Obstetrics Packages

Normal Vaginal Delivery Package

Mother

• 3 days and 2 nights postnatal accommodation
• Birthing suite
• Maternity admission service, routine fetal monitoring and nursing care
• Blood group type and screening
• Routine induction of labour including the using of CTG
• Routine normal delivery services, including monitoring and treatment in labour
• Routine postnatal observation, nursing care and treatment
• All routine drugs, materials and accessories used including take home medicine
• Postnatal health and infant-care education, including baby bathing, and breast feeding etc.

Baby

• 3 days and 2 nights nursery charges
• Neonatal nursing care including baby bathing, cord care, all milk formulas and diapers
• Laboratory tests for neonatal screening, i.e. G6PD, Bilirubin and TSH
• Vitamin K injection and initial vaccinations for Hepatitis B and BCG
• Phototherapy and incubator needed during the package covered period

Excluded items

• If the mother cannot provide the antenatal blood report, then the hospital will arrange for an immediate blood test
• For mothers’ with Hepatitis B, Immunoglobulin injection for the baby
• All doctor’s fees (e.g. obstetrician, pediatrician, anesthetist, and other consulting physicians), ward round fees, emergency charges and all meals
• Epidural and Spinal anesthesia, all extra tests, examinations, treatments, and medications prescribed by doctors
• All emergency procedures such as, surgery, blood transfusions, acute and intensive care, or isolation etc.
• For taking cord blood service
• Father cut cord, hearing test, etc.
• The normal vaginal delivery which involves “Vacuum Extration” or “Forceps Delivery”

Special Gift

A special gift pack will be presented to each baby born in our hospital. Additionally, we will also include a photo album, a birth certificate of the baby’s footprint and a new born gift.

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Cesarean Section Package

Mother

• 4 days and 3 nights postnatal accommodation
• Maternity admission service, routine fetal monitoring and nursing care
• All pre-operative preparation
• Blood group type and screening
• All routine operating room charges including general anesthetic equipment and drugs
• Post operation routine observation, nursing care, treatment and medication
• All routine drugs, materials and accessories used including take home medicine
• Postnatal health and infant-care education, including baby bathing, and breast feeding etc.

Mother booked for cesarean section between 7:00am and 11:00am are to be admitted at around 8:00pm the evening before. (No additional fee applies in respect of this earlier admission time.)

Baby

• 4 days and 3 nights nursery charges
• Neonatal nursing care including baby bathing, cord care, all milk formulas and diapers
• Laboratory tests for neonatal screening, i.e. G6PD, Bilirubin and TSH
• Vitamin K injection and initial vaccinations for Hepatitis B and BCG
• Phototherapy and incubator needed during the package covered period

Excluded items

• If the mother cannot provide the antenatal blood report, then the hospital will arrange for an immediate blood test
• For mothers’ with Hepatitis B, Immunoglobulin injection for the baby
• All doctor’s fees (e.g. obstetrician, pediatrician, anesthetist, and other consulting physicians), ward round fees, emergency charges and all meals
• Epidural and Spinal anesthesia, all extra tests, examinations, treatments, and medications prescribed by doctors
• All emergency procedures such as, surgery, blood transfusions, acute and intensive care, or isolation etc.
• For taking cord blood service
• Father attending delivery in operating theatre, father cut cord, hearing test, etc.

Special Gift

A special gift pack will be presented to each baby born in our hospital. Additionally, we will also include a photo album, a birth certificate of the baby’s footprint and a new born gift.

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Admission Notes

Please bring the following items with you:

• Hong Kong Identity Card or valid travel documents, for both the expectant mother and her husband
• Appointment card or doctor’s referral letter
• Deposit or deposit receipt
• The Deposit for non-Hong Kong resident is HK$50,000
• The Deposit for Hong Kong resident is HK$20,000
• Personal items for individual use, such as face towel, slippers, pajamas, sanitary pads and toiletries
• Please do not bring valuables. Baby items and clothing are not needed until discharge

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Fees

	Normal Vaginal Delivery Package	Cesarean Section Package
5-bed room	HK$19,500	HK$25,500
3-bed room	HK$20,950	HK$26,850
Semi-private room	HK$22,200	HK$29,450
Private room	HK$25,600	HK$33,450

+	Our Obstetric Package covers for Normal Vaginal Delivery and Cesarean Section. In the event of complications, additional costs may be incurred.
+	Please check-out before 9:00 morning.

Special conditions

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Frequently Asked Questions

How to book the Obstetric Package

1. How can a Mainland pregnant women book the Obstetric Package in TWAH?

   Booking the Obstetric Package has to be done IN PERSON at TWAH. Please contact us at 2276-7888 for an obstetrician consultation and prenatal care. A pregnancy diagnostic/referral letter from our in-house obstetrician will be issued after your first antenatal consultation and checkup. Please bring this letter and the following documents to our registration counter for confirmation of your booking.

   Mainland Pregnant women are required to produce the following documents upon booking:
   － Valid Travel Document
   － Antenatal Checkup Report (if any)

   In order to confirm your booking of the Obstetric Package a deposit of HK$50,000 must be paid in FULL before a Confirmation Certificate and deposit receipt will be issued. You need to present the original of the Confirmation Certificate and deposit receipt for antenatal attendance and admission for delivery.

   A booking will only be offered subject to available space. Please contact us at 2276 7888 to check availability.

2. Will I have priority in booking the Obstetric Package if my husband is a Hong Kong resident?

   No, bookings are accepted on a first-come-first-served basis.

   It is recommended to confirm your booking as early as possible.

3. Is their a handling fee for confirmation of booking? Are there any additional administrative charges?

   There is no additional charge for handling your booking. However, you need to make a deposit payment of HK$50.000 in FULL to confirm your booking for the Obstetric Package.

4. Will the deposit be refunded?

   The deposit amount of HK$50,000.00 will be used for payment of the Obstetric Package and hospital charges. A refund can be offered upon application but will be subject to a deduction fee for the administration charge (HK$10,000). You will also need to present the original copies of the deposit receipt and valid travel document of the pregnant women. (Payment by cash will be refunded in cash. Payment by VISA card will be refunded to the VISA card account.)

5. Should any documents be presented when booking?

   Mainland Pregnant women are required to produce the following documents upon booking:
   － Valid Travel Document;
   － Referral letter from a qualified Obstetrics and Gynecology Specialist registered in Hong Kong; and
   － Prenatal care Report provided by a registered doctor in Hong Kong (if any).

6. Can the booking be made at any time during the pregnancy?

   Yes. Please note that a booking can only be confirmed subject to available space. It is recommended you confirm your booking for the Obstetric Package as soon as the pregnancy is confirmed.

7. Can a booking of the Obstetric Package be made by a representative?

   Yes. A representative can be sent to make the booking for the Obstetric Package if the pregnant woman has had a prenatal checkup. The representative must present all the required documents (please refer to Q5) and pay the deposit to confirm the booking.

8. How long is the Confirmation Certificate valid?

   The validity period of the Confirmation Certificate is from the issued date to ONE month from the Expected Date of Confinement. For example, if the Expected Date of Confinement is 15th Sept 2011, it is valid until 14th Oct 2011.

9. Do you accept applications from women who have had multiple births?

   This depends on individual cases. Please consult your doctor.

Prenatal Care

10. Do I need to have a prenatal checkup performed in Hong Kong?

    Yes. Mainland pregnant women who wish to give birth in Hong Kong are requested to receive at least ONE antenatal examination performed by a doctor registered in Hong Kong. Concerning the health of both the infant and mother, it is recommended to have at least two to three antenatal checkups before delivery. You can make an appointment with our in-house obstetricians and book our Obstetric Package after consultation.

11. What happens at my antenatal checkup?

    Your antenatal checkup should include:
    － general tests and examinations as clinically required for attendance by an obstetrician; and
    － Blood tests by a laboratory registered in Hong Kong, including blood group and Rh factor, hemoglobin with MCV and HCT, blood glucose (2 hour after a meal), VDRL, rubella, hepatitis B surface antigen and HIV antibodies.

12. How many prenatal checkups should I receive totally?

    This will vary from person to person, but it is recommended to have at least two to three. Please consult your doctor.

13. When should I start prenatal care?

    After confirmation of your pregnancy, your doctor will make arrangements for your prenatal care. The number of checkups and frequency depends each persons requirements.

14. Can the date and time of my appointment be changed?

    Yes. Please contact your doctor to determine the date and time.

15. Can I have my prenatal checkups performed in the Mainland to avoid frequent trips to Hong Kong?

    Mainland pregnant women who wish to give birth in Hong Kong are requested to receive at least ONE antenatal examination performed by a doctor registered in Hong Kong.

16. Can I book your Obstetric Package without undergoing the antenatal checkup in Hong Kong?

    No.

17. Does my prenatal care have to be provided by one of your in-house doctors?

    It is highly recommended you to opt for one of our in-house doctors.

Delivery, Admission and Discharge

18. Can I choose the way of giving birth?

    Yes. Please consult your doctor.

19. What does the Obstetric Package include?

    It includes the postnatal accommodation for the concerned delivery, maternity admission service, routine fetal monitoring and nursing care, etc. It does not include all doctors’ fees (e.g. obstetrician, pediatrician, anesthetist, and other consulting physicians), ward round fees, emergency charges and all meals; epidural and spinal anesthesia; all extra tests, examinations, treatments, and medications prescribed by doctors. For details, please refer to our Obstetric Package leaflet.

20. Can I choose the date and time of a Caesarian Section?

    Yes. Please be reminded that a surcharge of 20% of the package price will be charged if the Caesarian Section is performed during office hours and a 50% surcharge if the Caesarian Section if it is performed or completed during non-office hours. Moreover, a non-refundable surcharge HK$15,000 is required to be paid for Specified Hours for Delivery at the time of booking.

21. What is an Emergency Cesarean Section?

    An Emergency Cesarean Section takes place if it is medically indicated and justified by the obstetrician that an Emergency Caesarian Section has to be performed immediately. A surcharge of 20% of the package price will be charged if it is performed during office hours and a 50% surcharge if it is performed or completed during non-office hours.

22. Can I change the schedule of my Cesarean Section?

    Please discuss with your doctor before delivery and notify us via your doctor. Cases will be treated as an Emergency Cesarean Section if a new schedule for the elective Cesarean Section, or a change of arrangement from a Normal Vaginal Delivery to Cesarean Section, is requested at the date of admission or after admission. A surcharge of 20% to 50% of the package price will be charged for an Emergency Cesarean Section.

23. Can I change from a Cesarean Section to Normal Vaginal Delivery after confirmation of my booking? Which package price will be charged?

    Please consult your doctor and ask him to notify us of your new decision. The package price for a Normal Vaginal Delivery will be charged regardless if we are notified on the admission date or after you are admitted.

24. Which documents should I bring for admission?

    Please bring the following items with you:
    － the original of the Confirmation Certificated issued by TWAH;
    － the original of the valid travel document registered to the hospital;
    － Prenatal checkup report from a registered doctor in Hong Kong;
    － Blood screening report conducted by a laboratory in Hong Kong; and
    － The original of the deposit receipt.

25. What happens if I forget to bring my travel document or antenatal checkup report?

    A HK$20,000 surcharge will be applied to obstetric patients without any antenatal checkup conducted in Hong Kong; a HK$10,000 surcharge will be applied to obstetric patients who have had only one consultation conducted by a qualified Obstetrics and Gynecology Specialist and if the local antenatal blood screening report is not ready at the time of delivery.
    No services will be provided to pregnant women without a valid travel document.

Fees and Charges

26. How much are your packages?

    Please find our pricelist below: (All prices are in HK$)
    

    	Normal Vaginal Delivery Package	Cesarean Section Package	Non-local Obstetric Patients Surcharge	Mainland pregnant women whose husband is a Hong Kong Resident Surcharge *
    5-bed room	HK$19,500	HK$25,500	HK$15,000	HK$10,000
    3-bed room	HK$20,950	HK$26,850
    Semi-private room	HK$22,200	HK$29,450
    Private room	HK$25,600	HK$33,450

    Remarks: In the event of complications, additional costs may be incurred.
    * The original copy of your Hong Kong Marriage Certificate must be presented to certify at the date of admission.

27. When do I have to pay all the charges in full?

    All charges must be paid in full before discharge.

28. Are there any other charges except the Obstetric Package fee?

    It depends on your actual situation. For details, please refer to our Obstetric Package leaflet and consult your doctor.

29. How do I make my payment?

    You are welcome to make your payment by cash, VISA, China UnionPay Card and Master Card.

30. Do you accept RMB in cash?

    No. We do not accept payment by RMB in cash.

Others

31. Are there any limitations of birth in Hong Kong?

    No.

32. What about my meals and accommodation if I give birth in Hong Kong?

    Specific day and night accommodation are covered by our Obstetric Packages. However, our packages do not cover meals. You are welcome to use our restaurant (subject to additional charges) or ask your family to arrange.

33. What is the usual number of days required to give birth in Hong Kong?

    This depends on each individual case. Our Normal Vaginal Delivery Package includes 3 days and 2 nights postnatal accommodation while Cesarean Section Package includes 4 days and 3 nights.

34. I cannot speak or understand Cantonese. Can your doctors and nurses communicate in Putonghua?

    Please be assured that we can communicate in Putonghua.

We hope that the information above can answer your questions. For more information, please contact us at 2276-7888. This is our pleasure to serve you.

Notice:
Tsuen Wan Adventist Hospital reserves the right to amend any information with prior notification.

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Obstetrics Services

Neonatal Care

Newborn infants under the care of the paediatrics service will receive a comprehensive physical check-up within 24 hours of birth.

The nursery has obtained international standards. It is designed so that visiting family can view the babies while keeping them protectively isolated.

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Infant Feeding

Infant receives nutrients either by breast feeding or bottle feeding with infant formula or both. We will help and support mothers with their preferred mode of feeding.

Breastfeeding is more than supported. The practice is actively promoted by the Tsuen Wan Adventist Hospital, in accordance with current-best medical practice.

While mothers are encouraged to breast feed their infants, both breast and formula feeding are taught and supervised throughout the infant's stay.

Anticipatory guidance and general care of the infant are given to parent lectures before the birth. Maternity and Neonatal Ward staff are always readily at hand to assist.

Breast Feeding (BF) Facility

The BF Room is equipped with comfortable arm-chairs, nursing pillows and foot rests for breast feeding mothers.

A variety of breast pumps (electric and manual) are available to stimulate milk supply. Other breast feeding products and accessories such as nipple shield, cup feeder, syringe feeder and Haberman feeder are available for mothers and babies with nursing difficulties.

Breast Feeding Counseling Clinic operates every Friday except public holidays. The aim is to support nursing mothers and to provide information and solution to breast feeding problems. The clinic is conducted by an International Board of Certified Lactation Consultants.

Breast Feeding

Human milk is the best source of nutrient for the infant. It is more than a simple collection of nutrients. It not only constitutes living substances of great biological complexity but it also provides a unique protection against diseases and stimulates the baby's own immune system. Therefore our hospital has established an on-going program to promote, support and protect breast feeding mothers.

Promote breast feeding during antenatal period

• Expectant mothers and families are informed of the benefits and management of breast feeding thus dispelling breast feeding myths.

Support breast feeding during hospitalization

• Staff will help mothers to initiate breast feeding soon after delivery.
  
• Staff will show mothers how to breast feed and to maintain lactation even if they are separated from their infants.

Protect breast feeding after being discharged from the hospital

• A 24-hour breast feeding hot-line at (852) 2276 7401 is available for nursing mothers who encounter problems at home.
  
• The Breast Feeding Counseling Clinic will follow up and support nursing mothers. This is to provide accurate information and provide solutions for breast feeding problems.

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Cord Blood Screening

All babies born at the Tsuen Wan Adventist Hospital have their cord blood tested for common Chinese congenital diseases such as G-6-P-D Deficiency and thyroid hormone deficiency. Caucasian babies are in addition offered the phenylketonuria (better known as PKU) test. This is normally carried out after a few days of milk feeding.

Blood grouping is also routinely done on cord blood.

Infants born at the Hospital are automatically given a voucher for free after care of the umbilical stomp at the Child Care Services Department.

Umbilical Cord Blood Collection and Long Term Storage

Cord blood has recently been postulated to be useful in bone marrow transplantation since it is rich in stem cell.

Parents can request for umbilical cord blood storage by a commercial firm, independent of Adventist Health. The birthing room staff will collect cord blood as an additional service. This is a very safe procedure and has been used for almost a decade.

However, Tsuen Wan Adventist Hospital cannot be held responsible for providing long term storage facilities.

Mothers will need to sign a statement declaring having been fully counseled by the commercial company responsible for the cryogenic storage, before the Hospital will provide the umbilical cord blood collection service. The latter procedure is not part of the Hospital obstetrics package.

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Newborn Immunization

All babies born at Tsuen Wan Adventist Hospital receive all necessary immunizations as required by the Department of Health in Hong Kong before discharge. These include polio, hepatitis B and BCG for tuberculosis.

Babies born to hepatitis B mothers are also given Hepatitis B Immunoglobulin during the first 24 hours of life.

Parents are free to choose to continue government recommended immunization at either our Hospital or at any local Government run Maternal Child Health Clinic or in overseas countries.

Parents will be given a record of the immunization received in the Hospital.

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After Discharge

A free umbilical care service is provided for all babies delivered at our hospital. Additionally, babies referred by their physician to the Child Care Service receive their initial child care consultation free of charge.

Our Food and Dietetics Department provides advice on pre and post-natal nutrition to optimize the fitness of both mother and baby.

Advice and programs are also available to assist new mothers in returning to their pre-pregnancy weight.

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