Private obstetrician Perth

Private obstetrician or choosing public?

Dr Richard Murphy

Private obstetrician or choosing public?

Choosing to go public or to use the services of a private obstetrician can be a hard choice even if you were born and bred in Australia and you know the Australian healthcare system reasonably well. You hear about our world-class public health system and you hear about ambulance ramping in front of the ED or long waiting times. So…what is best for you and your family?
Obstetrics and gynaecology consultations at my private practice in Subiaco.

Fertility consultations at Genea Hollywood Fertility

Delivering at the Labour Ward of SJOG Subiaco Hospital

Public or private obstetrician: what’s best?

Private versus public pregnancy care

When going public for your pregnancy care, your care up to 20 weeks gestation will be provided by your general practitioner. From that time onwards, you will go to the antenatal clinic at your public hospital. At these antenatal appointments, you will either see a midwife, a GP obstetrician, a junior hospital doctor or a specialist obstetrician. Anyone who went through the public system knows that waiting times at these clinics can be long. They also know that there is less time to discuss what you want and what matters to you, as you prepare to deliver your baby.

Other differences between public and private antenatal care become clear when you prepare to give birth. In the public system, your partner or support person will not be able to stay with you overnight. After the delivery, you will be discharged fairly quickly, within the first day for an uncomplicated delivery. Midwives will visit you at home to support you with breastfeeding and to help you out in those early days of your motherhood. After 6 weeks, you see your GP for a postnatal check-up.

With Medicare cover, there are no out-of-pocket costs for public care but if you are from overseas and not eligible for Medicare, out-of-pocket costs do apply.

With private obstetrics, the journey is different. You choose your obstetrician and you choose the hospital you will be delivering at. In the first trimester, you will see your obstetrician at around 8 weeks and the first ultrasound or pregnancy scan confirms your due date and the viability of your pregnancy.

The typical discussion topics of our antenatal consultations are:

  • Down syndrome screening
  • Routine antenatal bloods
  • Folic acid
  • Avoiding caffeine intake
  • General lifestyle tips
We plan regular antenatal consultations and do an ultrasound at each visit. We also take the time to discuss your hopes and wishes for the delivery of your baby. Our goal is to offer you a real choice about your mode of delivery. You will see the same obstetrician throughout your pregnancy.

When the day comes, your partner or support person is encouraged to stay with you in the maternity ward at the hospital. Following your delivery, you will usually spend 3-4 nights in hospital. Expert midwives are available 24/7 to help you. It means that you can return home with confidence looking after your baby and with breastfeeding

Dr Richard MurphyPrivate obstetrician Perth
private obstetrician perth
With a private obstetrician, you know that you can still see the same doctor after your delivery. Six weeks after birth, we discuss cervical screening, contraception and … most importantly, how you are managing with your baby.

Benefits private obstetrician Perth

Benefits of having a private obstetrician?

Choose your obstetrician

As a private obstetrician, it is a privilege to be asked to provide care during pregnancy. Starting and completing a family is a time of great change for mothers, fathers, couples and the wider family. I enjoy supporting you through this journey. Pregnancy often provides some clues to a woman’s future health and often your own family history provides clues about what may happen to you. For example, if you have a parent with diabetes or high blood pressure you are more likely to develop gestational diabetes, gestational hypertension or preeclampsia. As your pregnancy develops we will develop a strong relationship and really work together to achieve the best results possible for you.

Continuity of care

Once you are on that special journey during your pregnancy, new emotions pop up. The one I often hear mothers mention is the need for a strong trusting relationship with the obstetrician. While your pregnancy is often a very joyful time, there can be moments of stress. For some, there is even anxiety and the risk of depression. Continuity of care really makes a difference. We all know that babies can come along at any time. Concerns and worries can appear at nighttime, on the weekend or on a public holiday. A private obstetrician is on the journey with you, from antenatal care through to delivery and beyond.

Tailored care

No two people are quite the same and no two pregnancies are the same either. I aim to provide the best possible outcome for each woman and their family with every pregnancy. For you, it might be a really relaxed hypnobirthing labour and vaginal delivery. Or you might think of an elective caesarean section or an induction of vaginal delivery so the timing fits for you and your family. You may be living in the country and share some or even most of your antenatal care with your local doctor, perhaps using telehealth to keep in touch until near the end of your pregnancy. You may even be uninsured for private hospital delivery but desire the continuity of private antenatal care and then delivery in the public system. You may wish to stay as long as possible after delivery or you may want to get home earlier. It is your pregnancy and you will know what is best for you and your family. I am here to work with you so we can tailor your antenatal and obstetric care so it meets your needs.

Minimal waiting times

Having a private obstetrician means that you won’t need to allow a half-day or more for each appointment. Most of the time we can avoid delays when we schedule your antenatal or postnatal visits. If you lead a busy life, I will work with you so we can keep things flexible. If you have a new or unexpected concern, my team and I will do whatever is possible to make sure you can see me quickly and efficiently.

Private obstetrician Perth

Delivering your baby at St John of God Subiaco Hospital

In our modern world, we sometimes forget that having babies still comes with risks. Things do not always go according to plan. We can plan for some of the complications but not for all unexpected situations. I believe that St John of God Subiaco Hospital is the safest place in Perth to have your baby. Our hospital has 24 hours a day, 365 days per year onsite Neonatologist cover.

At the hospital in Subiaco, there is a very high-quality Neonatal Intensive Care Nursery, full adult ICU, theatre complex and interventional catheter lab.

If you are unlucky enough to have a rare and life-threatening complication there is no safer place to be delivering than St John of God Subiaco Hospital. Hopefully, that hasn’t scared you! It isn’t meant to. You can also rest assured that out midwifery, nursing and support staff are of the highest quality, highly trained, capable and above all caring.

You have your own private room

Delivering at St John of God Subiaco Hospital, you will have your own private room, providing a quiet space to share with visiting family and friends coming to share your joy and meet your baby.

Your partner can stay with you

Your partner or support person is actively encouraged to stay with you throughout your hospital stay. Sharing the joy of parenting together is very special. As the father of 3 children I know the value of fathers spending time with their children, being hands-on with all aspects of their care. I do not want to exclude fathers from participating actively in the journey to parenthood.

You can stay longer at the hospital

All prospective parents are at least a little nervous about delivery. You might worry about a difficult, painful or complicated birth. The average first vaginal labour and delivery will be no more than 8-9 hours and you will get all the help and support in labour that you need. The team consists of midwives, anaesthetists, neonatologists and of course your obstetrician.
For a lot of couples, the moment after birth is the first time they have ever held a newborn. After that, you learn how to care for and feed this new person in your life. It takes three days for your milk to come in, and mothers tell me that it makes a difference to be able to stay in hospital for 3-4 nights. The team helps you with breastfeeding and if your baby needs a few days longer in hospital, I will work hard to keep you together.

Shared pregnancy Perth

Shared pregnancy care?

You may wish to consider shared pregnancy care. This works in one of 2 ways.

  • Firstly, if you are a country patient or living overseas but planning to deliver in Perth then you could do some or most of your antenatal care where you are living. Telehealth visits using Zoom are simple and easy to organise as needed. You will usually need to be in Perth from 36-37 weeks onwards where I can continue your care and delivery.

  • Secondly, you may be uninsured for private delivery in a private hospital but value the continuity and ease of private antenatal care. In this situation, I can see you, liaise with your public hospital antenatal clinic, and then you can deliver in the public system.

Perth private obstetrician Dr Richard Murphy

Choosing Dr Richard Murphy as your private obstetrician

I really love obstetrics and would love to assist you on your journey to parenthood. I aim to provide relaxed, enjoyable and collaborative pregnancy care and delivery so that you can start or expand your family in the most positive way possible.