Obstetric Services

Obstetrics & Gynaecology Services

As a leading health care provider, our hospital is committed to providing the highest quality care in a safe and pleasant environment. As you approach the special and precious moment of welcoming a new member to your family, we understand the concerns that you may have regarding the costs of hospital care and confinement.

The maternity ward at Hong Kong Adventist Hospital – Tsuen Wan is specially designed with patient comfort as a priority: built-in lighting units are adjustable and beds are designed for more comfortable labor and delivery. During deliveries, mothers may stay in the Birthing Suite with their spouse where they are attended by our staff, and are no longer required to transfer to the delivery room or change beds.

Normal Vaginal Delivery Package

Mother

4 days and 3 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

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 and cord blood gas analysis
Vitamin K injection and initial vaccinations for Hepatitis B and BCG
Phototherapy and incubator needed during the package covered period
Rooming–in (Only apply to 2-bed and 1-bed room packages)
Ward follow up for jaundice

Father

Fathers in the Delivery Room
Cutting of the Umbilical Cord by the Father
Kangaroo Care

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 services beyond routine procedure, such as additional surgical procedures and the use of special equipment, medication, blood transfusion, acute and intensive care, and isolation etc.
For taking cord blood service
Father cut cord, rooming-in service, hearing test, etc.
The normal vaginal delivery which involves “Vacuum Extration” or “Forceps Delivery”

Special Gift

To thank you for allowing us to share in this special time, a newborn baby gift, a photo album and a souvenir birth certificate that includes your baby’s footprints will be presented to you. In addition, a family portrait taken by a professional photographer will be given to applicants who apply the private room packages; and a family portrait with DVD album will be given to applicants who apply the premium private or deluxe private room packages.

Cesarean Section Package

Mother

5 days and 4 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

5 days and 4 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 and cord blood gas analysis
Vitamin K injection and initial vaccinations for Hepatitis B and BCG
Phototherapy and incubator needed during the package covered period
Rooming–in (Only apply to semi-private and private room packages)
Ward follow up for jaundice

Father

Fathers in the Delivery Room
Cutting of the Umbilical Cord by the Father
Kangaroo Care

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 services beyond routine procedure, such as additional surgical procedures and the use of special equipment, medication, blood transfusion, acute and intensive care, and isolation etc.
For taking cord blood service
Father attending delivery in operating theatre and in delivery room, father cut cord, rooming-in service, hearing test, etc.

Special Gift

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

Fees

	Normal Vaginal Delivery Package	Cesarean Section Package
3-bed room	HK$22,800	HK$29,000
2-bed room	HK$25,000	HK$31,800
1-bed room	HK$32,500	HK$44,300
Premium private room	HK$39,500	HK$55,600
Deluxe private room	HK$41,000	HK$57,600

Our Obstetric Package covers for Normal Vaginal Delivery and Cesarean Section. In the event of complications, additional costs may be incurred.
We will try our best to arrange room type requests depending on the availability of rooms on admission.
Please check-out before 12:00 noon.

Special conditions

Specified Hours for Delivery	A surcharge of 20% of the package price is required if the Cesarean Section is performed during office hours* A surcharge of HK$15,000 and 50% of the package price are required if the Cesarean Section is performed or completed during non-office hours**. (Non-refundable surcharge HK$15,000 is to be paid at the time of booking.)
Emergency Cesarean Section	A surcharge of 20% of the package price is required if the Emergency Cesarean Section is performed during office hours* A surcharge of 50% of the package price is required if the Emergency Cesarean Section is performed or completed during non-office hours**
Non-local Obstetric Patients	No extra surcharge
Multiple Pregnancies	30% surcharge for each additional baby
Epidural Analgesia (Applicable for normal vaginal delivery only)	Package excludes Anesthetist’s fee: HK$4,500
Post-partum Sterilization	Add HK$550 if performed with Cesarean Section (Exclusive of doctor’s fee)

* Office Hours:	Sunday to Thursday	7:00am to 10:00pm
	Friday	7:00am to 6:00pm

** Non-office Hours:	Sunday to Thursday	10:00pm to 7:00am
	Friday	After 6:00pm
	Saturday, Hospital Holidays	Whole Day

Frequently Asked Questions

How to book the Obstetric Package

How can a Mainland pregnant women book the Obstetric Package in HKAH–TW?
In accordance with the Food and Health Bureau, HKAH–TW is no longer accepts bookings for confinement by non-eligible expectant Mainland mothers whose spouses are not permanent residents of Hong Kong. HKAH–TW will accept bookings for confinement by expectant Mainland mothers whose spouses are Hong Kong permanent residents or spouses of Mainland residents holding one-way permits and who are attended by a Hong Kong registered obstetrician, and also have their pre-natal check conducted in Hong Kong. Please call 2275 6888 to check the details of space availability and documents that needed.

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.

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.

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.)

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).

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.

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.

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 2013, it is valid until 14th Oct 2013.

Do you accept applications from women who have had multiple births?
This depends on individual cases. Please consult your doctor.

Prenatal Care

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.

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.

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.

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.

Can the date and time of my appointment be changed?
Yes. Please contact your doctor to determine the date and time.

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.

Can I book your Obstetric Package without undergoing the antenatal checkup in Hong Kong?
No.

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

Can I choose the way of giving birth?
Yes. Please consult your doctor.

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.

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.

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.

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.

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.

Which documents should I bring for admission?
Please bring the following items with you:

the original of the Confirmation Certificated issued by HKAH–TW;
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.

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

How much are your packages?
Please refer to the Fees page.

When do I have to pay all the charges in full?
All charges must be paid in full before discharge.

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.

How do I make my payment?
You are welcome to make your payment by cash, VISA, China UnionPay Card and Master Card.

Do you accept RMB in cash?
No. We do not accept payment by RMB in cash.

Others

Are there any limitations of birth in Hong Kong?
No.

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.

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 4 days and 3 nights postnatal accommodation while Cesarean Section Package includes 5 days and 4 nights.

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:

HKAH–TW reserves the right to amend any information with prior notification.

Other Facilities

Central Monitoring System and Fetal Monitoring

Real-time data sent to a central monitoring system enable nurses to simultaneously and effectively monitor all mothers and fetuses in the delivery rooms.

Baby Security System

To ensure the safety of all newborns at the hospital, special bands with a 2D barcode are attached onto the legs and wrists of the babies upon delivery. An alarm will be activated immediately if anyone tries to take a baby out of the Maternity Ward without authorization.

Ultimate Care

Prenatal and Postnatal Health Channel

The Mother/Baby Health Information Channel is available on all televisions at the hospital to provide helpful information to enhance parents' knowledge of prenatal and postnatal care of newborns. This channel is specially created by our hospital and is available 24 hours a day in both Cantonese and Putonghua.

Kangaroo Care

When held against a parent’s bare chest, a baby benefits from skin-to-skin contact when he or she is able to feel and hear a mother or father’s heartbeat and breathing. Known as “Kangaroo Care”, this method of holding a baby has been proven to stabilize a baby’s heart rate and breathing pattern and improve oxygen saturation levels. The warmth of the skin-to-skin contact also provides a sense of security to the baby, which decreases the amount of crying, conserves energy and oxygen, lengthens sleep time, and helps with more rapid weight gain. Kangaroo Care not only improves bonding between parent and child, it also gives mothers more opportunities to breastfeed, which often leads to earlier hospital discharge.

Rooming-in

Our expert medical team strives to provide professional and family-centered care during a new mother’s stay at our hospital. To encourage early family bonding, our rooming-in option allows all members of the family to connect with the new baby early on and learn how to care for the baby. This also ensures that the baby remains in a consistent and stable environment as he or she transitions from the hospital to home.

Breastfeeding and Lactation Clinic

At Hong Kong Adventist Hospital – Tsuen Wan, we believe that breastfeeding provides numerous health benefits for babies and mothers. Our Breastfeeding and Lactation Clinic encourages mothers to breastfeed instead of formula feed, and our International Lactation and Breastfeeding Consultant is available to help mothers prevent and overcome breastfeeding difficulties. Expectant mothers may now book a breast assessment and follow-up care at our clinic, provided that they:

Have undergone our prenatal check-up, or
Intend to deliver their baby at our hospital, and
Plan to breastfeed

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.

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 Hong Kong Adventist Hospital - Tsuen Wan , 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.

Cord Blood Screening

All babies born at the HKAH–TW 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, HKAH–TW 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.

Newborn Immunization

All babies born at HKAH–TW 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.

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

Other Services

Fathers in the Delivery Room

Fathers are allowed and encouraged to be in the Birthing Suite for both vaginal and caesarean section births. Hong Kong Adventist Hospital – Tsuen Wan recognizes the importance of their presence in providing support. Private delivery rooms are available.

Cutting of the Umbilical Cord by the Father

Witnessing the childbirth process while cutting the umbilical cord allows fathers or partners to experience the miracle of birth. Fathers or partners must undergo a sterilization procedure before they are allowed to cut the umbilical cord. Our nursery staff members are happy to assist with photos upon request.

Hearing Test for Newborns

A hearing test is available for newborns upon request. The test is performed by an experienced and qualified audiologist to measure a newborn's response to sound. If necessary, a referral to a specialist for more treatments or a follow-up appointment will be provided.

Nursery Consultation

Prospective parents may call our 24-hour hotline for any questions or concerns. Our Neonatal Counseling and Care Clinic also provides consultation services. Following discharge, please feel free to contact our nurse specialist whenever difficulties arise to learn more about newborn care including bathing, feeding, skincare, etc.

Adventist Health Mother's Club

The new Adventist Health Mother’s Club was established to provide a support network for parents to share their experiences. All families of babies born at HKAH – TW are invited to join. Regular seminars and activities are hosted and organized by the hospital to keep new mothers informed and updated on childcare information.