Thank you for sharing your story,I'm strongly considering VBAC,I'm not yet pregnant but planning to do so in about 3 months,there will be a gap of 5 yrs from my first one which was a c section because her heart was suffering and had to go for an emergency c section,so I'm hoping this time around it would be fine.
I'm thinking of using Dr Maasdorp and Phindi as a midwife. Just one question when it comes to the delivery charge,when using medical aid,the amount mentioned on the website for your spouse to sleep over one night is that included on the medical aid as part of the authorization? Or is it only the delivery that is covered and If all goes according to plan and the midwive does the delivery,will the medical aid pay her directly via the authorization?
Would you say it necessary to meet the midwife prior to conciving ? Or take may supplements?
For a natural birth you usually stay for 1 night, and for a c-sec, three. If hubby sleeps over those nights, it included in the 'facility' charge that the medical aid paid.
If you stay an additional night and hubby stays as well, that is when the amount on the website gets added
Both times (different midwives, second time Phindi...) I had to pay the midwife's delivery fee cash upfront, and then claim back from the medical aid after delivery.
Unfortunately they don't cover midwives in full, so both times they only refunded a portion (but then again, I saved so much by not seeing the gynea very often, it still worked out better )
I only started seeing the midwife at about 20 weeks, so not sure about having an appointment before... generally I would think that a check-up would rather be with the gynea.
Willem born: 20 Aug 2010
Emily born: 5 March 2014
Jehtha, it's a good idea to start taking folic acid before conceiving, a multi vitamin won't do you harm either, but is not essential (do check though, some are not safe during pregnancy - too much vit A - always read the label/insert, or go with a pregnancy vitamin, which will be fine).
Regarding costs, you may want to look into getting gap cover - basically it's an insurance policy that covers shortfall on specialists who charge above your medical aid rate (i.e. your medical aid may cover 100% of discovery/liberty/fedhealth rate, but your specialist or midwife charges 200% or even more) The gap cover I have with Liberty is around R250pm for 2 of us and covers up to 500% of your medical aid's rate - whichever medical aid you're on (doesn't have to be with Liberty) You still have to pay upfront and claim back, but at least you shouldn't have any shortfalls.
Thanks JeanineK, I will keep that in mind, I guess what i'm confused about is, why would I need to pay upfront for the birth by a midwife if already by this stage, I have a confirmed authorization by the medical aid, basically confirming that they will pay. Do they not care about that?
I'm also looking at getting a back up Gynea, I'm considering Dr Potgieter at Wilgehuiewel hospital(which is very close to me)- how far in advance should I ask this gynea to be my back up plan, I want to avoid going earlier because they have a tendency to discourage VBAC and I really would like to give it a try.
I've heard someone says something about if you don't have any complications by 35 weeks, then you give birth at Genesis, however if anything happens after 35 weeks that's when you have to use your Gynea and deliver at that hospital, I'm not sure how this process work, if someone could please explain it to me in detail.
So I will be downstairs because I will be using MA, I will then choose Phindi as my midwife and then choose Dr Maarsdorp as a Gynea, however if it goes south, I do not want to deliver at Garden City where Dr Maarsdorp practices, so does this mean I have to have two Gynea, then use Dr Potgieter in this instance?
Wide-eyed - thanks for you input, I do know about Gap cover, my plan covers up to 200% so I think I should be okay in this area
For VBAC help, it is a good idea to join the Facebook page VBAC in SA. Lots of updated research and there are plenty of Doulas and Midwives on the page who can help answer your questions.
Jehtha, I doubt your Wilgeheuwel gyni will be willing to back-up for a Genesis birth, they have to have birth rights at Genesis and be willing to go there for a c-section or other complication in case of and emergency.
With regards to the upfront payment, all midwives do that, the medical aids don't cover their fees in full so they have no guarantee once the baby is out that you will be able to pay their fees. More and more gynies are also charging their birth fee up front these days as they struggle to get the medical aids to pay on time. It is inconvenient for us, but really a good investment in the health of your baby to go the all natural route with midwives attending the birth. So in my opinion its worth it all the way.
Professional birth supporter / doula
Antenatal educator (Hypnobirthing practitioner)