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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Private Obstetrician Recommendations London

63 replies

DarlingClem · 23/06/2013 03:46

Hi Everyone--

I am currently 7 weeks pregnant, live in Melbourne Australia and just found out that we are moving to London for my husbands work. We are anticipating being in London by September.

Our daughter was stillborn in December 2012 so this is a very anxious time for me and I have been really organised care-wise in regards to what I want for this pregnancy, currently very much in love with the OB I have chosen over here.

I would like to have this baby privately in London (expensive I know) so I would really appreciate any private obstetrician recommendations you can provide. It is really important to me to have an OB with a great bedside manner that is caring and understanding about what my husband and I have been through. An OB willing to help put my mind at ease when needed and ideally one that has an ultrasound machine in their office to do a quick scan if needed to show me all is well.

Any advice and recommendations would be greatly appreciated! We will be living quite central (zone 1 or 2 with a W, NW, or SW postcode). We have lived in London before so are familiar with many areas and using the NHS, just not with being pregnant in London or using private health.

Thanks again!

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DarlingClem · 28/06/2013 05:49

Thanks Leel for your thoughts, definitely a hard time and why I am so anxious. Just hoping and hoping this baby arrives safely, healthy and screaming.

I can't believe UK Bupa doesn't cover if the baby's life is at risk!

We will definitely have to have international cover as we have to be registered with a UK GP for 6 months before allowed to have UK cover, so international is our only option. When my husband spoke to Bupa they said maternity was covered but we do need to confirm exactly what they mean by that. Pat O'Brien's secretary told me though that most international plans (if you have comprehensive cover) cover 80/90% of everything.

We are only out of pocket $3700 AUD here for our OB (in Australia when you go private your insurance covers hospital but not OB), but the OB fees here (although expensive) are a lot cheaper than the UK. If we end up having to pay the £7k ($11,500 AUD!) for the OB we will of course talk to DHs employer about at least paying the extra we are out of pocket.

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MrsDonaldDraper · 28/06/2013 13:17

Hi there

So sorry to hear of your loss

This may be too far out of London for you, but Mr Shehata delivered mine at Epsom. He runs the Miscarriage Clinic on Harley St and I would highly recommend him. I had a c section as the baby was breech.

blondecat · 28/06/2013 14:02

DarlingClem

There was something you mentioned about forgetting about your ideals and just wanting a healthy baby. I wanted to tell you that is THE ideal. What you are saying is that you are willing to do whatever it takes to make sure your baby is OK, leaving aside your 'experience', idealized or not and the expectations 'first world' mothers often have built up around childbirth. A natural labour is just that - for thousands of years women knew how dangerous it was and just wanted a healthy baby. Modern obstetrics lowering maternal and perinatal death rates by 99 and 90% respectively allows us the luxury of worrying about other things.

You mentioned c sections. What it means is that you would consider major abdominal surgery and a potentially much longer recovery period for yourself to keep your baby as safe as possible. You are saying: Don't take chances. Cut me and let them be safe. That is the definition of love. Don't let anyone tell you otherwise.

After my elcs I had people tell me how sorry they are for me that i didn't have a great birth experience. I wanted to laugh in their faces because I had my daughter who wouldn't have made it otherwise. That was my birth experience and it was worth it. Even if the recovery had been much worse it would have been worth it.

I think it's still early days for you so hopefully things will be perfect and you will be able to have a vaginal birth. Or perhaps you will need a c section. Or choose one - get them out at 38-39 - many women who went through a late stillbirth go for it. Either way I wish you a healthy baby and happy family at the end of your journey

Back to your question. Having had one DC via elcs and lost two to miscarriages I would say this about private care in London:

Do not go to Portland. The facilities are the nicest but they don't have a good NICU. They can stabilize and then the realistic daytime transfer time is at least 40 minutes. Critical care is best on the NHS. So you want a hospital with a level 3 nhs NICU and a private wing.

C&W NICU is about 10 meters away on the same floor and corridor as the Kensington Wing.

Plus when I was there Chelsea and Westminster took private wing babies into the NICU on the nhs while St Mary's kept them private - that could be catastrophically expensive although the chances are you would not need it.

I would check with both as to the current status. And explain that you recently moved. Also see where you live - crossing London in rush hour may not be much fun while in labour

Once you know the hospital you can get their consultant list. I was with nick wales at c&w and I had seriously considered taking a place in London for 5 months to do it again. Threatened miscarriage and flying ban put paid to that plan.

3 years ago Nick had a a simple ultrasound in his office that would be adequate for checks but not to take fancy pictures. If needed you could go to one of the other rooms on the Kensington Wing for sth more high powered. I would normally have an ultrasound the day before at the women's wellness centre opposite. Ask what it's like now.

Good luck

celestialsquirrels · 28/06/2013 19:50

Please don't have a baby at the Portland. If there are any emergencies after birth they literally stuff the baby and you into an ambulance into London traffic to the nearest a&e. wash their hands of you. It shouldn't really be allowed to call a hospital- it is a collection of treatment rooms and private beds with nurses that are rented out by the day effectively. With your history you need to be attached to a big busy proper hospital with emergency facilities.

ghislaine · 28/06/2013 21:26

FWIW, when I asked him directly (spurred on by comments like the above that I read on mumsnet) my obstetrician told me that the only thing I would be transferred out of the Portland for was massive simultaneous organ failure. He also told me that transfer would be to the London clinic - 2 streets away, not an NHS A&E.

Their NICU is not a level 3 one, that is true, so if the baby needs to be delivered before 30 weeks they won't let you deliver there in the first place.

In your shoes, I would check with the Portland and/or your obstetrician as to the level of facilities and make a decision based on facts and your individual needs and concerns.

Totesamazeballs · 28/06/2013 21:30

Hi, I recommend dr Clive Spence Jones at the London Clinic. He is also the president of the royal college of obstetrics. He is fantastic.

Gwlondon · 28/06/2013 21:50

ghislaine summed up Pat O'Brien very well.

I found his manner very reassuring during my pregnancy. I had diabetes and had to be induced a week early at the Portland. He wasn't anamoured by my hypnobirthing ideals but didn't say anything. When the birth nearly became an emergency he was very calm and I trusted him completely and did what he said.

Because of the diabetes I had scans (by a doctor) every three weeks by the end and also saw David Williams (physician specialising in complications during pregnancy). So three doctors all together. In between I saw Pat O'Brien.

I will reread your posts to see what else I should tell you. Good luck. X

Gwlondon · 28/06/2013 22:11

I have re read your posts. Pat O'Brien would only suggest caesarean if he thought you needed it. He explains every decision very well. He would let you talk about your fears but also will -how can I put this- sort of help you not get bogged down when it isn't necessary. I coped with my pregnancy so much better after a few sessions with him.

When I had the scans they were in the same place I saw the doctors.

Another thing I will add- sorry if waffly- vicious circle with regards to insurance and private and needing c sections will mean more people will go to Portland already knowing they need a c-section because of complications. So it's numbers are skewed in terms of c-section.

I had an induction. It was fine. They assume you will have an epidural but I didn't so I got that money back. The main complaint I have about my birth was next to no skin to skin and didn't see lactation consultant until day I was leaving. So in my opinion they are not breast feeding friendly at the Portland. (But I still want to go there next time)

I am so sorry for your loss. I hope you find someone you like and trust.

BlingLoving · 28/06/2013 22:27

I am very sorry for your loss. And completely understand why you want to find someone who is right for you.

I cannot recommend Claire Mellon at the London clinic highly enough. Not only is she an excellent dr, but she also has a wonderful manner about her and I know she can and does adapt her advice according to a wider variety of issues than just medical. She has also looked after a friend of mine who had very different, and much more emotionally difficult problems than I did and my friend found her fantastic.

ghislaine · 28/06/2013 22:30

Just wanted to say that maybe the Portland has changed its stance on breastfeeding support - I saw a lactation consultant unprompted at least twice a day! I do think they get a lot of women who decide against breastfeeding so it might be a bit of a novelty there. Also my husband was feted a bit by the midwives for staying overnight with me.

After my section, I was encouraged to have skin to skin in the recovery room. Mr O'Brien was not happy with skin to skin in the theatre because of the lower temperature in there there and the effect on a naked newborn and I accepted that because he gave me a reason I couldn't really argue against (this is what I mean by him being 'scientific'). But he also listened to me and didn't laugh or dismiss me when I asked him in a panic whether the lines I could see on the baby's skull at the 37 week scan were some sort of brain malformation. It was his hair. My section took longer and was more complicated because of something to do with my uterine blood vessels and he dealt with it incredibly calmly as if he were taking my pulse or some other routine thing.

Anyway, I think with private care, you will get time and expertise of the top obstetricians the NHS has, plus an individualised approach to the birth. All the best.

DarlingClem · 31/07/2013 06:19

Hi Ladies-

I just thought I'd update and thank you all again. I stopped worrying about this move for a while as negotiations and what not were moving so slowly I didn't see the point in stressing myself out about it, then they offered a pretty low salary that my husband turned down so we both thought we were no longer moving. Last night they came back to us and confirmed my husband's salary request so it looks like its all going forward!

We probably won't arrive before October since the whole visa process still needs to get started, I'll be 22-24 weeks by then. I am thinking of confirming a booking with Karl Murphey and going to the Lindo Wing. He seems to be the one most recommended on here and guaranteed he'll do a scan every visit.

We are thinking of looking around Putney/Barnes/Parson Green for a flat, do you think St Mary's will be too much of a pain to get to from there? I know Chelsea Westminster is closer but only one OB has been recommended from there and his office hasn't returned my enquiry.

Thoughts and recommendations will be so appreciated again! Thanks again ladies!

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timeforgin · 31/07/2013 09:59

I am seeing Keith Duncan at the Kensington Wing and he is great. He is no nonsense but that suits me. I had no.1 there in 2011 though was actually delivered by Vasso Terzidou (fantastic natural birth) as Keith was on h

Ombanker · 02/08/2013 21:07

This reply has been deleted

Message withdrawn at poster's request.

Fourwillies · 02/08/2013 21:32

Please don't have a baby at the Portland. If there are any emergencies after birth they literally stuff the baby and you into an ambulance into London traffic to the nearest a&e. wash their hands of you. It shouldn't really be allowed to call a hospital- it is a collection of treatment rooms and private beds with nurses that are rented out by the day effectively. With your history you need to be attached to a big busy proper hospital with emergency facilities.

utter bollocks. No part of that statement is in any way true.

difficultpickle · 02/08/2013 21:39

Whenever I hear the Portland mentioned I always think of that poor woman with twins. I assume they must have improved their procedures since then.

On a general point all my doctor friends always recommend using the private wing of a NHS hospital since the access to emergency care is better than in a separate private hospital.

Iggity · 02/08/2013 21:50

I was with Ruwan Wimalasundera at Queen Charlotte's. It is a tertiary care centre with possibly the largest NICU in the country. I was seen every fortnight at the Fetal Medicine Unit at the hospital. Similar to you, I had what was described as a tragic obstetric history due to severe early onset pre-eclampsia.

Google him and you'll find his bio and on youtube etc. Think he is head of the unit now. Worth a strong consideration in light of your history.

Iggity · 02/08/2013 21:53

Just googled him myself and see he has mved to UCL and has rooms at Harley St and delivers at the Portland too. He is a lovely man. Have a lot to thank him for.

DarlingClem · 16/12/2013 17:01

Hi Ladies-

I just thought I would finally update this and thank you all for your help!

We arrived the end of October in London and finally in our own apartment in Queens Park and slowly getting settled, although still waiting for all our belongings to arrive so still feels a bit transient.

I've had a couple appointments with Dr. Murphey and do really like him. It did take me a little bit but that's mostly to do with things like dealing with a big move and changing healthcare providers (or whole health system) halfway through my pregnancy. I was really in love with my Melbourne OB so it took me a couple visits to warm up and get used to a different way of doing things. I've just had my booking in appointment at the Lindo Wing and another appt. tomorrow with Dr. Murphey before I go on fortnightly appointments as I am getting into the final stretch!

My days are pretty boring now as the friends we do have here all work during the week so any advice of things to do and how to meet some other expectant moms will be appreciated--maybe I should start another thread!

Thanks again girls!

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ScottishDiblet · 14/01/2014 12:52

Darlingclem - I hope you don't mind me posting. I found this thread while looking up private ob in London (for info really as am not pregnant now but have been told I would need a c
Section if I get pregnant again following some complications from my daughter's birth last year, and was looking into private options). Anyway - wanted to say I'm also sorry for the loss of your daughter. I wanted to welcome you to London and say that I'm in south west London if you ever fancy a visit and a cuppa. It's quite a shlepp from queens park though I fear so no pressure! How are you feeling? How many weeks are
You now? Are you getting used to being back here? Did you think about doing an NCT class in your local areal? We did one and found the course rubbish but met great girls and hang out with them most weeks. Maybe try a local pregnancy yoga class too? Anyway sending you and your dh the very best and best of luck with this pregnancy! X

DarlingClem · 29/01/2014 17:42

Hi Scottish! Sorry--I've only just checked this now. I'm ok, 38.5 weeks now so in the home stretch! Very tired and emotional! Very funny that I happen to check this message today of all days as I'm looking on Zoopla at SW places! I'm not really happy here and SW was where I initially wanted to go but let myself get talked into this area because DH has some college friends this way. When we lived here 10 years ago we were around Wandsworth Common and Clapham Common so I had wanted to go back to that area, I nannied there so know there are loads of things to do with children. Queens Park is pram central as well, it's just our apartment that I am really unhappy with, there's no insolation between us and any of our neighbours and it's often like they're in the room with us. I am writing this on the tail end of a particularly bad night of hearing them into the wee hours and sleep deprivation! I don't remember this being an issue when we lived that way so I was wondering if it was maybe an issue to do with the style of houses this way compared to down there. Who knows.... The apartment is also a bit like the 80s move 'The Money Pit' with Tom Hanks, it looks all flash and renovated but there's always something wrong and it is doing my head in, right now the baby's room currently smells like mold and our landlord doesn't seem too bothered. Confused

We decided to skip the NCT course mainly because I am a doula so it felt like a big waste of money to do a course when I already know all the ins and outs. I have started going to the NCT Bumps and Babies catch ups though and have met a few good girls through there.

Let me know if you'd like to know more about Dr. Murphey. I should perhaps PM you!

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MrsFlorrick · 29/01/2014 18:00

You will now need to have been a resident for at least 6 months to qualify for free care on NHS if you're not an EU or UK passport holder.

Even UK nationals returning from overseas can now be asked to pay for surgery and births etc before the 6 months residency are up (only if returning from overseas not EU).

If you went into an NHS hospital to give birth with less than 6 months residency under your belt, you would be presented with a bill similar to that of a private hospital.

Its more complex now than it used to be. Its to prevent "health tourism" apparently.

I had DS at Portland. Used Dr Gibb at the Birth Company. Superb.
Had DD at UCLH. All I can say is "run away"!!

snugglesnook · 29/01/2014 18:02

Mr Colin Davis

DarlingClem · 31/01/2014 15:14

Hi Mrs. Florrick-

I am sure this is dependent on what type of visa you have come over on as we've already been receiving care through the NHS for other things. Also, our visa and relocation package/papers explain that we are eligible for healthcare through the NHS. Regardless we never planned on having the baby through the NHS and are booked into the Lindo Wing, baby due in the next couple of weeks.

Thanks for your comment though.

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DarlingClem · 15/08/2014 16:02

I was just reading through trying to find somebody's details and realized I never updated you ladies!

I had a healthy (and now very fat and hilarious) baby boy the beginning of Feb. His birth was really great, really what I needed after all we'd been through. It all seemed very calm and fast. I woke up that morning unsure if I was in labor thought I was but it still seemed really slow going, a contraction every 6 mins only last about 20 seconds. I had an appt with Dr Murphey scheduled later that morning so was just waiting to see what he's say. In the cab on the way in I was a bit more uncomfortable and when I walked into Dr Murphey's office he said 'you don't look well!' He examined me quickly and discovered I was already 5cm! Told DH and I to head straight to the hospital. DH dropped me off and made sure all was ok and then ran home to pack our bags-we weren't expecting this news at all! By the time he returned I was climbing the walls waiting for an epidural, had one and a couple hours later told I was ready to push. Pushed for about 20mins and out came DS with a little squawk to let us know he was fine and then he just looked around. Karl unfortunately didn't deliver DS, he had a trip planned but he was there up until a couple hours before and then his practice partner Dr Lasking delivered, loved her!! It all went pretty great! My only complaint is a couple nasty midwives at the Lindo Wing but that could have happened anywhere.

Thank you all for your help!

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DarlingClem · 15/08/2014 16:03

Really should have proofread before hitting send!

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