Sunday, July 25, 2021

Choosing a Hospital for Delivery

This is an INFORMATION page, verified by physician

GTH vs CTMH

All babies in Grand Cayman are born in a hospital. Either George Town Hospital or CTMH Doctors Hospital. Home deliveries and water births are not an option. There are differences in what both facilities offer. It is important for expecting couples to be informed, so they know where will be most suited for them.

Maternity at GTH

This is the main Maternity Unit on the island. It offers 3 single delivery suits, 8 Maternity rooms -3 single and 5 double. Doulas are welcomed to assist the birth process. Birthing partners are allowed in the delivery rooms, as well as at daytime on the Maternity rooms. The Unit accommodates both government and private deliveries and offers the option of midwife deliveries. Rooming-in policy is in place to help mothers to bond with their newborns. Midwives are highly experienced and trained to deliver babies. They are also able to offer help after birth, including establishing breastfeeding.

What Types of Pregnancies are Delivered at GTH?

Maternity at GTH has the only NICU (Neonatal Intensive Care Unit) on the island. Having a well-equipped NICU with highly trained neonatal nurses, next to the delivery rooms is paramount for the safety of the newborn babies. Government Paediatricians and private Paediatricians with neonatal expertise have admitting rights at NICU. Babies born at 27 weeks and greater gestations can be cared for on the Unit. But those born at a smaller gestation, or who are very sick, are transferred to a big centre. This depends on bed availability and insurance cover (you will discuss options with your obstetrician and paediatrician).

Having NICU at the Maternity Unit at GTH makes it the only hospital where high risk pregnancies are delivered.

Vaccinations and Testing

Babies born at GTH receive Vit K, Hep B vaccine. Babies have their newborn screening and hearing test before discharge (all with parental consent).

Discharge

Hospital stay is usually 2 nights after normal delivery and 3 nights after C Section. Mother and baby are discharged upon agreement between the Obstetrician, midwives and the Paediatrician.

COVID-19 Polices

Temporarily amendments are in place due to COVID 19. Please discuss current updates with your obstetrician or midwife and GTH hospital staff.

Maternity at CTMH DH

Maternity unit at CTMH DH was re-opened in 2017. The facility has 3 private birthing suites, equipped for delivery and postnatal stay. Pregnant women are admitted to one of those rooms, they give birth and stay in the same room until they are discharged. This allows couple to feel at-home, e.g. bring their own music, essential oils. All rooms are tastefully decorated and have en-suite bathrooms, storage space, TV, Wi Fi and an extendable chair for birthing partners. Doulas are welcomed to assist with birthing process. Birthing partners can stay for the whole duration of hospital stay. Babies are rooming in and breastfeeding support is offered by trained midwifes. Hospital policy does not allow preparation of formula top-up. Medically indicated parents should provide a ready-made formula.

What Type of Pregnancies are Delivered at CTMH?

Births at CTMH DH are exclusively private. It is the hospital policy for an Obstetrician and Paediatrician to be present at birth. Midwife births are not an option.

CTMH DH has no NICU facility and cannot care for premature and sick newborns. Only uncomplicated, low risk pregnancies are delivered there. High risk pregnancies are not delivered there. This includes:

  • Twins/triplets
  • Babies with gestation less than 37 weeks
  • Known congenital abnormalities
  • Restricted baby growth
  • Maternal obstetric complications

Even babies born to a completely uneventful pregnancy can have complications at birth. There is a provision for those babies to be transferred to NICU at GTH for continuing care. Recently CTMH DH has established a partnership with Integra Healthcare. A policy for safe neonatal transfer with experienced neonatologists has been developed. This is as per world’s standards.

Vaccinations and Testing

Babies born at CTMH DH receive Vit K, Hep B vaccine and have their newborn screening done (all with parental consent). A hearing test is not offered. Parents are advised to book an appointment with Cayman Hearing center. They will perform the test (covered by maternal insurance within 28 days of life).

Discharge

Hospital stay is usually 2 nights after normal delivery and 3 nights after C Section. Mother and baby are discharged after an agreement between the Obstetrician, midwives and the Paediatrician.

Tours

CTMH DH offers tours around the facility. Expecting couples can make themselves familiar with the rooms, staff, amenities, and financial arrangements.

COVID-19 Policies

Temporarily amendments are in place due to COVID 19. Please discuss current updates with your obstetrician and DH hospital staff


Having a baby is a big milestone in every family. Choices of where and how to deliver should be made after thoughtful consideration. There is nothing more important than a healthy mum and a healthy baby. But personal preferences and family expectations should be respected. Giving birth to a baby should be an unforgettable and joyful experience.

Always discuss birth options with your obstetrician. They should be able to advise which facility is the best option for you. Regardless of where you decide to have a baby it is always advisable to attend antenatal classes. These are available at GTH and some private providers (link……to our course)

Related Posts

about the author

Dr Lisa Joels

MB ChB, MD, FRCOG, FHEA

OBSTETRICIAN & GYNAECOLOGIST

Dr Joels has 34 years’ experience in obstetrics and gynaecology including 19 years as a Consultant working in Swansea (2001-11) and subsequently at the Royal Devon & Exeter NHS Foundations Trust in the UK (2011-20). These are both University teaching hospitals, each having more than 4,000 deliveries a year and providing tertiary obstetric and neonatal services as well as gynaecological services to their local population.



Visit Full Profile »

Stay Connected

0FansLike

Stay in touch

To be updated with all the latest news, offers and special announcements.

Recent Stories