birth tourism

Maternity package rates at Bumrungrad (Bangkok) and St Luke’s hospital (Manila)

28 September 2013 by Nathalie Abejero 4 Comments

As of this writing, the exchange rate is 30 Baht=US $1. So a normal delivery package at Bumgrungrad is US $1,196, while a C-section birth is US $3100. I was quite impressed with my experience at Samitivej hospital for our first child’s birth in 2011. I imagine the facilities in Bumrungrad, which is considered a higher-class (5star) facility, must be better.

In comparison, when we had our daughter in March this year in St Luke’s Hospital (Bonifacio Global City, Taguig, Manila) the quote for a C-section delivery is PHP155,000-185,000 (US $3789-$4512) for 4-5 days’ hospitalization including delivery, recovery and nursery room charges, medicines and supplies used in the delivery room, hospitalization expenses (private room) and professional fees (OB-gyne, Pedia, Anesthesiologist). St Luke’s BGC is a similarly-billed 5star medical tourist hospital in Manila.

CAM01239 — This ad was posted in the elevators.

CAM01244.ped — Pediatric department lounge area, complete with a small play space.

Other posts on this topic:

Having a baby in Manila vs. Having a baby in Bangkok (for expatriates) Aug 10, 2013

Bumrungrad Hospital in pictures Aug 10, 2013

Giving birth in Manila vs Giving birth in Bangkok Jun 16, 2013

Living in Phnom Penh, Having a baby in Bangkok Feb 20, 2011

Having a baby in Manila vs. Having a baby in Bangkok (for expatriates)

10 August 2013 by Nathalie Abejero 4 Comments

… continued from Part I. Our first child was born in Bangkok’s Samitivej Hospital in January 2011, which I wrote about here. Our second was born in St Luke’s Medical Center, Taguig, Manila, in March 2013. Below is our experience in both countries.

As I mentioned in an earlier post, airlines restrict travel at 35 weeks 1 day gestation. Living costs have to be calculated from five weeks before the estimated due date, through the birth, and the time it takes to finalize the paperwork to clear you for exiting the country with the baby. Bureaucratic coordination is a tremendous help to medical tourists – particularly for births. Our overall experience:

Bangkok‘s medical tourism industry is exceptionally efficient. Bureaucratic requirements for the birth through your baby’s exit clearance are transparent right from the beginning. It’s possible to plan ahead, budget properly, and concentrate on the birth. Hospital staff handled the paperwork and coordination across government departments on your behalf until you leave the country. We were able to go home when our son was 10 days old.
Manila was the complete opposite, with inefficiency at every office, in a process that is not transparent. Information for foreigners coming to the Philippines to have a baby was sparse, with different people in the same hospital/government office offering conflicting information, and unfair fines levied (which we paid in order to move the process). The coordination required to secure our daughter’s documents (1) within the hospital, then (2)(3) from the hospital to/between the different government departments, was worse than poor. We were finally cleared to leave the country after 74 days.

Nursing care is a big factor [Read more…] about Having a baby in Manila vs. Having a baby in Bangkok (for expatriates)

Giving birth in Manila vs Giving birth in Bangkok (for expatriates)

16 June 2013 by Nathalie Abejero 4 Comments

As many of you know, most foreigners working in Cambodia and its neighboring countries fly to Bangkok for medical procedures. We chose to have our baby in Bangkok, Thailand, in January 2011, which I wrote about here on resources for foreigners. Due to airline policies we flew to Bangkok at 35 weeks gestation (they don’t want women having a baby while on board). This is a substantial amount of time away from work, so a speedy return back after the birth is ideal. Thanks to the extremely efficient medical tourism industry, we were able to leave Thailand with the baby an astonishing 10 days after birth. The official birth certificate, US passport, and exit clearance were all secured very quickly and painlessly. All engagement with government bureaucracy was expertly facilitated by a hospital representative. We spent two months, tops, in Bangkok.

This time around, for our second child’s birth, we decided to go to the Philippines. It took a week before the hospital sent Saoirse’s birth documents to the local registrar’s office. It took around four weeks before the National Statistics Office (NSO) released an official copy of her birth certificate (after we paid a fee to expedite the process). We secured an interview to report the birth abroad at the US Embassy two weeks later. After three weeks her passport was couriered to us. Finally, after some paperwork and lots of fees, the Bureau of Immigration gave us our daughter’s exit clearance. Compared to 10 days in Thailand, in the Philippines it took 74 days after birth before we were able to leave the country. We were in Manila nearly four months.

At least this was in a country where we had family, so the extremely long stay didn’t feel like an imprisonment. I wasn’t necessarily in a rush to get back to work, but it was stressful to wade through so much bureaucracy. The worst part is that it seemed as if few to no other Americans/foreigners have ever gone through it before! I assumed that with the medical caliber there, it would be one of the main medical destinations for foreign aid workers, diplomats and other expatriates working in the pacific island countries. Clearly not?!

I’ll be posting more about our experience being a medical tourist (having a baby as well as other medical procedures) in Manila and in Bangkok.

Anyway.. our little girl is “home” now. She was a trooper for her first flights (Manila to Singapore, then Singapore to Phnom Penh), sleeping through most of the travel while Tristan, now 27 months, was the one who kept us on our toes with his incessant need to run, touch everything, and tantrum every 15 minutes of the flight to Phnom Penh!

Other posts on this topic:

Maternity package rates at Bumrungrad (Bangkok) and St Luke’s hospital (Manila) Sept 28, 2013

Bumrungrad Hospital in pictures Sept 28, 2013

Having a baby in Manila vs. Having a baby in Bangkok (for expatriates) Aug 10, 2013

Living in Phnom Penh, Having a baby in Bangkok Feb 20, 2011

Living in Phnom Penh, Having a baby in Bangkok

20 February 2011 by Nathalie Abejero 4 Comments

Photo by Keith A Kelly

CHOOSING THE HOSPITAL

We work and live in Phnom Penh, and wouldn’t feel comfortable with the specialists / facilities here in case of complications during delivery. The nearest city with internationally accredited care is Bangkok, so there we went at 35 weeks 6 days gestation, the latest we’re allowed to board a Thai Airways flight (with a fit-to-fly certificate from the doc).

Most of Bangkok’s well-known private facilities have high quality patient-oriented care and great customer service. They have translators, can take care of extending visas, take the baby’s passport photo (this isn’t easy so do get this done at the hospital!), get the birth certificate officially translated and documented at the Ministry of Foreign Affairs, and liaise on documentations necessary to register the birth at your particular embassy etc. Many people go to Bumrungrad Hospital; read this post and follow the link to her birth story at Bumrungrad here. This hospital is located in the neighborhood of Sukhumvit where many Arab nationals live, so the third spoken language is Arabic.

The delivery packages she quoted for Bumrungrad are comparable to those at Samitivej:

Natural birth/Water birth (3 days admission) 55,000Baht / US$1800 on exchange rate 30Baht=US$1
Natural birth with Epidural (3days admission) 68,000 Baht / US$2267
C-section (4days admission) 78,000Baht / US$2600

So I’d heard there is a ~90% c-section rate in private hospitals in Bangkok..? At any rate it’s high, but that’s due to a lot of other factors (including the Asian quest for luck, leading parents to schedule c-sections on the most propitious time and date for birth). [Read more…] about Living in Phnom Penh, Having a baby in Bangkok