Vietnam has become an increasingly popular destination for digital nomads and expats and digital nomads, drawn by its vibrant culture, affordable cost of living, and stunning landscapes. For those considering starting a family in Vietnam, the prospect of having a baby in a foreign country can be both exciting and daunting. The healthcare system in Vietnam has been developing rapidly, and while it may differ from what digital nomads and expats are accustomed to in their home countries, many have had positive experiences. From choosing the right healthcare provider to understanding the nuances of the local healthcare system, having a baby in Vietnam as an expat involves navigating a series of important decisions and cultural differences. Choosing a Doctor When expecting a baby in Vietnam, finding the right doctor or midwife is crucial. Expats typically look for English-speaking healthcare professionals to ensure clear communication. In major cities like Ho Chi Minh City and Hanoi, there are many clinics and hospitals with English-speaking staff, as the expat community is sizable. However, in smaller towns and rural areas, English-speaking doctors may be less common. It's advisable to seek recommendations from other digital nomads and expats or to consult expat forums and social media groups. International clinics and hospitals are often the go-to for digital nomads and expats, as they offer a higher likelihood of English-speaking staff and are accustomed to dealing with the healthcare needs of foreigners. What to Expect for Prenatal Care Prenatal care in Vietnam can vary depending on whether you choose a public or private healthcare provider. Private clinics and hospitals generally offer a higher standard of care with more modern facilities and equipment, and they are more likely to follow international protocols for prenatal care. Expectant mothers can anticipate regular check-ups, ultrasound scans, and blood tests to monitor the baby's development. Public hospitals may also provide adequate prenatal care, but the facilities might not be as up-to-date, and there may be language barriers if you do not speak Vietnamese. Do Expats Typically Have Private Health Insurance when Having a Baby in Vietnam? Most digital nomads and expats opt for private health insurance when having a baby in Vietnam. This is because private insurance can provide access to higher quality healthcare services and cover the costs of private hospitals, which are generally preferred by the expat community. It's important to check whether maternity care is included in your policy and to be aware of any waiting periods before coverage becomes effective. Some digital nomads and expats may also be covered by their employer's health insurance plan, which can include maternity benefits. Giving Birth at Public vs. Private Hospitals The experience of giving birth in a public hospital versus a private one in Vietnam can be quite different. Public hospitals are more affordable but can be crowded, with less personalized care and fewer amenities. Private hospitals, on the other hand, offer more comfortable facilities, private rooms, and a higher standard of care with more attentive service. They are also more likely to accommodate specific birthing plans and provide services such as prenatal classes and postnatal support. For these reasons, private hospitals are often the preferred choice for digital nomads and expats. C-Sections in Vietnam Caesarean sections are relatively common in Vietnam, particularly in private hospitals where the rates can be higher than in public hospitals. Some private facilities may have a more medicalized approach to childbirth, and there may be a tendency to opt for C-sections for convenience or as a precaution. However, it is possible to find doctors and hospitals that support natural births if that is the expat's preference. It's important to discuss birth plans with your healthcare provider early on to ensure your wishes are understood and considered. Pain Management During Delivery Pain management options during delivery in Vietnam may differ from those available in Western countries. Epidurals are available in most private hospitals, but they may not be as commonly used or readily available in public hospitals. It's essential to discuss pain relief options with your healthcare provider well in advance of your due date to understand what is available and to make any necessary arrangements. Some digital nomads and expats may choose to hire a doula or seek alternative pain management techniques to complement the medical options provided. Hospitals with Neonatal Intensive Care Units Hospitals with Neonatal Intensive Care Units (NICUs) are primarily found in the larger cities of Vietnam, such as Ho Chi Minh City and Hanoi. These facilities are equipped to handle high-risk pregnancies and any complications that may arise during childbirth. Expats living in more remote areas may need to travel to these cities to access such specialized care. It's advisable to research and plan for the possibility of needing a NICU, as having a plan in place can provide peace of mind during the pregnancy and delivery process. Expats Talk about Having a Baby in Vietnam My wife and I used Franco-Vietnamese Hospital for pre-natal examinations, the cesarean section and infant follow-ups. My wife was provided all the tests, and then some, that were included in the pre-nat package. Everything was explained to us in Vietnamese and English. We had one ob-gyn throughout the process and he performed the c-section, as well. The c-section began on time and except for our daughter deciding to shift from the head down position to transverse during the procedure, everything went according to the plan. My wife requested additional pain meds. The surgical nurse was quick to push the med directly into the point at the wrist. I (husband) have had to use FVH for an emergency several years ago. We trust FVH. My wife and daughter spent 5 days in the hospital. Nursing staff were professional, courteous and friendly. The insurance department was very cooperative, commented an expat living in Ho Chi Minh City. I would suggest checking on different hospitals, such as Tu Do, Columbia, FVH and a few others. Hospitals are competitive and like to show off what they do. Take a tour and choose a hospital one is comfortable with and will accept their respective insurance programs, if the prospective patient has one, said one member living in Ho Chi Minh City.