Giving birth in Kingston, Jamaica (Details)

Following on from the previous introductory post on Giving birth in Kingston, Jamaica (Intro), here are further details on the process. This post provides information mainly on The University Hospital of the West Indies (UHWI) and Andrews Memorial Hospital (AMH ) and briefly on Nuttall Hospital (NH). Please note that the prices quoted here are as current as the date of this blog post. Some prices are just based on research and not exact figures. This post is meant to be a helpful guide for expectant mothers planning to deliver in Kingston, Jamaica.

Additionally, if you would like information on pre-natal classes in Kingston, please click here to be re-directed to that post.

THE UNIVERSITY HOSPITAL OF THE WEST INDIES (UHWI)

REGISTRATION / BOOKING

Registration at the UHWI is recommended by 14 weeks for public patients and 16 weeks for private patients. Registration is carried out on Mondays and Thursdays at 8 am for private patients and on Fridays at 7 am for public patients. The earlier you register, the more cost effective it is at UHWI. After registration, your first obstetrician / gynaecologist (OBGYN) appointment is usually booked, but you won’t be seen by an OBGYN at registration. Regular appointments are normally once a month until 28 weeks, when it goes up to twice a month then at 36 weeks, up again to once a week.

PAYMENT & INSURANCE

UHWI requires payment upfront for all maternity-related services. This means that for patients with health insurance, you will pay the before-insurance amounts and claim back from your insurance provider after delivery. Unless complications arise prior to delivery and the patient is admitted to the ward (e.g. gestational diabetes, high blood pressure, etc), health cards may be used upfront in such cases.

Under normal circumstances, the deposit for Labour and Delivery at UHWI should be paid in full by the 28th week of pregnancy. The deposit for a vaginal delivery is JA$30,000 and for a Caesarian section (C-Section) is JA$120,000. This does not include the cost for a private OBGYN nor is it the total cost or final bill for maternity service at the hospital.

SUMMARY OF EXPENSES

If the UHWI is your hospital of choice for delivery, here is an example of what your expenses may look like over your entire pregnancy, before insurance. This is by no means a list of what your costs will actually look like of course, but it’s simply an illustration for consideration. Actual costs are highly dependent on wjetjer you are a private or public patient, the type of delivery, whether you choose to have your own OBGYN do the delivery, the facility you choose to do your blood tests / ultrasound(s), insurance coverage, complications that may arise, etc

EXAMPLE OF COSTS WITH OPTION 1:  THE UNIVERSITY HOSPITAL OF THE WEST INDIES

 

Costs

Vaginal delivery

(JA$)

Caesarian Section

(JA$)

Pre-natal visits 1

40,000

40,000

Room and Board 2

5,000

7,500

In-house OBGYN 3

20,000

60,000

Other billables items 4

5,000

86,500

Blood tests 5

10,000

10,000

Ultrasound(s) 6

6,000

6,000

TOTAL

86,000

210,000

 

This illustration is based on the following assumptions:

  1. Pre-natal visits are charged as a flat-fee of $40,000 in total, despite the actual number of pre-natal visits to the UHWI clinic throughout pregnancy.
  2. Room and board is at a rate of JA$2,500 per night assuming 2 nights for a vaginal delivery and 3 nights for a C-Section delivery. UHWI does not offer private rooms at present.
  3. If your private OBGYN does your delivery, the In-house OBGYN fee should be waived.
  4. Other billable items include disposables, pharmaceuticals, lab tests, IV fluids, use of theatre (if C-Section) and such mentioned above.
  5. The cost for blood tests are dependent on where they are done and which tests are recommended. If tests are done at UHWI, this is an estimate of the cost before insurance. (See more on Blood Tests below)
  6. The number of ultrasounds done are dependent on your particular circumstances and your OBGYN’s recommendations. The cost above assumes one 2D ultrasound at a rate of JA$6,000. 3D ultrasounds would of course be at a higher price.

 

 AFTERCARE SERVICE

UHWI is responsible for mother and child up to six weeks after delivery. This means that if any issues of concern arise during this time, the patient may visit the Maternity Ward and will be seen by a doctor free of charge (ie Ward 11).

UHWI also offers a domiciliary service that is free of charge. This is available for patients in the corporate area. How it works is that UHWI nurses visit your residency up to four weeks after delivery and perform routine checks on mother and child. The nurses visit once/twice a week depending on the mother's condition. They check your vitals, your breasts, your incision (if C-Section) and ask the mother about the bleeding and passing stool. They also check the baby’s vitals, weight and healing of the umbilical cord. They do not, however, re-bandage your C-Section wound. That should be done at Ward 11 at the hospital in a more sterile environment.

Ward 11...

 

UHWI Ward 11 Visiting hours...

ANDREWS MEMORIAL HOSPITAL (AMH)

REGISTRATION / BOOKING

Andrews Memorial Hospital no longer offers the service of pre-natal visits, so patients should make arrangements with their OBGYN privately for their pre-natal visits. Booking is usually required by 28 weeks of pregnancy.

PAYMENT & INSURANCE

AMH requires that patients pay their deposit for delivery by 28 weeks of pregnancy. The deposit for vaginal delivery is JA$55,000 and for C-Section is JA$230,000. Your booking for Labour and Delivery is completed once the deposit is paid in full. If you are using health insurance, all the relevant information should be provided at least a week prior to the 28 weeks and the balance  (not covered by insurance) paid by 28 weeks of pregnancy.

The final bill will include other such billable items as mentioned above. All bills must be paid in full upon discharge.

SUMMARY OF EXPENSES

If AMH is your hospital of choice for delivery, here is an example of what your expenses may look like over your entire pregnancy, before insurance. The table does not include the cost for using your private OBGYN and in the case of a C-Section, the costs for the anaesthesiologist and assistant have not been included. These would be included in a separate bill from your OBGYN.

I re-iterate here that this table is by no means a list of what your costs will actually look like of course, but it is simply an illustration for consideration. Actual costs are highly dependent on the hospital that is ultimately chosen, the type of delivery, whether you choose to have your own OBGYN do the delivery, the facility you choose to do your blood tests / ultrasound(s), insurance coverage, complications that may arise.

EXAMPLE OF COSTS WITH OPTION 2: ANDREWS MEMORIAL HOSPITAL

 

Costs

Vaginal delivery

(JA$)

Caesarian Section

(JA$)

Pre-natal visits 1

60,000

60,000

Room and Board 2

23,000

42,000

Paediatrician visits 3

20,000

20,000

Nursing / newborn care

6,000

6,000

Other billable items 4

25,000

226,000

Blood tests 5

10,000

10,000

Ultrasound(s) 6

6,000

6,000

TOTAL

150,000

370,000

 

This illustration is based on the following assumptions:

  1. This estimate is derived based on the assumption of 10 pre-natal visits in total throughout pregnancy, at a doctor’s fee of JA$6,000 per visit.
  2. Room and board is at a rate of JA$14,000 for a private room assuming 2 nights for a vaginal delivery and 3 nights for a C-Section delivery. (The cost is JA$11,500 per night for a semi-private room).
  3. There are usually two Paediatician visits at a rate of JA$10,000 per visit.
  4. Other billable items include disposables, pharmaceuticals, lab tests, IV fluids, use of theatre (if C-Section) and such mentioned above.
  5. The cost for blood tests are dependent on where they are done and which tests are recommended. (See below for further information on Blood Tests)
  6. The number of ultrasounds done are dependent on your particular circumstances and your OBGYN’s recommendations. The cost above assumes one 2D ultrasound at a rate of JA$6,000. 3D ultrasounds would of course be at a higher price. (See below for further information on Ultrasounds).

 

NUTTALL HOSPITAL

Nuttall hospital requires that patients make their booking and pay their deposit by around 24 weeks of pregnancy. The deposit for a vaginal delivery is JA $70,000 and for a C-Section it is between JA $140,000 - JA $150,000. 

Similar to AMH, Nuttall hospital accepts health insurance coverage upfront. So if the relevant coverage information was provided prior to booking, the balance of the deposit should be paid at booking.

In terms of the facility, a portion of the Maternity unit is under construction. Currently, they have eight private rooms available in the Maternity unit.

 

HOSPITAL BAG CHECKLIST

Here is a basic checklist for what to pack in your hospital bag. AMH and Nuttall hospital do not usually require you to bring diapers, as this will be provided. There are times however, when their supplies may be low, so confirm this before admission to the hospital.

For mother:

 

For baby:

Bathing Rags

 

Cotton Wool

Maternity Pads (2 packs)

(1 with adhesive; 1 without adhesive)

 

Baby Soap or soap substitute

(eg. Mustella / Cetaphil)

Bras & Underwear

 

 Baby Clothes ( 4 – 6 items)

Bathing Soap

 

Barrier Cream (eg. Desitin / Nursery Jelly)

Slippers

 

Diapers (1 pack)

Tissue Roll

 

Wash Rags

Towels

 

Wipes

Nightgown / Dusters (3 – 6)

 

Receivers / Blankets (4 – 6)

Dark slips (1 long; 1 short)

 

Rubbing Alcohol

Toothbrush & Toothpaste

 

Socks & Cap

Deodorant

 

Olive Oil

Comb and Brush

 

Small basin (bathing)

Plastic bags (for laundry)

 

Sterilised baby bottles (2)

Clothes to wear home

 

$200 for Registrar General Department

 

Some hospitals provide mothers with some of these items, but it is best to walk with back-up supplies nonetheless.

ULTRASOUNDS, BLOOD TESTS, PAP SMEAR

  • At least one ultrasound is recommended usually between 18 and 22 weeks of pregnancy. Ultrasounds may cost on average anywhere between $3,500 to $8,000 depending on where you choose to do the ultrasound and whether it is 2D, 3D etc. Dan Hope and The Women’s Place offer 3D ultrasounds. Other ultrasound centres include UHWI, Apex Medical, Centre for Diagnostic Imaging and Ruthven Medical Centre among others.
  • Routine pre-natal blood tests are recommended at the following weeks of pregnancy:  14 to 16, 28, 36, 40. These tests can be carried out privately or at UHWI for JA $7,000 (at the time of this post). Repeat tests for HIV and Syphilis are recommended at around 28 weeks at an additional cost of JA$3,000 at UHW. These tests are available for private UHWI patients in Lab Room 10 at UHWI by the OBGYN department, between the hours of 9 am and 4 pm. Call 927-1145 for further information. An O’Sullivan’s (sugar) test is recommended in your second trimester to check for gestational diabetes. It requires at least an hour of your time because blood is drawn before a sugary substance is ingested and also an hour after to see how your body reacts to the substance. This test costs JA $1,000 at UHWI for private UHWI patients. Other patients can still get these tests done at UHWI by the phlebotomy area near the Blood Bank.
  • A pap smear is recommended at least once during pregnancy. If one was done in the past 12 months and it was normal, this will usually suffice. A pap smear test can also be done privately or at UHWI.

 

FURTHER INFORMATION

DELIVERY ROOM

For UHWI, only one person is allowed in the delivery room if the mother is having a vaginal delivery. That person is either the father of the child or the mother's mother. No one else is allowed in the delivery room unless either of these two persons isn't available. For a C-Section delivery, no family or visitors are allowed.

For AMH, family is allowed into the delivery room in both cases.

VISITING HOURS

AMH visiting hours are 11am - 1 pm and 6:30 pm - 8 pm.

UHWI has visiting hours from 11 am - 12 noon and 6:30 pm - 8 pm from Monday to Saturday. On Sunday and Public holidays: 11 am - 12 noon, 3 pm - 5 pm, 6:30 pm - 8 pm.

 

CONTACT DETAILS

UHWI (876) 927 1145

AMH (876) 926 7401

NUTTALL (876) 926 2139

 

Thanks for taking the time to join me on my journey! Please also check out our follow-up blog post on What to Expect After Expecting and check out our online store right here for all your baby essentials. FREE shipping available worldwide!

If you would like to share your experience at any of these hospitals for the benefit of other mothers who are still undecided, please leave a comment below 👇👇👇 Alternatively, if you would like to ask a question about this post, send us additional information that is not reflected here or suggest an update or correction, please free to provide this in the Contact Us section along with your contact details. 

Don't forget to Like us on Facebook here, Share this post with a friend and Subscribe for future posts! 

#LiveLifeUntilItsFull #mompletelyyours #momplete


9 comments

  • Ree

    I had my Daughter at Nuttall and the experience was great. As I first time mother I was extremely nervous but the staff reassured me. I had Dr Lloyd GOLDSON as my OBGN. He was excellent. Having a caeseran section wasn’t the experience I wanted but to say the least it went well. Nurses, doctors, hospital staff did an excellent job. Nuttall made me feel are home. Friends and family were allowed anytime.

  • Camille

    Now I’m really confused, I must say excellent posts clear, concise now it’s time to makey own decision. I’m booked at UHWI was thinking of changing, now can’t decide.

  • Sashae

    I gave birth to my son earlier this year at Nuttall. I had a vaginal delivery with aid of a vacuum. Overall it was a good experience the staff was nice. Place was quiet and easy to move around. The Labour section was under construction and may still be but it didn’t bother me. The room I stayed in after delivery was very nice private room with AC and bathroom with hot water. The nurses where very nice. I paid a deposit and my insurance covered some of the cost. Overall I paid 60+k for everything and I stayed for 2 nights. When I was leaving I got a package of newborn diapers and wipes, a gift certificate for Bryan studios and a can of Enfamil. You have to pay $200 for RGD and about 15-20k for pediatrician.

  • Shaunna

    Just wanted to say great post and thanks to those that left comments. As a first time mom this is very helpful! especially the additional info on Nuthall

  • Attie P

    I gave birth at Nuttall last minute. I was registered at Andrews first but changed lastoment due to not having a new doctor who’s registered with them and it was not as bad as my 1st doctor made it seem. I had a doctor who has Jubilee experience and handled it like a pro. The 70k for Nuttall covers everything and you might even get back cash out of that deposited cash. You get early morning tea, breakfast, lunch and dinner ( with a menu to choose from each time except for tea). A nurse helps out with a sitz bath, which is WELL NEEDED, the morning after baby (I guess this depends on the time of day you have the baby). My mom and boyfriend were with me in the labour room. You pay a deposit for the TV remote like $1500 and get it back when u leave. I got a can of Enfamil Premium, a pack of huggies and a pack of Cubbies when leaving the hospital. I can’t complain, it went WELL. Thank God ! Hope this helps too.

Leave a comment