Wednesday, July 17, 2013

Having a baby in Budapest, Hungary.

There were originally two purposes to this blog. To keep my family updated from 8,000 miles away, and to help anyone else with the often stressful task of giving birth in a foreign land, specifically, Budapest. Many English speakers find themselves here, whether it be for work, following a spouse, or just a change of scenery. I still don't know why I'm here.

Getting around these parts aren't easy (if you don't speak Hungarian), namely because people don't feel the need to help due to their preoccupation with feeling sorry for themselves. Ok, that's not entirely true, I came across some very nice people along my stressful journey (namely my awesome doctor), and they really made this whole baby thing a really great experience. Considering I wasn't always dreaming of becoming a mother, this whole process was a bit of a shock. 

First, let me preface this by saying I was very used to American health care. Anyone familiar with this system knows, that for the small price of your soul, you can enjoy private rooms, decent food, and the knowledge that doctors will stop at nothing to figure out what the heck is wrong. If you don't have a soul, then it will cost you your house, car and anything else you've worked for your entire life. I didn't really know that anything else existed, which is a testament to how well I was brainwashed. So fear not, you will survive if you end up giving birth in Budapest, but I would still suggest a private clinic. 

Now, let's talk price. Foreigners do not enjoy the same free healthcare as Hungarians, but it is still significantly cheaper here than in the US. The typical c-section price in the US is $10,000-$20,000 depending on where you live and if you have insurance. At the end of my C-section experience, we had spent close to 650,000ft or roughly $2,500-3,000 (which was JUST for the last 6 weeks, surgery and hospital stay). Each extra night in the hospital will cost 50,000ft (which the staff DEFINITELY pushes, for business reasons). 

The tests throughout pregnancy (blood tests and ultrasounds) range from 500ft to 24,000ft, depending on what you need.

BUT...there are cheaper alternatives. With a TAJ card (for those lucky, lucky ladies married to Hungarians like myself, scoff, scoff, or those working) you can go to state clinics for some of the laboratory tests. 

There's also this strange practice that Americans aren't used to, that is essential for giving birth here in Budapest. If you decide on a PUBLIC hospital, you TIP. You pay the doctor around 100,000HUF for his services, and the nursing staff 2,000HUF/day per nurse. That will insure that they will check on you more than once in a 24-hour period. I've heard a few times that facilities are run down, and you must bring ALL your own supplies, including toilet paper and slippers (to avoid anything that may be lingering on the floors). Oh, and don't be surprised if you are sharing a room with three other new moms. This experience will still cost you roughly around $1,000-1,500 or 250,000ft-300,000ft.
 
I chose the other route, suggested by a doctor who knew what I was 'used to' in the states, also suggesting he knew I was a spoiled brat. I owe him. There are a few private clinics here that cater to expats. I chose Maternity, a small clinic located on the Buda side. It was a fantastic experience. The doctors were knowledgeable, the staff was friendly (some even speaking English) and the facilities were clean and well stocked. For the price difference of $1,000-$2,000 (depending on your circumstances), it was well worth it.

Update: I will be doing it the exact same way again because I'm currently 20 weeks pregnant.  That's saying a lot, considering I really miss San Diego.

The Maternity Clinic is located in the Kutvölgyi Korhaz (a state hospital). The floor is very nice, with modern rooms, a great shower and the food wasn't bad (but pretty basic...cheese/ham and runny soup). The best part was that Peter was able to stay with me and stay the night, which doesn't happen in a regular state hospital, where they have strict visiting hours (from rumors around town). Within the hospital, they also have a full Neonatal Intensive Care Unit just in case anything goes wrong, which is not the case with Telki (another private hospital...which subsequently closed) located about 40 minutes outside of the city. Overall it was the best choice, given my limited time frame (I showed up in Budapest at about 32 weeks without a plan). I live dangerously.

Whatever you choose, don't stress. As a first time mom, I found this experience to be really cool. Don't get me wrong, you WILL get frustrated, but that's the fun in dealing with Hungarians in general. Enjoy!! There ARE other private clinics located in Budapest, but I am not familiar with them unfortunately. 

If anyone has an questions, feel free to email me at krains3@hotmail.com. 

Here is a link to the clinic.


And a link to the English Speaking Moms in Budapest Facebook Page, where you can ask all your questions!

https://www.facebook.com/groups/1525544647717899/








9 comments:

  1. Reading you blog made me nervous! I am an expat (Indian) living in Budapest and expecting. It seems like proper facilities and care is hard to come by here and you've to pay through your nose and grease palms at every step. I'm wondering if I should go back to India for the rest of my pregnancy and delivery, but then that puts my Visa in jeopardy and having to bring back the baby(arranging passport and visa) will be another hassle. Really stressed out.

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  2. Oh no! I didn't mean to make anyone nervous! I will say, I was beyond scared of delivering in Budapest, and thought (up until the 35th week) that I should go back home to deliver. I think that giving birth outside of your home country is ALWAYS stressful because you're simply out of your element. In the US, you pay SO much more for medical care, so I've been very happy with the price in Hungary. My circumstances were also a little different, in that I required a c-section and an extra night in the hospital. My experience was jus that, MY experience, so I hope it doesn't discourage you from looking for other alternatives. I only had a few weeks to prepare, but was happy with my choice in Maternity. I am currently pregnant with my second, and it's not even a question that I'll be giving birth in Hungary again.

    Good luck, and please try not to be stressed out. You WILL get through it, and no matter what you choose, you will have a beautiful baby in the end...and all "stress" leading up to your delivery will seem so unimportant.

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  3. I wonder if my comment got published!

    Will you go back to Maternity again? I am 6 weeks pregnant and I just dont know what to do? I have had only one check up till now, an initial test which was covered by my Generali Insurance. Going forward, I have no Insurance coverage as the pregnancy progresses and have a lot of figuring out to do. Also, wanted to ask you if you have the TAJ Kartya?

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  4. Hi Deepa!

    I will be going back to Maternity for the second birth. I believe all foreigners pay full price (the crappy part). I DO have a TAJ, but I don't think it arrived before I gave birth. I think, at most, it reduces the price by 100,000ft. I'll ask at my next appointment. I'm about 20 weeks, currently.

    Each blood test, or ultrasound runs anywhere from 12,000-24,000ft, some being much less...but that's the typical range. I just had my anatomy scan (to check measurements), and it was 18,000ft. So it definitely adds up over the course of your pregnancy. I guess because the US has such an inflated system (where a C-section is $20,000+ just for the surgery and hospital stay), I was happy to see the prices at Maternity...so please remember it's all relative!

    I have heard that some state doctors have "permission" to deliver at Maternity for a fee of 100,000ft or something similar, but I can't be sure. You would probably still have to pay for the hospital stay.

    What I do know is that you can do ALL the necessary tests through a state clinic, and still work with an OB at Maternity. My doctor actually gave us that option many times.

    I will ask my OB how to mitigate the costs the next time I see her. I'm pretty sure she would be willing to give me some good advice. I'll keep you posted!

    Kelly

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  5. Thanks Kelly. I am really grateful to you for all the information you have given me. I am still not sure which way to go, whether to stay here or go back to India. Actually, I am due to get my permanent residence card in January , so its only then that I can actually make my decision. It so happens that I will receive my TAJ Kartya after a year from receiving my PR Card upon payment of 7000 HUF per month until then. So I am wondering if I will have to pay for all the vaccinations for the baby and later check ups if necessary,

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  6. I know what a hard decision it is. I didn't decide until I was about 30 weeks along! I'm not sure how it works if the baby is born to two foreigners. My husband is Hungarian, so my daughter has citizenship, which I'm sure changes a few things. She gets all of her vaccinations for free at the local district pediatrician's office (although for some vaccinations there is a minimal cost).

    My husband (who is Hungarian) says that if you have a TAJ card, you are eligible for state health care. I can't imagine your baby wouldn't be covered as well. I'll ask around and see if I can find out more!

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  7. hi Kelly! how are you doing? I was referred by an acquaintance to visit Robert Karoly hospital in the 13th district. I had my sonography and genetic test done there and it was mighty expensive! The genetic tests cost me about 80,000 forint! Gosh...! However, we recently met with one Dr Tidar from Maternity who is known to my husband. He gave us valuable information on what steps to follow and invited us to visit Maternity to have a look around. So we are planning to switch to Maternity as well.

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  8. Hey! So I wrote a whole reply that got deleted! Ugh.

    I got my genetic testing done recently, and it was roughly 60,000ft total, which also included extra blood work after the first round came back abnormal. The glucose testing is also about 20,000ft, I believe, maybe 25,000ft.

    Definitely take a tour of Maternity! Ask all your questions, and be sure to stress that you want a regular vaginal birth (if that's your goal). Maternity is known to have higher C-section rates. I was told it's because there is no difference in price, therefore, more people seek out the clinic for C-sections based on this. I have heard conflicting opinions about this, and also have my personal experience of needing a C-section. I was open to either method honestly, so I didn't care.

    Also, Maternity requires a signed contract around 30ish weeks, and a deposit of 80,000ft...so keep that in mind! They basically are able to guarantee a spot for you, although I found it wasn't really busy when I delivered the last time.

    When are you due? I know it can get stressful at the end, especially when you are undecided about where to deliver.

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  9. Hi Kelly,

    I am French and spent the last 3 year in Budapest. I am now 10 weeks pregnant and I will probably go to Maternity...but I am struggling to select a doctor.
    Could you recommend one (yours ?)
    Many thanks
    Isabelle

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