Obstetric & Gynaecology Malaysia

OBSTERIC & GYNAECOLOGY IN MALAYSIA

Cost of delivery in Assunta Hospital 2022 by Dr Cecilia Wong

I do understand that couples are often concern of the cost of having their babies delivered in a private hospital in Klang Valley. It is the most costly health event families are likely to experience during their childbearing years. Maternity costs in a private healthcare in Malaysia is still relatively affordable. Therefore, if the couple is seeking a more personalized professional care with a comfortable one-to-one midwife care during delivery, than that can be offered by the public hospital, be prepared to spend on average from RM 8,000 to RM12,000 to have your complete pregnancy care and  delivery done in Assunta Hospital, if no complication. But a lot of factors can affect the total cost of your delivery. 


Type of Birth

Vaginal delivery or ceasarean section (LSCS). The type of birth could mean an average difference of RM4000 to RM8000 in your hospital bill. However, I could only estimate whether you can achieve a vaginal birth or required a c-section, predictable at earliest from 36-37 weeks of pregnancy.


Vaginal deliveries account for about 8 in 10 childbirths in my practiceVaginal delivery for on average, can cost from RM 4000 during office hour. This is the average cost for single room stay of 2 days 1 night. After office hour delivery can cost from RM5,000 because woman may need to stay another extra night  in addition of surcharges This does not include complications eg instrument deliveries, maternal fever, prolonged labour or excessive bleeding. Usage of epidural can incur additional RM1500-2000. Vaginal birth for a subsequent pregnancy of the woman have a prior caesarean delivery, on average, can cost from RM5000.   However, vaginal delivery with complications requiring an operating room procedure eg emergency LSCS can cost an average from RM 10000 to RM 12000 for three days hospitalization stay.


Ceasarean sections(LSCS) occur in about 2 out of 10 deliveries. LSCS is a major operation that involves anesthesia and longer hospital stays. When the woman stay only 3 days and 2 nights, a planned LSCS under spinal during office hours cost from RM 7500. A patient with previous surgery with a planned LSCS during office hours can cost from RM 8000 to RM 9000 due to risk of adhesions and need of general anaesthesia.


At Assunta Hospital, both the mother and baby will have a separate bills. The average baby bills delivered vaginally (without incubator care) is from RM 1500  while the cost of baby delivered by LSCS is from RM2000 .


Mom's and Baby's Health

Happy and healthy -- that's all that matters, right? Although that wish has nothing to do with hospital costs, complications can really increase them.

Some common delivery complications that can increase delivery cost include pregnant patient with fever, anemia requiring blood transfusion, hypertension, gestational diabetes, placenta praevia, retained placenta and postpartum hemorrhage (bleeding more than 500mls after delivery)

Many of these complications are out of your hands, but you can help to minimize the risk by getting regular antenatal care and informed to your obstetrician about your health. Of note is to avoid consumption of herbs from roots or bark which can cause increase bleeding and careful weight control.


Premature birth especially before 32 weeks gestation contribute to the most expensive cost. Premature birth can occur in about 1 of 50 pregnancies. Average costs for premature birth infants can cost up to RM 1000-3000 a day. A rough estimate of medical expenses of a 32 week premature infant who stay around 4 weeks in hospital can incur charges around RM 20,000. However, knowing the symptoms and avoiding particular risk factors can lower your chance of going into premature labour. If you are pregnant, talk to your obstetrician about what you can do to help prevent premature delivery. If you do go into premature labor, your doctor may use medications to halt uterine contractions, but those tocolytic medications and nursing care are going to cost you RM 2000 for a day stay in delivery suite. Option of transfer care to public hospital is offered for financial or logistic reasons.


Health Insurance Coverage

You've probably given a lot of thought to your health insurance coverage and costs. However, there is no insurance for maternity coverage in Malaysia unlike Australia and USA. There are insurance coverage for incubator care for preterm babies or babies with congenital anomalies. Although the coverage may be limited, couples are advised to purchase the prenatal insurance from 14 weeks of pregnancy to help lessen the financial burden if unforeseen occur to their babies which will not be prevented despite maternal chromosomal blood studies for genetic disease taken and detail scan done at 18-22 weeks.


Due to the current Covid 19 endemic situation in Malaysia, women admitted to hospital only need to have RTK Covid test. For women in labour, either their husband or mother are allowed to accompany them in Delivery suite, provided Covid 19 RTK is done. The cost of Covid RTK test in Assunta Hospital is RM 80 per person for patient and her companion, result will be ready in 45minutes. However, patient admitted for surgery under general anesthesia still need Covid PCRValidity of Covid 19 PCR is 72 hours prior admission to hospital for those who have completed 2 doses of  Covid vaccines. The Covid PCR result in Assunta will be ready by 2-4 hours as its done by in-house lab. If a pregnant patient was tested positive for Covid infection before and completed her compulsory 7days quarantine with MOH Digital Certificate, she is allowed admission to Assunta Hospital for vaginal delivery after 7 days and caesarean delivery after 14 days with usual deposit of RM 3500 to RM 7500 without further Covid test, as Covid PCR test will be positive upto 8 weeks after Covid infection. If patient admitted for delivery and then tested Covid PCR positive, she is allowed for birth in Assunta Hospital with deposit of RM 30, 000. The delivery cost for the active asymptomatic Covid positive patient will be from RM 5000 for vaginal delivery to from RM 10,000 for caesarean birth.