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Birth in Thailand

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A Thai woman I made friends with seems to be having a hard time with her pregnancy. She has little money and the public hospital is messing around her c-section. She is 47 weeks pregnant. Is this normal for the public system? 

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What do you mean by "messing around" and why does she need a c-section?

 

If the only issue is that she is overdue, usual practice would be to induce labor.

 

do ultrasounds confirm gestation of 47 weeks or is that just going by last menstrual period (which can be very unreliable)?

 

 

 

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46 minutes ago, tc77 said:

She has little money and the public hospital is messing around her c-section.

Government hospitals normally only do C-sections if there's some sort of emergency.

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If she has not had a c section before and she is aiming for a natural birth then doctors say it has to be a c section it will be free. If she has had a c-csection before then it will cost around 10,000 to 12,000 baht. Hospital staff here can be a pain, people will be sub servant to the staff and the staff can give patient a hard time. What part of Thailand is she in out of interest?

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1 hour ago, stupidfarang said:

If she has not had a c section before and she is aiming for a natural birth then doctors say it has to be a c section it will be free. If she has had a c-csection before then it will cost around 10,000 to 12,000 baht. Hospital staff here can be a pain, people will be sub servant to the staff and the staff can give patient a hard time. What part of Thailand is she in out of interest?

I think what you meant to say is that if she wants to have an elective (not medically indicated) c-section it will cost (if indeed they will do it at all).

 

The criteria is medical necessity, not whether or not the woman has had a prior c-section.

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9 hours ago, Sheryl said:

What do you mean by "messing around" and why does she need a c-section?

 

If the only issue is that she is overdue, usual practice would be to induce labor.

 

do ultrasounds confirm gestation of 47 weeks or is that just going by last menstrual period (which can be very unreliable)?

 

 

 

She couldn’t be induced and hasn’t gone into labour. Gestation is from conception date

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She is in a very poor part of Thailand. They apparently have said the baby is okay. The first time they sent her away as she hadn’t paid, the second time no beds, the third time they stuffed up the booking. 

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8 hours ago, stupidfarang said:

If she has not had a c section before and she is aiming for a natural birth then doctors say it has to be a c section it will be free. If she has had a c-csection before then it will cost around 10,000 to 12,000 baht. Hospital staff here can be a pain, people will be sub servant to the staff and the staff can give patient a hard time. What part of Thailand is she in out of interest?

If it’s a public hospital? Nawamin public I think. Her English isn’t very good.

Edited by tc77
Error

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She has no insurance as she wasn’t working when she fell pregnant. I’m presuming this makes it more complicated.

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12 hours ago, BritManToo said:

Government hospitals normally only do C-sections if there's some sort of emergency.

Wouldn’t 47 weeks pregnant be classified as an emergency?

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No, no and no

 

If she is not covered under the Social Security scheme then she is covered under the government "30 baht" scheme. She does not have to pay anything and the fact that she says she did suggests either:

 

1) She is not going to a government hospital but a private one

 

OR

 

2) She is asking for an elective c-section

 

OR

 

3) She is lying to you (very, very common here - they assume foreigners don't know Thais have free health cover, and lots of foreigners fall for it, which keeps it going).

 

There is no government hospital called Nawamin. There is a private hospital by that name in Bangkok.

 

How can she date from conception? Unless she only had sex once in say a two month period, she cannot.

 

And why can't she be induced? None of this is adding up.

 

Where in Thailand is she? Are you sure not in Bangkok, that's where Nawamin Hospital (private) is located.

 

If she is from upcountry but physically now in Bangkok that could be an issue as she may be registered for free care in her home province, unless an emergency she has to deliver at the hospital where she is registered for it to be free. That might also explain wy she is trying to go to a private hospital.

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2 hours ago, Sheryl said:

No, no and no

 

If she is not covered under the Social Security scheme then she is covered under the government "30 baht" scheme. She does not have to pay anything and the fact that she says she did suggests either:

 

1) She is not going to a government hospital but a private one

 

OR

 

2) She is asking for an elective c-section

 

OR

 

3) She is lying to you (very, very common here - they assume foreigners don't know Thais have free health cover, and lots of foreigners fall for it, which keeps it going).

 

There is no government hospital called Nawamin. There is a private hospital by that name in Bangkok.

 

How can she date from conception? Unless she only had sex once in say a two month period, she cannot.

 

And why can't she be induced? None of this is adding up.

 

Where in Thailand is she? Are you sure not in Bangkok, that's where Nawamin Hospital (private) is located.

 

If she is from upcountry but physically now in Bangkok that could be an issue as she may be registered for free care in her home province, unless an emergency she has to deliver at the hospital where she is registered for it to be free. That might also explain wy she is trying to go to a private hospital.

Thank you for your response. I calculated the date from the last time she told me she had intercourse with my friend which actually equates to 45 weeks 4 days (I checked again). I may have the hospital wrong. I spoke with the private one who tried to help. 
 

I just looked into the 30 baht system, Im not sure whether she has the universal card. I think you are right and there are lies she won’t say why she can’t be induced which also doesn’t add up. She is 100% pregnant I think I’m getting other fibs though. I believe she is currently living in Nakhon Nayok but she has told me she is staying with a friend in Bangkok.

Edited by tc77
Looked up 30baht

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EVERY Thai not covered under one of the other schemes is covered under the 30 baht scheme. Does not require a card. Which hospital is based on  where registered in a tabian ban.

 

No reason at all to assume that the date she had sex with your friend (if in fact true) is the date she conceived. Nor any reason to assume that he is the father.

 

Nakhon Nayok is not an unusually poor part of Thailand.

 

You are being lied to from start to finish.

 

She is trying to get you to pay for an elective cesearan at a private hospital or else just get some spending money off you.

 

 

 

 

 

 

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Sheryl - can she get into a public hospital in Bangkok if that’s not where she is from? would they say she has to go private or go back to her province?

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1 minute ago, tc77 said:

Sheryl - can she get into a public hospital in Bangkok if that’s not where she is from? would they say she has to go private or go back to her province?

 

if she is not registered in a tabian ban in Bangkok and shows up not in labor, no emergency then yes they will tell her the choices are to either go back to where she is registered or  pay to deliver there. As the costs are pretty low people sometimes opt to do this (at government hospital in Bangkok) rather than travel back home.

 

Which she already knows and has known all along. She prefers to try to get you to pay for a private hospital and is lying for that purpose.

 

She also BTW lied about the cost at Nawamin hospital. And is almost certainly lying about having to have a c-section because they "can't induce" her.

 

And I would not lay odds on your friend actually being the father.

 

The bigger question is why are you persisting with all this? You have been lied to from the word go, and she will keep spinning out new stories as soon as you debunk the last one. It won't end as long as she thinks there is a chance you'll give her money.

 

She wants money from you and is lying, without any scruples,  to get it. Very, very common.

 

Give it to her or not as you prefer but don't kid yourself that it was necessary on humanitarian grounds.

 

It is unlikely she is as poor as you think she is. Thai women skilled at lying to foreign men never are.

 

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