The Lowdown on Giving Birth: NHS vs Private

Giving Birth: Private vs NHS – What You Need to Know

Having a baby can be one of the most amazing experiences in a woman’s life. But let’s face it, it can also be pretty scary and overwhelming. Recent stats from the Care Quality Commission (CQC) claim that almost two-thirds of England’s maternity units have substandard care, putting mums and babies at risk. Add to that staff shortages, strikes, and a financial crisis, and it’s no wonder people are losing faith in the system.

Tory MP Theo Clarke shared her birth story, and while the doctors and nurses were great, the aftercare left her traumatised. It’s like a postcode lottery – some places have the right support, others don’t.

In 2022, there were over 600,000 live births in England and Wales. While it’s generally safe, there were still 1.4 baby deaths per 1,000 live births in 2021.

Feeling out of control is a common complaint from parents. Knowing your options – NHS, private, or a mix of both – can help ease fears and empower you to make the best choices for you and your baby.

Here’s what you need to consider:

1. Antenatal Care
Under the NHS, you’ll get up to 10 antenatal appointments, but you’re unlikely to see the same midwife each time. Private or independent midwives offer continuity of care, which has been shown to be protective for mums and babies. Private hospitals also provide midwife-led care, recommended for low-risk mums. Consultant-led care is for patient choice or when there are complications.

2. Scans and Blood Tests
The NHS offers ultrasound scans and blood tests. Private hospitals offer similar tests and more, like gender scans and 3D/4D/5D scans.

3. Hospital Experience
The expertise of the obstetrics team is generally high in both NHS and private hospitals. Private maternity care offers extra amenities and consistency, but it comes with extra costs. Private hospitals may not have all the facilities for emergencies, so you could be transferred to an NHS hospital if needed.

4. Private Amenity Room in an NHS Hospital
If you can’t afford private care, you can opt for a private NHS amenity room next to the maternity ward. They’re basic but offer a bit more privacy and comfort.

5. Postnatal Care
In the NHS, mum and baby stay in a postnatal ward until discharge, then the community team visits. Private care can include home visits from day one, a six-week health check, and more support. You can also pay for additional support from a private midwife, doula, breastfeeding counsellor, or night nanny.

FAQs:
– You don’t need to go private from the start; it depends on your needs and situation.
– Home or water birth can be discussed with your midwife or GP.
– Private rooms in NHS hospitals are available but depend on availability.
– The NHS allows one to two birth partners, while private hospitals are more flexible.

So, whether it’s NHS, private, or a mix, the most important thing is to feel supported and empowered during this life-changing journey.