1st December 2009 14:26
I went semi-private with Holles Street on ds. Half my ante natal appointments were in the hospital and half with my GP. The semi-private clinic is a horrid little pre-fab, totally over-crowded and at times we had to queue up the stairs. As I got further along I used to suffer from claustrophobia and fainting and it was miserable.
This time I'm attending the community midwives. Instead of having hospital appointments with a consultant, I see a midwive out in Carrickmines. You get a real appointment so practically no queueing. It is a different philosophy of care, treating pregnancy and birth as a natural affair instead of a medical one. It is a public scheme, which is ironic because it is so much nicer.
I had to attend the hospital once, and compared to the semi-private waiting area, the public area is lovely and roomy. The consultant was every bit as professional and impersonal as in semi-private.
Ultimately on semi-private you pay for any shortfall not covered by your insurer, all of which you would get for free on public care. On semi-private you see the same consultant on each visit whereas on public you see whoever is available on the day. On both schemes you will only havea consultant attending your birth if there is a problem, and in both cases it will be whichever consultant is on duty that day. If you are semi-private you will be put in a semi-private ward (with about 5 other patients), if you are a public pateint there are more people on the ward.
I wouldn't like private care, because I want to see as little of doctors as possible

If I wasn't eligible for the community midwives and had to have consultant-led care, I would choose public over semi-private. But obviously that is totally personal and everyone is different. Good luck choosing and pm if you have any questions.