london private consultants(37 Posts)
I am pregnant with No 2 - not due til april so am being WAY ahead of myself BUT.... I had no 1 at the portland but my consultant has now retired. Can anyone recommend any consultants at private wings in london and also how much do they charge for whole package?
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Honestly, what's wrong with you?? Now you've got a problem with women choosing private care?
I chose the Portland for my second baby. After I was denied pain relief during my excruciating 76 hour labour(a lot of which was spent at home-against my wishes because they wouldn't let me come to the ward) for my first child which left me with extreme sexual and psychological issues, I wanted CHOICE. After my vaginal birth and second degree tear left me with incontinence and forced me to have repair surgery,I wanted a C-SECTION.
I wanted to be able to choose to formula feed instead of being forced to breastfeed. I wanted the facility to be able to SLEEP for sometime while a nurse took care of the baby in the nursery.
That's why I went private because the NHS wouldn't respect my wishes nor did they take my postpartum issues seriously. I wanted a break from the NCB ideology that pervades the NHS. I wanted an obstetrician and not a midwife. I had the money to do it and I went ahead and did it. Is that a good enough reason for you?
You go on and on about choice but in every thread all you do is argue with women who choose differently than you did and boast about how you loved the pain of childbirth and had an 11 pound baby at home.
Just stop it.
I had fantastic experience with Dr Kumar Kunde, http://londonpregnancycare.com/. I will be definitely choosing him for my second baby
He is usually seeing patients at St. Thomas Hospital's private maternity unit - Lansdell suit. Most importantly he is easily accessible and spends time with his patience. Given it was my first pregnancy it was important to me as I did not know where to go for an advice. I had C-Section and can say that I was pleasantly surprised with the quality of operation and how quickly I recovered after that - he must be a great surgeon as well!. The scar is neat and tidy (he uses most advanced techniques and my local midwifes were surprised to see how neat it was ). I actually went home after just 2 night at hospital after C-Section - just an indication how confident I felt in my recovery after the operation! Great after birth care as well, midwifes were always at standby and very helpful with all aspects starting from first breastfeeding, nappy change, how to sooth my little DD, etc. I chosen St. Thomas over Portland because they are top rated, there is a private wing with all the care you get in private healthcare and at the same time all the power of NHS (should something bad happen) is literally next door, no ambulance transfer required. Also, my husband stayed with me both nights I was there, standard package includes only 1 night, but things were quiet and midwifes let him stay for the second night too ;)
Another vote for Nick Wales and Keith Duncan here too. Nick delivered my first two children via c/s and was great throughout.
Incidentally I didn't get the impression at all those two doctors preferred a CS - Nick Wales' 3 kids were born at home so he is well aware that women may prefer natural birth - and KD will tell you "your body, your baby". I had one VB already and at no point did he raise the possibility of a CS!
... and back to the point (and the OP who has already had one private birth and therefore knows what she wants and is getting!) another vote for Nick & Keith at C&W.
If you want to stick to the Portland I hear good things about Mr Armstrong.
Mr kumar at queen charlotte's was v good
my obstetrician with my last pregnancy assured me that his role to to ensure that my baby comes out without any problems and i am remain in good health - both of which happened!
I think private obstetricians by nature prefer to do C as they can book it in and they see it as a less risky process... That said i had my daughter naturally, had an episiotomy (was about to tear badly) and was very happy with the whole process.
Another reason for greater intervention / csections in private births is that I would guess that the mums are older.
In my circle of similar 40 something relatively well-off mums - the ones who had their babies younger went to the NHS and the ones who had them when they were older went private. ie. the younger ones had babies before their/DHs career allowed them to be able to afford a private birth and the older ones had babies once we had established careers etc IYSWIM.
Have to say - my private midwife was very preoccupied with my perineum too. Managed to deliver an 11lb baby over it and I didn't need stitches afterwards..... That feat alone made me feel her fee was well spent!
'No amount of posh magazines in the waiting room and pampering after the birth is going to make up for a shredded perineum.'
Based on my unscientific poll of two NHS births and two private consultant births, I would say attention to the perineum was about 1,000 % more in the private births. The midwives (two different hospitals) didn't seem to care and assumed stitches were inevitable. I am still quite shocked at the difference in attitude!
Good point, although it also depends on the wishes of the customer.... whether they would still wish to go ahead with the CS knowing that they baby was now head down....
Although I get the feeling that you may be eluding to a bit of a "black market" as it were... Interesting!
Anyway, as I said above, statistics can be looked at in so many different ways.... (no such things as "black and white").
I have a feeling that this thread has gone "all about the houses" - much of which is my fault
I think the consultants I've come across in the private sector take rather a philosophical point of view...the consultant's clinical opinion is the last word - so even if the baby had moved on the morning of the surgery, it's still the cons' call whether he highlights that fact about his customer, as it were.
Obviously none of this is discussed overtly.
No, I don't believe that The Portland has the same level of intensive care (for adults or babies) as the top NHS hospitals. They do have some, but maybe not quite as good (although that doesn't mean that they aren't "very good") and very costly (this may or may not be covered by medical insurance - some UK private medical insurers will not cover private SCBU for the baby).
BUT it is a risk to weigh up: not all mothers/babies need SCBU/intensive care, if they do then Portland facilities are probably perfectly excellent and it MAY be covered by their insurance or within their financial means. Also there are a number of excellent NHS hospitals within very close transfer range. Some people are comfortable with that risk, others are not.
(since I had my baby at J&L, I obviously was comfortable with that risk - since J&L had no SCBU at all and I was having an ELCS. That was my personal choice).
Sorry - was typing my reply on an iphone, lying on the floor with one hand stuck between the bars of a cot....
See if I can put it better.... (although probably not ).
I went to J&Ls - most people who went there went there for a "natural birth" (J&L weren't very pro ELCS on grounds of maternal preference - infact it was hugely discouraged). Portland is different and the hospital will happily accomodate ELCSs (since it makes more business sense than a VB). So my experience would be skewed. Yes, an "insurance case" would probably have their prenatal care on the NHS (and wouldn't attend a private prenatal workshop). However during my 5 days inpatient care, I believe that only one other CS happened - all of the other births were successful VBs. Some/many may have been MW led and not consultant led though.
(UK) Insurance cases would have been very much in the minority at J&L. I had a breech baby and some of my costs were covered by UK Medical insurance. However I had signed up to private care LONG before I knew baby was breech (I signed up at 14 weeks). I wouldn't have gone private (for breech) just on the off chance that insurance would cover it: at J&L they scanned you the morning of the op - so they would have cancelled the CS IF my baby had turned (39w and 1d). If I had been counting on insurance covering the costs and the baby turned.... I think that you want to be really quite certain that you will get your costs paid if you are counting on them (heck I only got a small proportion of mine paid - combination of Bupa and Consultant's secretary being rubbish - so fortunately I wasn't counting on them!). You don't want to be switching your delivery hospital between NHS and private from day to day... I can't imagine too many people taking the risk/stress (last minute). Obviously complications that can be diagnosed and confirmed earlier would be a different matter (the insurer can sign off earlier)
Also, watching "Portland Babies" - they seemed to cover very few "insurance cases" - coincidence? design? Many of the women on that were foreign nationals (and probably having foreign medical insurance - which often covers VBs) and/or expecting straightforward unassisted VBs....
Regardless of my rubbish explaing.... it still doesn't change that a Consultant will come across far more "unassisted VBs" in private practice than in their NHS practice. In an NHS practice, an OBGYN is not called to attend a straightforward, unassisted VB.
Spudulika : ""So therefore private obstricians, because of the nature of the patients they are dealing with, have a higher rate of cs, because they are the births that are covered by insurers."
Higher than who? NHS consultants? How can that be if a fair proportion of private obstetric care is provided to low risk women? NHS consultants simply don't provide care in pregnancy or labour for low risk mothers. "
Because (and admittedly im extrapolating) private obs are not under pressure to keep their cs rate down whereas on the NHS there's a pressure to consider an instrumental VB where privately ELCS would be chosen.
"Are you saying that there are more high risk mothers giving birth at the Portland than at Kings, UCH, Chelsea and Westminster and the other large teaching hospitals in the area?
I wasn't aware it had the facilities for dealing with complicated multiple births etc. or for dealing with mothers with pre-existing complex health problems such as HIV, severe hypertension, severe obesity - something which most NHS hospitals are dealing with on a day to day basis. "
No I'm not saying there are necessarily more high risk patients, just more c sections. Although c section isn't without risk, the patient might well be, in all other ways, LOW risk. For example, malpresentation is an indication for cs. So it's perfectly possible for a woman who is low risk in every way, but requests a section, to get it on her insurance because her consultant says the baby isn't lying correctly, in his/her opinion.
As for facilities, my understanding is that they are the same at The Portland as anywhere else. As each consultant manages their own cases they can choose to reject very complicated cases, or advise that they deliver elsewhere - many of the consultants practice in several different places including the NHS. But in every way The Portland is just the same as anywhere else. I had my twins, complicated by macrosomia, polyhydramnios and unstable lie, and on anti coagulants. No one seemed particularly phased, and there was another set of twins in when we were there.
Thanks for your comments about snippiness, it didn't sound like (my perception of) you at all. x
QTPie: "Actually I am not sure that most private births are complicated cases because that is only what insurance companies cover..... Most of the ones that I am aware of are either foreign nationals (whose foreign insurance covers routine births) or people who just choose to pay for it themselves."
They aren't necessarily high risk or complicated cases, just cases which fall inside * that which an insurer will cover * so malpresentation for example.
As for the people on your course, they quite possibly don't represent many insured patients as the insurers are unsurprisingly reticent about signing off the cs until v late in the proceedings - waiting for placentas to move, babies to turn etc so all these patients have all their antenatal care on the NHS.
Agreed - cant see why they wouldn't be able to provide those figures, unless they don't keep track of them. To be honest, though, I wouldn't be surprised if they didn't track them: I wouldn't be surprised if Consultants don't have time to track the data and their secretaries don't seem too brilliant in my experience.... Unless it is a professional body requirement.
Would be easier to get these figures for hospitals (or private wings). The CS rate will be skewed (because of maternal preference etc), but the other stats might be interesting.
However stats can be interpreted in many different ways, deoending on personal views (is a higher forceps rate and a lower CS rate preferable to a lower forceps rate and a higher CS rate? Some people would actually rate a torn perineum over a CS...). To be honest, personal recommendations (if you can trust the person recommending) is the way that I would lean.... Since each birth is individual, it is a Consultant's manner (and so trust and rapport that they develop) that is more important than their previous birth stats. However, since we are all individuals, a good "Consultant's manner" for one person may be very different for another.
"So I would expect a Consultant's "unassisted/uncomplicated" statistics to be MORE favourable for private sector work...."
Yes - this is what I was thinking.
I'd be asking about their assisted delivery and emergency c/s rates. Also how many of their mothers deliver over an intact perineum.
They ought to have figures for this.
Jkklpu, just about ALL of the consultants mentioned practice at private wings within some of the best NHS hospitals in the country (Chelsea & Westminter, St Mary's, St Thomas's etc). Yes the Portland isn't part of an NHS hospital (although there is a huge one right across the road), but just about all of the Consultants who practice at the Portland also practice at one of the NHS Private wings.
So if the OP wants that security (ie those top NHS facilities within feet), then they can choose to see that Consultant in an NHS private wing instead...
I'm sure all the individuals mentioned on this thread are wonderful. But however great a private consultant was, I'd still rather be in trolley-wheeling distance from an NHS A&E department in case of serious complications for my baby or me.
I highly recommend Ms. Gubby Ayida at Kensington Wing, C&W.
By their nature, obstetricians do not get involved in uncomplicated births on the NHS - if a birth is uncomplicated, the baby will be wholly delivered by MWs on the NHS... If you see an obstetrician on the NHS, then it isn't for anything good....
It iso only in the private sector that a Consultant has the leisure for (or is paid to attend) a uncomplicated birth.
So I would expect a Consultant's "unassisted/uncomplicated" statistics to be MORE favourable for private sector work....
Private births are not about nice magazines/toiletries/champagne etc, they are about one-to-one care, some semblance of control, access to pain relief/facilities and good post-natal care. It wold b great if we could get that on the NHS, but sadly fairly rare
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