Showing posts with label pregnancy. Show all posts
Showing posts with label pregnancy. Show all posts

Thursday, December 26, 2013

Prenatal care in China: Redleaf women's and infants hospital



        Redleaf Women's and Infant Hospital

Seeing as I have hit full term and am about to deliver, I thought I might write about my experience receiving prenatal care at Shanghai's new Redleaf Hospital, located on Huaihai Middle Rd (Changshu subway station: line 1) near the French concession. 

          Main entrance from Huahai Middle Rd.

We had originally started our care at Parkway, but when their most popular OB left for a new job at Redleaf, I followed. My husband and I toured the hospital and medical offices and were really impressed with the new western equipment, private recovery rooms, pristine L&D rooms, the clean floors, special care nursery equipped with incubators and neonatologists for minor complications, and working electrical systems and such. 

You'd think it would be a given, but here in China, maintenance upkeep isn't really common. I just keep remembering our visit to the Wuxi women's hospital and the dim lighting, missing ceiling tiles and overall feeling of disrepair. 

Anyways, already happy with the hospital, we were even happier to find a wonderful OB/GYN who has gone above and beyond what I consider good bedside manner with her attentiveness to detail, addressing my fears and making this pregnancy as enjoyable as it can be when anxiety gets the best of me. She happens to be Chinese, but speaks fluent English and has adopted western medicine as her method of practice. 

Everything I have had done, and experienced at Redleaf is just as I would in the USA. The testing is the same (glucose tolerance test between weeks 24-26), level II ultrasounds, urinalysis at each visit, NST's after week 36 and the strep B culture done at 36-37 weeks. I haven't felt like anything unnecessary has been done, nor do I feel like any stone has gone unturned. It's very comforting having visits go as planned and having everything explained to us at each visit.

I'd have to say my only complaint, is that the radiologists/ ultrasound techs don't speak English. Given my anxiety about losing another baby, it's a challenge for me not to expect the worst when they stop and view the heart or kidneys, then chatter amongst themselves..thankfully, my OB does come in to provide a synopsis of what they saw and always explains what measurements etc they were looking at and why. I appreciate that a ton. There is no rushing with our Doctor. She always has time for discussion. 

As far as timeliness of appointments, we have lucked out most of the time, being roomed within ten minutes of my scheduled time. There's been a time or two we have had to wait longer, but overall, I am impressed with how the staff operates and gets patients back to rooms on time. We've been lucky enough to make my appointments for Saturday mornings, so that BG and LG can come with me for moral support. I'm usually greeted at the front desk, asked to give a urine sample, then whisked to have my BP, pulse and weight checked. From there, we head to the OB's office for my exam, Q&A and if an ultrasound is needed, we are taken directly to the room without having to wait. It's a breath of fresh air coming from Parkway where we would be sent to the waiting room between each portion of the visit and would often wait 15-20 minutes between each. 

Another advantage Redleaf offers is that of a personal patient liaison. After we purchased a prenatal package, I was appointed a liaison to whom I can call at any time with questions. This individual responds to my requests and inquiries rather than playing telephone with a third or fourth party. My OB has also provided her cell phone number, but I feel awkward using it unless it is an emergency. I feel like the staff cares about the service they provide and treat each patient as their only patient. 

I mentioned that we purchased a prenatal package. The package covers all visits (outlined on their website) from week 20-41, including routine testing and exams. The rate is discounted if you purchase a package vs paying ala carte. Since our insurance has a maximum cap on maternity coverage, we opted to buy a package up to keep overall costs lower, and I submit my claims to my insurer on my own. So far we have had no problems with Redleaf providing all necessary documentation at the end of each appointment so that I am able to submit my claims in a timely manner.

All in all Redleaf has been a great fit for us in terms of prenatal care. 

[Post Written by Elle Lay]

To learn more about Redleaf, visit their website:

www.redleafhospital.com


Easy access from Wuxi by train/subway:
Train from Wuxi railway to Shanghai Station (30-45 minutes)
Subway line 1 from Shanghai Station to Changhu Rd 
Exit #2 to Huaihai middle Rd
Turn Right, walk 1/2 block
Hospital is on the right 

There are a few great eateries near Redleaf as well. Wagas, Element Fresh, Elefante and Whisk are within one block of Redleaf towards Donghu Lu, and there is a Starbucks near exit #7 at changshu station.

Sunday, July 21, 2013

Pregnant in China

Pregnant in China: prenatal care

Hey all, its Elle Lay. I am expecting another baby. I figured I would write about my experience of being pregnant in China, how we decided where to deliver, and the estimated costs (insurance aside) for it all. 

We are still in the midst of choosing where to deliver. Until February, my family had been utilizing the services of United Family Hospital-Wuxi branch, which staffs a Belgian Doctor every Thursday. Although UFH has been great for treatment of the common cold and medication refills, I have been looking for specialist care for my son, and an OB/gyn  for myself. I heard about Parkway Healthcare Systems in Shanghai through another expat friend and decided to give it a try.

Belle and I braved the February cold with our kids and ventured out on the train and metro to see a pediatrician at Parkway. We both walked away from our appointments satisfied. I felt like I had found what I was looking for in a pediatrician, facility and knowledgable reception staff. 

So, naturally, when I became pregnant, I assumed I would make the monthly, bi-monthly and eventual weekly trek to Shanghai to see an Ob/GYN at Parkway. I liked that they direct bill my insurance provider, and have two American OB's on staff. When I returned to Wuxi from the USA at the beginning of June, I made my first appointment with Dr. Chen At PHS for June 22--a Saturday-- so that my husband could come with me. 

Meanwhile, I had a major meltdown out a week and a half before my scheduled appointment. I woke up and just had this terrible feeling I couldn't shake. I've had multiple losses, so my track record isn't the best. I expect the worst, and felt that maybe I was going to miscarry. So, we found ourselves in the waiting room of the Wuxi Woman's hospital VIP floor. Emily, an English speaking nurse who works on the VIP floor walked me through the visit. They weighed me, took blood, started a composition book for my pregnancy (my medical record, I am guessing) and ultimately ended up doing an ultrasound to confirm viability. The Wuxi Woman's hospital was dark, dingy and half of the halls were without proper flooring and lighting. We rode to the ultrasound floor in an elevator shared with a woman who had literately JUST given birth. There she was lying naked, half covered by a sheet, with her baby is riding along in a bassinet with a nurse. So much for privacy!

When I went for the ultrasound, I was informed that men are not allowed in the room during the consultation. I basically had to put on my big girl panties and face the future of my pregnancy alone. Fighting back tears (okay, I didn't fight em, they were flowing), I laid on the table, let the tech gel me up and waited for the news. Unlike the USA, the screen is not angled towards the patient. Only the tech and nurse get to look. Maybe this is because the Chinese nationals aren't allowed to know the sex of their offspring? I'm speculating there, but none the less, it didn't help my anxiety. Thankfully, Emily spoke up and said, "your baby fine. Alive." They gave me a gestational age a few days older than I expected, no print out of the ultrasound and sent me on my way. We got our fapiao and when all was said and done, total cost was $20 registration, $16 ultrasound, $150 blood work, $8 doctor fee. For peace of mind, it was totally worth it.

When June 22 finally rolled around, we took an 8:30 train from Wuxi to Shanghai main station, then hopped on Metro line 1 to Huangpi street (4th stop). After a 3-4 block walk, we arrived at Parkway for my appointment with Dr. Chen. A nurse escorted us back to triage, my vitals and weight were assessed and she took my history. From there, we went to an exam room where we met Dr. Chen. He asked about my previous losses, medical procedures, and immediately went proactive. My husband and I were impressed with his concern over my previous losses and his efforts to get this baby to full term. He ordered an ultrasound, which we had to wait for, but once inside the room, it was exactly what I was accustomed to at my MFM's office in the USA.  A nice adjustable exam chair, huge television monitor facing me and new ultrasound machines. The tech spent at least 10-15 minutes taking measurements of the fetus, uterine size, cervical length, ovaries, etc. Dr. Chen joined in on the viewing and told us everything looked "perfect".

We scheduled our next appointment for the nuchal translucency test for three weeks later and headed to the checkout area to settle our bill. We had an issue with our policy not being located on our insurers database, so we had to pay up front and submit the claim ourselves. 

This is the only complaint I have about parkway.....the cost.

Wanna have sticker shock?

The bill for consult, ultrasound and progesterone pills was over 4000 rmb. That's $600 US dollars for one appointment. The ultrasound alone was $440. Our insurance policy has a coverage limit of $14,000 usd per pregnancy, so at $600 a visit, I worry that we might reach that limit before we even get to the giving birth part of it all! Parkway does offer a package deal for prenatal visits, in which the patient pays up front for a pre-determined number of visits, keeping the cost per visit lower...actually much lower than what we just paid. The drawback? Our insurance carrier won't pay for services ahead of time. This means that we will need to have an invoice (fapiao) for each visit, detailing the cost and care provided and I will have to send the claim to insurance myself for reimbursement. Also, who's to say I will need all the appointments that the package covers?

Billing and insurance headaches aside, I think we will probably commit to my prenatal and birth at Parkway because I felt most comfortable with the quality of care, cleanliness of the facility, friendliness of the staff (well, except for the receptionist who was more into playing Candy Crush saga on her phone than welcoming us to the clinic) and ease of making appointments. Oh, and.....they ran on time, give or take ten minutes. 

In a pinch, Wuxi women's hospital served its purpose. If any of my pregnant friends had some sort of concern or worry and weren't up for the trek to Parkway, I'd say Wuxi women's would be just fine. It's definitely cheaper, but for me as an American, it pushes me a little out of my comfort zone. 

Here's the contact info:

Wuxi Hospital for Maternal and Child Healthcare
http://www.upmg.us/wx
Huai Shu Alley No.48 
Tel: 051082700410
Direct line to Emily (English speaking nurse on VIP floor): 13951581399


Parkway Inpatient and specialty clinic
3rd floor
170 Danshui Rd
Shanghai (xintandi area) 
24 hour appointment desk: 02164455999