, will not want to see you till you are about 8-10 weeks. You can, however, already call to book an appointment.

If you do not have a doctor yet, you might want to call around, perhaps even check with your insurance, because in some areas they have no vacancies. If you want someone that speaks English, either tell us exactly which area you are looking for one and perhaps someone has some advice, or call the doctors around your home and ask before hand if they have anyone in their clinics/practice that does speak English. Please get someone you can talk to - there will be for certain certain times you will consult with the doctor without your boyfriend/fiancée around, so it's good to understand what is going on on your own.

Be aware that this doctor will not necessarily assist the birth.

Basic insurance covers all the basics of the pregnancy, just take a look at the very first post, as there is already a pretty compiled list there
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Old 13.08.2017, 23:34
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Re: I am pregnant – What to expect when expecting in Switzerland

Thanks a lot! I'm insured with SWICA. I'll give them a call!

I'm in Wädenswil, 20 mins south from Zürich. But I go to Zürich regularly for German classes. Any recommendations are welcome!

I don't even know how many weeks / days I'm preggy for... how will I know without an appointment?

Last edited by qomototoro; 13.08.2017 at 23:49.
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