Happy Monday everyone! So today I would like to talk about the difference between NHS care vs private that I been able to conclude on so far. Overall, I’ve had five appointments with my private doctor and  three with the NHS midwifes. My private appointments are quite short and to the point, surprisingly my doctor (who is also a fetal medicine specialist) seems quite distant and cold.
I do find it often with people who are “overly qualified” be it a celebrity hairdresser, a sought after doctor at Harley street or anyone similar to be somewhat arrogant as they are so used to people paying loads to see them and/or being on a waiting list. So, I think this is perhaps same situation with my current doctor.

I’m trying my best to form a warm relationship with her, but it seems like she doesn’t really care much about me, and just waits for me to ask  questions as opposed to asking me how I am or giving me information. So I have to say I’m quite disappointed. Not sure how I will change that at the moment.
In constrast, when I have been to those few appointments with the NHS midwifes, yes it has always been different midwifes, but they are all very friendly and caring and made me feel at ease. So this factor really surprised me, I’m thinking that perhaps when I have my next child I will just book a hospital for delivery and not go for the whole ‘package’ with the private doctor.

Another difference is that NHS midwifes have fewer scans, fewer appointments and just do what is ‘absolutely necessary’ and with the doctor you will have more appointments, scans etc. It also depends on the hospital you are using, Chelsea and Westminster is probably one of the best in England, if not the best. So, something also to keep in mind.

At 20 weeks a pregnant woman is required to do an anomaly scan. I have done it privately at 16 and will do it again at 18 and possibly 20 weeks. Not sure it is necessary, but I guess sometimes it is better to be sure that your baby is healthy. NHS does it only once- at 20 weeks.  

Anomaly scan takes a close look at your baby and your womb to check that your baby is developing normally, and look at where the placenta is lying. If there is a problem with your baby it will help the hospital team to know in advance, so they can make sure your baby has the right care as soon as they are born.


Here’s the list of conditions, and the percentage chance of your sonographer/doctor seeing each one, if your baby has it:


·      absence of the top of the head (anencephaly): 98 per cent
·      cleft lip: 75 per cent
·      defect of the abdominal wall, where the bowel and liver protrude (exomphalos): 80 per cent
·      defect of the abdominal wall, where the intestines protrude (gastroschisis): 98 per cent
·      missing or very short limbs (lethal dysplasia): 60 per cent
·      defect of the spinal cord (spina bifida): 90 per cent
·      major kidney problems (missing or abnormal kidneys): 84 per cent
·      hole in the muscle separating chest and abdomen (diaphragmatic hernia): 60 per cent
·      Edwards’ syndrome or Patau’s syndrome (chromosomal abnormalities): 95 per
     major heart problems  (defects of chambers, valves or vessels): 50 per cent 

   

      If your sonographer finds or suspects a problem, you will be told straight away. You should have an appointment for a scan with a fetal medicine specialist, within three to five days. As my doctor is already a fetal medicine specialist- I have skipped that step.

My doctor said that it is good to have several scans to make sure everything is ok, so we will do two more scans at later stages. I guess that is a private healthcare perk, so again if you are a mother that worries a lot or has a complex pregnancy, it would be beneficial for you. I myself think it is a good thing but am still doubtful if it is absolutely necessary in my case, but again this could be due to my disappointment with the private healthcare.

 
Enough rambling for today, dont know what any of you think of this, would love to hear some thoughts. That’s all folks! See you next time!!