Beijing, China



Having a Baby in China

By Betsy Burlingame

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Summary: If you're going to be pregnant while living in China and want to learn what it's like to have a baby in China, this article is a must read. Topics covered include public vs. private hospitals, pain management, finding a doctor and more. Plus, expats share their experiences having a baby in China.

Having a baby in China as an expat can be a unique experience with its own set of opportunities and challenges. The quality of healthcare in major cities is generally high, with both public and private hospitals offering maternity services. However, language barriers, cultural differences, and varying healthcare practices may impact the experience. Here's what to expect:

Choosing a Doctor

Finding a suitable doctor or midwife is crucial. In major cities like Beijing, Shanghai, and Guangzhou, there are a fair number of English-speaking doctors. However, their availability may be limited in smaller cities or rural areas. International clinics and private hospitals typically have more English-speaking staff. Recommendations from local expat communities or online forums can be helpful in finding a suitable healthcare provider.

What to Expect for Prenatal Care

Prenatal care in China usually involves regular check-ups, blood tests, and ultrasounds. Public hospitals may have different routines and practices compared to private ones. For instance, public hospitals often require patients to queue for services, which can be time-consuming. Private hospitals generally offer more personalized care and shorter waiting times. Traditional Chinese Medicine (TCM) may also be recommended alongside Western medicine.

Do Expats Typically Have Private health insurance when Having a Baby in China?

Many expats opt for private health insurance to cover maternity costs, as public healthcare may not cover all expenses. Private insurance can provide access to international clinics and private hospitals, which often have higher standards of care and better English-speaking capabilities. However, it's important to check the policy details, as coverage can vary significantly.

Giving Birth at Public vs. Private Hospitals

The experience of giving birth in public and private hospitals can differ greatly. Public hospitals are generally more affordable but may have less personalized care, longer waiting times, and limited English-speaking staff. Private hospitals offer more personalized care, comfortable environments, and better communication in English, but at a higher cost. Some private hospitals also offer delivery packages that include prenatal care and postnatal support.

C-Sections in China

C-sections are quite common in China, with rates higher than the global average. This is partly due to cultural preferences, such as the belief that C-sections are safer or less painful. However, the rates vary by region and hospital, and natural births are also supported, especially in private hospitals catering to expats.

Pain Management During Delivery

Pain management options during delivery can vary. Epidurals are available in many hospitals, but their administration may differ from Western practices. Some hospitals may not offer epidurals routinely, and others may have different policies regarding when they can be administered. It's important to discuss pain management options with your healthcare provider well in advance.

Hospitals with Neonatal Intensive Care Units

Most major cities in China have hospitals equipped with Neonatal Intensive Care Units (NICU). These include both public and private hospitals. However, the availability and quality of NICU facilities can vary greatly. In rural areas, access to NICU facilities may be limited. It's advisable to research hospitals in your area and understand their capabilities in case of complications. Additionally, some private hospitals may have agreements with larger public hospitals to transfer patients if specialized care is needed.

About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


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