All care had to be paid for. I didn’t get involved in the finance side of things at all so unsure of how much stuff cost. I know many local women didn’t access any healthcare at all and birthed at home as they couldn’t afford it.
Nobody had appts for antenatal care, they’d be told roughly when to come back and just rock up to the hospital on whatever day they felt like and wait to be seen. We’d do a BP check, urine check, measure fundal height, listen in to FH. Nobody had notes so nothing documented! Give tetanus vaccination.
If women were giving birth at the hospital they’d often arrive a long time before they were in labour. Hospital was very rural, 2 hours from the nearest proper road and a lot of women walked for a couple of days to get there. So they’d come and then not walk home. The antenatal ward was full of women waiting to go into labour, often top and tailing sharing beds!
They’d spend 90% of their labour in that room with other women and only move over to the labour room for second stage. They had to pay for a special thick disposable sheet to be put on the bed there and weren’t allowed in until they’d handed the money over! No pain relief at all. My first day a local midwife warned me not to get to close to the woman as I might get bitten! Pretty much everyone had routine episiotomies, the local midwives thought I was strange for disagreeing with this practice. No resus equipment. I saw quite a high rate of stillbirths. No guidelines for doing any checks in labour, not for listening into FH, checking the woman’s BP, etc or checking progress. All done as and when.
No real postnatal care. The women might stay for a few days if they wanted to before leaving. But no routine postnatal examinations.
Women had to provide their own food and drink while in hospital. Often they had relatives who would camp in the hospital grounds and cook for them.