
Once we learned we were definitely pregnant, our next thought was "insurance!"
During Clinton's contract negotiation, he inquired about health insurance and was told that New Zealand had a national plan. Though we did not fully understand what that meant, Clinton assured me that IBM insures thier employees and that he would inquire about me. However, in two weeks time I was being interviewed for the Teaching Fellowship and I thought I would get my own insurance.
During my interview with the Director of the Anthropology department, the Dean of Faculty of Arts and Science and a Human Resource representive, I asked about health insurance which the human resource answered that this is a welfare state and that employees didn't recieved their benefits from the university but from the state. He recommended I consider apply for permanent residency so that I can recieve all the benefits that kiwis do. I felt a little embarassed that I didn't know more about New Zealand's medical system and thus didn't push the issue. I figured Clinton would follow up with IBM and I would have insurance that way. However, we learned that we were pregnant before we could sort out my health insurance...which for us Americans (at least for now), this was a scary predicament.
I did a quick search for women's health organizations in hopes of finding someone to talk to about my options. I came across a organization called MAMA materinity which explained that my 2 year work visa should cover my materinity care...WHAT?! Really?! I asked if I was limited to specific clinics, doctor's offices, etc. She responded by suggesting I find a general practicioner in my area and then a midwife. Her answer didn't really address my question but I figured I was lucky enough to get as much information as she offered. She took down my address and said she would send me a list of midwives in my area and a few pamplets on maternity care in NZ.
I made a few more calls a made an appointment with a General Practioner at Queens Doctors. Clinton and I showed up on a Thursday in late March, checked-in at the front desk and showed our US passports with NZ visa. The receptionist checked my visa and said we were covered...ie there was no charge for our visit. Within three to four minutes, our GP came out and escorted us to her office.
We explained that we had 2 positive at-home pregnancy test and would like a blood test and scan to confirm that the fetus was developing in the uterus. We also explained that we were from the states and needed a little guidance navigating the NZ system. The Doc had some experience with the US system and explained to us the following:
* Over 80% of New Zealanders use midwives to deliver thier babies
* Midwives can deliver babies in the hospital, birthing center and homes
* Most births occur in a hospital with a midwife and if baby and mommy are both fine then both are shuttled to a birthing center within 2 hours for rest and 2 overnight stays
* Not all midwifes are the same. There is not a systemitzed training for midwifes.
* It is very important to find a midwifes that has a similar birthing plan/ philosophy as you. SO make sure to ask relevant questions regarding birthing plan (home vs hospital birth, drugs vs no drugs, C-section etc)
* It is also important to secure a midwife soon, if I am pregnant, because they book up quickly.
Our GP, stated that a midwife was covered under the NZ medical plan but that a OB would cost us about NZ 2,000 extra unless I had a complicated of high risk pregnancy then the national system would cover it. Her recommendation was that we try to get a midwife with nursing training. She had three in mind and she gave us thier contact info.
She also gave us a referral for blood test and scan. She explained that if I was pregnant then the next step was for us to secure the midwife...we would no longer need to come see her. BUT if we didnt find a midwife in the next 3 weeks or so then to make an appointment to see her then. We thanked her and said good-bye, not paying a pretty penny (or gold coin). We went to the lab and scan place and again didn't take out our wallets for that as well. That day we learned that we were having our first little one and to our wonderful surprise the NZ welfare state would cover her care. All of it was an amazing experience.
Update:
Since those early experiences with the NZ medical system, we have continued to have a comforting and empowering experience with our prenatal care. Now that I am 34 and half weeks a long, we are now preparing for the delivery of our little one. We are planning for a natural, drug free birth and feel quite prepared for the challenge. However, we know that many things can happen during delivery, including complications, which could mean not having a natural birth. Whether we do or not, we feel ready to make those decisions. I know that being here in NZ, where we are constantly reminded that pregnancy is something that the female body naturally prepares itself to do, has made me feel confident about my own abilities. Pregancy is also seen as a family/community event, so there is lots of emphasis on preparing not only me but my whanua (family), especially my partner. We have taken a prenatal/labor massage class and a prenatal course which taught us techniques to celebrate and mitigate the pain of labor together. These courses have helped us connect with other prego partners here in NZ, which has been great.
So as our time approaches, we are packing our hospital bag, finishing up the nursery (which Clinton put together for me while I was away in Puerto Rico as a surprise) and enjoying the last few weeks of pregnancy. We are excited about meeting our little Black/Puerto Rican Kiwi-Born lil girl.