For digital nomads and expats and digital nomads living in the Philippines, the experience of having a baby can be quite different from what they might expect in their home countries. The Philippines offers a unique blend of Western and Eastern healthcare practices, and digital nomads and expats will find a range of options for prenatal care, delivery, and postnatal support. Navigating the healthcare system, understanding cultural practices, and ensuring clear communication with healthcare providers are all important aspects of the journey to parenthood in this Southeast Asian nation. With a bit of preparation and knowledge, digital nomads and expats can have a positive and fulfilling experience bringing a new life into the world in the Philippines. Choosing a Doctor When it comes to finding a doctor or midwife in the Philippines, digital nomads and expats have several options. Many digital nomads and expats opt for private healthcare where they can find English-speaking doctors with ease, as English is widely spoken in the medical community. It's important to choose a healthcare provider who is not only proficient in English but also someone with whom you feel comfortable discussing your health and pregnancy. Recommendations from other digital nomads and expats or reputable expat forums can be invaluable in this process. Additionally, many private hospitals have international departments specifically designed to cater to the needs of expatriates. What to Expect for Prenatal Care Prenatal care in the Philippines typically involves regular check-ups with an obstetrician-gynecologist, ultrasound scans, and standard blood tests to monitor the health of both mother and baby. The frequency of visits may increase as the pregnancy progresses. Expats should expect a similar level of prenatal care to what is available in Western countries, especially in private healthcare facilities. However, it's important to note that certain prenatal screening tests and procedures that are standard in some countries may not be as routinely offered in the Philippines, so it's wise to discuss all available options with your healthcare provider. Do Expats Typically Have Private Health Insurance when Having a Baby in Philippines? Most digital nomads and expats in the Philippines opt for private health insurance to cover maternity costs. The public healthcare system may not provide the level of comfort and service that digital nomads and expats are accustomed to, and private healthcare can be expensive without insurance. It's important to check that your insurance policy covers maternity care, as some plans require a waiting period before maternity costs are covered. Additionally, digital nomads and expats should ensure that their insurance plan is accepted by their chosen hospital and doctor. Giving Birth at Public vs. Private Hospitals The experience of giving birth in public versus private hospitals in the Philippines can differ significantly. Public hospitals are often overcrowded and underfunded, which can lead to longer wait times and less personalized care. On the other hand, private hospitals offer more modern facilities, shorter wait times, and a higher staff-to-patient ratio, which can contribute to a more comfortable and stress-free birthing experience. Private hospitals also tend to be more accommodating of digital nomads and expats' needs and preferences during childbirth. C-Sections in Philippines Caesarean sections are relatively common in the Philippines, with rates varying depending on the hospital. In private hospitals, the C-section rate can be quite high, sometimes due to patient choice or the preference of the healthcare provider. It's important for digital nomads and expats to discuss the possibility of a C-section with their doctor early on and to understand the circumstances under which it would be recommended or necessary. Expats should also be aware that some private hospitals may have a higher tendency to recommend C-sections for various reasons, including scheduling convenience. Pain Management During Delivery Pain management during delivery in the Philippines can vary widely. In many public hospitals, pain relief options may be limited, and natural childbirth is common. In private hospitals, a range of pain management options is typically available, including epidurals. However, the availability of epidurals and other pain relief methods can depend on the hospital's facilities and the anesthesiologist's schedule. Expats should discuss pain management preferences with their healthcare provider well in advance of their due date to ensure their wishes can be accommodated. Hospitals with Neonatal Intensive Care Units Hospitals with Neonatal Intensive Care Units (NICUs) are primarily found in major cities in the Philippines, such as Manila, Cebu, and Davao. These facilities are equipped to handle high-risk pregnancies and provide care for newborns who may need special medical attention. Expats living outside of these areas should plan accordingly and may need to travel to a city with a NICU if their pregnancy is considered high-risk or if there are any complications. It's advisable to check the availability and quality of neonatal care at hospitals when choosing where to give birth. Expats Talk about Having a Baby in Philippines We went to a simple clinic. Pain management was available, but we did not avail of it. My Filipino wife did not want that. She had a quick delivery with the first child and a slower delivery of an hour with the second one. We did not want to go to the hospital because then the child is ALWAYS born with a c section. It was a very natural and positive experience, commented an expat living in Davao. Look for a good midwife. If you go to the hospital, expect that they will always give a c section and you will pay a lot of money as a foreigner, said one member living in Davao.