before having a baby in Switzerland, there are several things you need to know:
-INSURANCE for mom : Medical insurance in Switzerland is MANDATORY (and you pay for it yourself). There are different types or levels of coverage, but the BASIC level is the same for all insurance companies, so shopping around is a good idea if you are just getting the Basic coverage.The good news is that the Basic insurance covers ALL of the pregnancy-related expenses (8 visits to the doctor, 3 ultrasounds, birth, etc...). If you enter the country with a previous condition (pregnancy included) you can only be covered by the BASIC insurance (for the pregnancy part at least). If you're already in Switzerland and planning on getting pregnant it is a good idea to upgrade your insurance level if you wish to have a few extras (more dr's visits, more scans, private room, your doctor attend the birth, etc). For some companies, you need to do this a whole year in advance!
My coverage is Basic, and I've been very happy with it so far. I will not get my doctor to attend the birth, but she's out on maternity leave anyways, so that was not an issue. Also, if i wanted to i could upgrade the hospital room to a private room (instead of a double) for 240 CHF per night, but i think i will just stick to what i have and hope there aren't too many births that week (there's usually 2 per room at the hospital i am going to).-INSURANCE for Baby: Arranging for insurance coverage for your baby BEFORE she's born is not mandatory, but a very good idea. That way the baby will be covered from birth, and any medical issues that may surface will not be considered "pre-existing". You can insure your baby with a company different that yours. Usually children's insurance has a 0 CHF deductible, so you never really pay anything besides the monthly premium.
In the spirit of preparedness, we have already arranged for the baby's insurance (like 3 months ago).-BIRTH: Even though i haven't had a baby in the US or MX (or any other country for that matter), i am pretty sure the birthing experience here is very different. First, the entire birth is handled by midwives, and a doctor only shows up at the end (maybe) or if there are complications (this might be similar to the US). You give birth in a birthing room, and there are all kinds of "toys" in there you can use to make labor less painful (and more enjoyable? don't think so). The bed can change into all these different positions, there's a ball, a maya stool, chairs, ropes hanging from the ceiling, and in most hospitals at least a couple of rooms have a birthing pool. They're VERY open to all kinds of different birthing positions (they actually discourage the "usual" laying on your back with legs on stirrups). They also have a stereo and you can bring your favorite music. The midwives highly encourage a Natural birth, they try to sell it, push it, and convince you it is the best thing ever! They will offer you accupunture, aromatherapy, massage, and all different kinds of "natural" remedies before using what they call "school medicine" (does this mean there's no school for accupunture?). Of course, in the end it is supposed to be YOUR birthing experience, so if you want an epidural you can get it (fingers crossed!).
-HOSPITAL: With the basic insurance I could only choose a hospital in my Canton (canton=state). Fortunately, there were several choices within the canton of Zurich. After asking my doctor we narrowed it down to the University hospital and the city hospital. I should mention here that the insurance also covers "Birthing Centers" and home births but we did not even consider those (I guess coming form a family of doctors and nurses we feel more comfortable with a hospital birth). Hospitals usually have a tour/information session once a month where they talk about the birthing process and how things are handled in their hospital. We went to a couple of those, even though they were in german. In the end we went with the TriemliSpital (the City Hospital), which is VERY near our house (like 3 bus stops away=4-5 minutes), they're smaller than the Unispital, and i've heard good things about them.
-EXTRAS: There's a lot of support available for mommies and babies around here. It all starts in the hospital, where you can stay up to 5 days for a vaginal birth and up to 7 days for a c-section. During that time, a lactation consultant teaches you about breast feeding, and also they teach you how to care for the baby (bathing, diapers, etc) among other things. Once you go home you get to have a midwife come visit you a few times. She will answer any questions, check stitches, weigh the baby, check on the breast feeding process, etc. The Basic insurance covers 10 of these visits, but the days you stay at the hospital are subtracted from that (so if you stay 3 days at the hospital, you get 7 midwife visits). It is up to you to choose and arrange for the home midwife. Then there's a "Mother Center" in your area that will contact you after the birth (the hospital sends them your info). There you can go once a week also for questions, check ups and just advice in general.
-COURSES: There are a bunch of courses available for new parents. They include the typical "birthing" course, but also some interesting ones, like baby massage, baby wearing, infant care, breastfeeding, and water birthing among others. Unfortunately only a few of the courses are offered in English. We already attended a birthing course at the University hospital. It was a looong weekend course (from 9-4 on Sat, and from 9-3 on sunday, with a 1 hr lunch break). It was very informative and useful. Mostly it helped with making us more relaxed, positive, and confident about the whole process. The courses are not cheap! but the basic insurance covers about 1/4 of the bill.
-PAPERWORK/NATIONALITY: A baby born in switzerland does not a Swiss citizen make. For a baby to be swiss, one (or both) of the parents needs to be swiss. In our case, the baby will be Mexican. There are several documents you need to bring to the hospital in order to get the Birth Certificate, and there are several requirements to those documents. The "silliest" one is that all the papers you bring should not be older that 6 months. That means that you need to get a whole "new" set of birth certificates for the parents and also a current marriage certificate from your home country less than 6 months before you give birth. Why do they have this requirement? beats me!. In our case, we will also need to have such documents translated, since they are not in English, German, French or Italian. The translation can only be done by a "certified" person and they also need to be notarized. This will cost a bundle (I estimate about 1000 CHF!). We already have the "current" not-more-than-six-months-old documents. Next on my to-do list is to get them translated. After the birth we will get the gift certificate and the hospital will forward the baby's info the the "immigration police". They will then contact us to get the baby's residence permit in order. ALSO, once we have the birth certificate, we will need to register the baby in the Mexican consulate. That is a whole other story! It involves more paperwork and traveling to Bern with two witnesses. Only AFTER we have registered the baby as Mexican can we get the baby a Passport. That involves (you guesses it) more paperwork. In all, we estimate that if we do everything right, one thing after the other, the baby will be "legal" and free to travel by 3-4 months. (i guess if we want to travel to the US, we will also need to apply for a US visa... can you say "more paperwork"?).
ok.
that was long.
i hope you found it interesting.
until next time.