A complete guide to Sydney's North Shore birthing options.

You’ve just discovered you are pregnant. You’re feeling a flurry of emotions that might include joy, anxiety, excitement, or worry. You may have seen your GP to have your pregnancy confirmed, and just as you are trying to get your head around the fact you’re growing a new life inside your body, you have to make some decisions about your care.

The birth of your baby may feel like a long way off, but the decisions you make now can have a huge impact on your experience of pregnancy, labour, birth, and the postpartum period.

It can feel overwhelming, and it’s often easiest and most comfortable to do what friends or family members have done. To choose the route they did because if they’re familiar with it, then it must be okay. 

But this is when it really pays to do your research. Through sickness, tiredness, the feeling like you’ve got the worst hangover since your 21st birthday party without the fun night beforehand, it pays to understand your options. 

A good birth has to be curated. It doesn’t just happen. It’s your responsibility to put things in place to optimise your chances that the birth you have will be the one you want.

As a birth and postpartum doula, I support mums-to-be on the North Shore in Sydney, and I’ve put together a comprehensive guide on your choices when it comes to giving birth in our local area. It will help you understand what's available and make an informed choice that aligns with your preferences and needs.

*Disclaimer: I’ve spent days researching this information and it is true and correct to the best of my knowledge, however this guide should be used to support your own research.

Understanding Models of Care

What’s a model of care you ask? It’s a framework that forms the basis of maternity care. Not all models of care involve the same things, so knowing what each one typically includes, the benefits, potential risks and considerations, and typical cost, can help you decide what’s right for you.

Remember, each hospital, facility, or professional service provider’s model of care will differ slightly and you will need to understand how this looks directly from them. The following is a general guide only.

Standard midwifery-led care or midwifery clinics

What it looks like: Standard midwifery-led care or clinics place midwives as your primary caregivers throughout pregnancy, labour, and birth. You'll see a team of midwives (usually 6-8 different midwives) for your antenatal appointments, though you may not know which midwife will be present during your labour. Appointments are typically scheduled every 4-6 weeks until 28 weeks, then every 2 weeks until 36 weeks, and weekly thereafter. Expect around 7-10 appointments in total for a low-risk pregnancy. If complications arise, care is transferred to an obstetric team.

Benefits:

  • Evidence-based care focused on physiological birth processes

  • Lower rates of medical interventions compared to obstetric-led care

  • Emphasis on natural pain management techniques

  • Holistic approach considering emotional and social wellbeing

  • Cost-effective (free in public system)

  • Midwives are experts in physiological birth and can identify when medical input is needed

  • A stronger focus on breastfeeding support and postnatal care.

Risks and Considerations:

  • Less continuity of care - you may not know your labour midwife

  • May have longer wait times for appointments in busy public systems

  • Limited ability to accommodate specific requests or preferences

  • Less frequent monitoring compared to obstetric care.

Cost: Most of the cost of care is bulk-billed for Australian residents with Medicare-billed for Australian residents with Medicare

Midwifery Group Practice (MGP) for low-risk pregnancies

What it looks like: Midwifery Group Practice (MGP), sometimes known as 'Caseload Midwifery', is the work unit of caseload midwives enabling women to be cared for by the same midwife (primary midwife) supported by a small group of midwives throughout their pregnancy. Most MGPs will include around 4 midwives, each with a caseload of women to whom they provide continuity of care. The midwives in the Group provide back up to one another as needed, to maximise the likelihood that you’ll know the midwife who provides your care.

You'll be assigned a primary midwife who will be your main caregiver throughout your pregnancy journey. This midwife will care for you through your pregnancy, through your birth and at home for 10 days - 2 weeks after your baby is born. While you'll usually see your primary midwife, you'll also meet the other 3-4 midwives in the group during your pregnancy, so there's always a familiar face available when you go into labour. If complications develop requiring specialist care, you may need to transfer to obstetric-led care.

Benefits:

  • Continuity of care and carer is known to provide many benefits in terms of the health outcomes of mothers and babies and the levels of satisfaction of care for both consumers and care providers.

  • Women can form a relationship with a known midwife, improving both maternal and midwife satisfaction.

  • Higher rates of standard vaginal birth - In 2023 RHW MGP had a 67% normal vaginal birth rate, compared with the national average of 50.7%

  • Women are less likely to experience unnecessary intervention. Babies are more likely to be born healthy

  • 24/7 on-call support from your known midwifery team

  • Active labour, physiological birth, breastfeeding and early discharge home from the Birthing Unit are a focus

  • Comprehensive postnatal support at home for up to 2 weeks

  • More personalised care with longer appointment times

  • Strong emphasis on building trusting relationships

Risks and Considerations:

  • Limited availability - MGP programs often have waiting lists due to high demand

  • Only suitable for low-risk pregnancies

  • Your primary midwife may occasionally be unavailable (though backup midwives from your group provide coverage).

Cost: Most of the cost of care is bulk-billed for Australian residents with Medicare

North Shore Birthing Options blog: a midwife is using a doppler to listen to a pregnant woman baby's heartbeat

Maternity Antenatal Postnatal Service (MAPS)

MAPS (Maternity Antenatal Postnatal Service) is a public hospital continuity-of-care model that involves a small team of MAPS midwives. You receive antenatal care with a known midwife (and obstetricians if required) at the hospital. You give birth to your baby in the hospital’s birth unit where the midwives on duty will look after you during labour and birth. After you are discharged from the hospital, your known midwife (or the midwife team) provide your postnatal support.

This model provides comprehensive antenatal care that includes longer appointment times with a focus on pregnancy education and birth preparation tailored to your needs. After you’ve had your baby, you’ll receive extended postnatal support and home visits that provide breastfeeding support and guidance as well as family planning and contraception advice. 

Benefits:

  • Continuity of antenatal and postnatal care with a known midwife team

  • MAPS midwives are specially trained in low risk pregnancy and postnatal care and can provide the majority of your care

  • Lower cost than private midwifery care - free as a public hospital service

  • Enhanced postnatal support

  • Personalised care with longer appointment times during pregnancy

  • Strong focus on education and preparation for parenthood

  • If medical consultation or referral is needed, the team can organise this while continuing to provide your care alongside doctors

  • Ideal for women wanting continuity but comfortable with hospital birth midwives

Risks and Considerations:

  • Different midwife attends your birth than the one providing antenatal and postnatal care

  • Suitable for low-risk pregnancies without complications requiring specialist care

  • Birth experience similar to standard hospital care rather than midwifery group practice

Cost: Most of the cost of care is bulk-billed for Australian residents with Medicare.

GP Shared Care

What it looks like: GP shared care is a collaborative model where your family doctor provides most of your antenatal care, working in partnership with the hospital's midwifery team. You'll have regular appointments with your GP (similar schedule to midwifery care), with specific appointments at the hospital at key times - typically around 12-16 weeks for booking, 36 weeks for birth planning, and any time complications arise. Your GP conducts routine checks, orders tests, and monitors your pregnancy, while the hospital team manages your labour and birth.

Benefits:

  • Continuity with a doctor you know and trust

  • Convenient local appointments with your regular GP

  • Your GP understands your medical history and family context

  • Often easier to get timely appointments

  • If complications develop, you're referred back to hospital care

  • Good integration between pregnancy care and ongoing family health

  • Cost-effective for routine, low-risk pregnancies

  • GP can continue postnatal care and baby's early health checks

Risks and Considerations:

  • Your GP won't be present during labour - hospital midwives manage birth

  • Potential for communication gaps between GP and hospital team

  • GPs vary in their obstetric experience and comfort level

  • May miss subtle complications that specialist-trained midwives or obstetricians would catch

  • Less specialised pregnancy and birth education compared to midwifery-led care

Cost: Most of the cost of care is bulk-billed for Australian residents with Medicare


Public Obstetric Care or Clinic for High-Risk Pregnancies

What it looks like: This model involves care by specialist obstetricians (doctors who specialise in pregnancy, labour, and birth) within the public hospital system. You're referred to this care if you have medical conditions, pregnancy complications, or risk factors that require specialist monitoring. Appointments are more frequent and longer, typically involving detailed ultrasounds, specialised tests, and care planning. A multidisciplinary team may include maternal-fetal medicine specialists, endocrinologists, cardiologists, or other specialists as needed.

Benefits:

  • Expert management of complex medical conditions during pregnancy

  • Access to advanced diagnostic tools and monitoring equipment

  • Immediate access to emergency interventions if needed

  • Coordinated care with other medical specialists

  • Higher staffing ratios and more intensive monitoring during labour

  • Access to neonatal intensive care if baby needs special care

  • Evidence-based management of high-risk conditions

Risks and Considerations:

  • Higher rates of medical interventions, including caesarean sections

  • Less emphasis on natural birth approaches

  • More medicalised approach may increase anxiety for some women

  • Less continuity - you may see different specialists at different appointments

  • Longer wait times and busier clinic environments

  • May feel less personal than midwifery-led care

  • Higher likelihood of induction of labour or early delivery

Conditions typically requiring specialist obstetric care include:

  • Diabetes (pre-existing or gestational)

  • High blood pressure or pre-eclampsia

  • Previous pregnancy complications

  • Multiple pregnancies (twins, triplets)

  • Placental problems

  • Fetal growth restrictions

  • Maternal heart conditions

  • Previous caesarean sections (in some cases)

Cost: Most of the cost of care is bulk-billed for Australian residents with Medicare


Private Obstetrician Care

Private obstetric care involves choosing your own specialist obstetrician who will manage your pregnancy, birth, and initial postnatal care. 

What it looks like: You select an obstetrician based on recommendations, hospital privileges, or personal preference. Your obstetrician will be your primary caregiver throughout pregnancy and will personally deliver your baby (or arrange coverage with a trusted colleague). Appointments are typically monthly until 28 weeks, fortnightly until 36 weeks, then weekly. Consultations are usually 15-30 minutes and include physical examinations, ultrasounds, discussions about your pregnancy progress, and planning for birth.

Benefits:

  • Continuity of care - you know exactly who will deliver your baby

  • Longer consultation times allow for detailed discussions and questions

  • Flexible scheduling often with same-day or urgent appointments available

  • Choice of private hospital with enhanced facilities and amenities

  • Ability to plan timing of birth (including elective caesarean scheduling)

  • Direct mobile phone access to your obstetrician for urgent concerns

  • Personalised care tailored to your specific needs and preferences

  • Expert management of any complications that arise

  • Comprehensive postnatal follow-up typically for 6 weeks

Risks and Considerations:

  • Higher intervention rates compared to public care - studies show private patients have significantly higher rates of caesarean sections, instrumental deliveries, and other interventions

  • Caesarean rates in private care can be 1.6 times higher than in public care for low-risk women

  • More medicalised approach may not suit women wanting natural birth experiences

  • Significant financial commitment even with private health insurance

  • May have less emphasis on midwifery support and natural pain management

  • Potential for unnecessary interventions due to scheduling pressures or risk-averse practices

  • Limited availability of some obstetricians due to high demand

Approximate Costs:

  • Obstetrician fees: $3,000-$8,000+ (gap fees after insurance/Medicare rebates)

  • Hospital accommodation and theatre fees covered by private health insurance

  • Anaesthetist fees (if epidural or caesarean required): $500-$2,000+ gap

  • Paediatrician fees for baby checks: $300-$800+ gap

  • Additional specialist fees if complications arise

  • Additional costs for premium room upgrades, extended stays, or additional services

  • Total out-of-pocket costs typically $5,000-$15,000+ depending on complications and services used.

Prerequisites:

  • Private health insurance with obstetric cover (12-month waiting period applies)

  • Financial capacity to cover gap fees

  • Must book early as popular obstetricians fill up quickly

north shore birth options blog: a baby being born by c-section

Private Obstetrician in a public hospital 

This model of care combines elements of private obstetric care with the public hospital system. Some obstetricians work in public hospitals while also maintaining private practices. In this arrangement, you choose and pay a private obstetrician who has privileges to work within a public hospital. You receive private obstetric care throughout your pregnancy in their private rooms, but give birth in the public hospital.

What it looks like: You see your chosen obstetrician for all antenatal appointments at their private consulting rooms, following the typical private care schedule. When you go into labour, you attend the public hospital where your obstetrician has arrangements. You'll be admitted as a public patient but receive care from your private obstetrician as well as the midwives on duty in the birth and maternity wards.

Benefits:

  • Continuity of care with your chosen obstetrician throughout pregnancy and birth

  • Significantly lower costs compared to private hospital care

  • No requirement for private health insurance with obstetric cover

  • Access to public hospital facilities including comprehensive emergency services

  • Your obstetrician personally attends your birth

  • Longer consultation times during pregnancy typical of private care

  • Access to advanced public hospital facilities and specialist services

  • Lower overall intervention rates compared to private hospitals.

Risks and Considerations:

  • Limited availability - not all obstetricians offer this service

  • Your obstetrician may not be available 24/7 (backup arrangements with colleagues)

  • Less choice in birth environment and amenities

  • May have hospital policies that limit some preferences

  • Limited partner accommodation compared to private hospitals

Approximate Costs:

  • Obstetrician fees: $3,000-$6,000+ (often lower than full private hospital care)

  • No hospital accommodation fees - covered as public patient

  • Medicare rebates may be available for obstetric consultations

  • May still require gap fees for anaesthetist services if epidural or caesarean needed

  • Total out-of-pocket costs typically $3,000-$8,000


Private Midwife Care or Privately Practising Midwives (PPM)

Private midwives offer personalised, woman-centred care throughout pregnancy, birth, and the postnatal period. They can attend births at home, in birth centres, or sometimes in hospitals depending on their credentials and hospital privileges.

What it looks like: You choose a private midwife who becomes your primary caregiver throughout your maternity journey. Appointments are typically longer (45-60 minutes) and held in the midwife's clinic, your home, or via telehealth. Your midwife provides comprehensive care including antenatal education, birth preparation, labour support, and extensive postnatal care. Many private midwives work in small group practices (2-4 midwives) to provide backup coverage.

Benefits:

  • True continuity of care - you know exactly who will attend your birth

  • Personalised, unhurried care with extensive time for questions and education

  • Holistic approach considering physical, emotional, and social wellbeing

  • Strong advocacy for your birth preferences and informed consent

  • Comprehensive birth preparation and education tailored to your needs

  • 24/7 availability during late pregnancy and labour

  • Extensive postnatal support including home visits for several weeks

  • Lower intervention rates compared to obstetric-led care

  • Flexible care arrangements that can adapt to your changing needs

  • Strong focus on natural birth approaches and normal physiology

  • Immediate and ongoing breastfeeding support

  • Family-centred care that includes your partner and other children

Risks and Considerations:

  • Limited ability to manage high-risk pregnancies or complications requiring specialist intervention

  • If complications arise requiring obstetric care, you may need to transfer care models

  • Not covered by Medicare for all services, requiring significant out-of-pocket expenses

  • Limited availability - many private midwives have waiting lists

  • Varies significantly in experience and qualifications between practitioners

  • Some don't have hospital privileges, limiting birth location options

  • Less immediate access to emergency interventions compared to hospital settings

Approximate cost:

  • Varies from midwife to midwife but complete midwifery care can range from $3,000-$7,000 depending on services included.

  • Antenatal care only: $1,500-$3,000

  • Postnatal care packages: $800-$2,000

  • Australian residents with Medicare can expect rebates for some midwifery services

  • Private health insurance may provide ancillary rebates

  • Additional costs may apply for birth pool rental, supplies, or travel

  • Australian residents with Medicare and Private health Insurance out of pocket costs will vary depending on individual level of coverage and Health fund.

north shore birthing options blog: a privately practising midwife assisting a woman with a home water birth

Now you’re aware of the different models of care typically available, it’s time to look at the locations and facilities you may want to consider. I have done my best to research and list the most well-known options in the North Shore. However, this should form part of your overall research and there may be other options available that I’m unaware of and are not listed here.


Public Hospitals in the North Shore

Hornsby Ku-ring-gai Hospital

Level 2, Building 50

Hornsby Ku-ring-gai Hospital

Palmerston Rd, Hornsby, 2077, NSW

Hornsby Ku-ring-gai Hospital serves the Upper North Shore area. The hospital provides care for approximately 1,200 births per year and is part of the Northern Sydney Local Health District. It is a small, intimate public hospital compared to Royal North Shore Hospital (the other public hospital in our area). The facility has 25 dedicated maternity beds and offers comprehensive maternity services. It has experienced midwifery and obstetric teams who provide care for low-risk and high-risk pregnancies.

Hornsby Hospital a glance

  • Comprehensive antenatal care 

  • Labour and birth support across all care models

  • Water birth facilities for eligible women

  • Postnatal care and breastfeeding support

  • Access to social work and support services

  • Transfer arrangements to Royal North Shore Hospital if needed

  • Pregnancy, birth and parenting education classes

Models of Care available

  • Midwifery Group Practice (MGP)

  • Midwifery Care/Clinics

  • Maternity Antenatal Postnatal Service (MAPS)

  • GP Shared Care

  • Public Obstetric Clinic

  • Private Obstetrician 

Intervention rates and other statistics

Onset and augmentation of labour

North shore birthing options blog: A screen shot showing the statistics of hornsby hospital's augmentation of labour rates

Type of birth

North shore birthing options blog: a table showing the types of births at hornsby hospital using statistics

Pain relief

North shore birthing options blog: a graph showing the statistics for pain relief in labour at hornsby hospital

Perineal status

North shore birthing options blog: a graph showing the perineal status of women in birth at hornsby hospital

Source: NSW Mothers & Babies Report 2023


Royal North Shore Hospital (RNS)

Women's Health Ambulatory Care

Level 3 - Clinical Services Building

Royal North Shore Hospital

1 Westbourne Street

St Leonards, 2065

Royal North Shore Hospital is the major public teaching hospital serving the North Shore area. The hospital provides care for approximately 2,000 births per year and is part of the Northern Sydney Local Health District. The hospital has 9 birthing rooms featuring mats, birth balls, bean bags, and birthing pools, All but one birthing room is equipped for water births. The maternity unit has 40 maternity beds in single and shared rooms, all with ensuites. It has a Neonatal Intensive Care Unit with 32 cots.

Royal North Shore a glance

  • As a level 6 maternity capability hospital, RNS is highly equipped to provide a comprehensive array of services.

  • Extensive early pregnancy support

  • Specialist care for high-risk pregnancies

  • Labour and birth support across all care models

  • Water birth facilities for eligible women

  • Postnatal care and breastfeeding support

  • Access to social work and support services

  • Pregnancy, birth and parenting education classes

Models of Care available

  • Midwifery Group Practice (MGP)

  • Midwifery Care/Clinics

  • Maternity Antenatal Postnatal Service (MAPS)

  • GP Shared Care

  • Public Obstetric Clinic

  • Private Obstetrician 


Intervention rates and other statistics

Onset and augmentation of labour

North Shore Birthing Options A graphic showing statistics for onset and augmentation of labour at RNS

Type of birth

North Shore Birthing Options A graphic showing statistics for type of births at RNS

Pain relief

North Shore Birthing Options A graphic showing statistics for pain relief at RNS

Perineal status

North Shore Birthing Options A graphic showing statistics for perineal statusat RNS

Source: NSW Mothers & Babies Report 2023


Northern Beaches Hospital

105 Frenchs Forest Rd W,
Frenchs Forest , NSW 2086

Northern Beaches Hospital (NBH) is a hospital that serves both public and private patients and provides care for approximately 1,600 births per year. The hospital has 10 birthing suites, three of which have birthing pools. If you have private health insurance, you can choose your obstetrician and access the facilities of a private experience. If you book in as a public patient, you can choose from the hospital’s range of care models including midwifery-led care and GP shared care. They also offer the private experience for mums without private health insurance who wish to pay to stay.

North Beaches Hospital at a glance

  • Private and public options available

  • Pregnancy and birth education classes

  • Water birth facilities for eligible women

  • Experienced midwives who can support holistic birth such as hypnobirthing

  • Postnatal care for up to fourteen days in some models of care

Models of Care available:

  • Private Obstetrician

  • Midwifery Group Practice (MGP) for low-risk pregnancies

  • Standard midwifery-led care

  • GP shared care

  • Hybrid public-private packages

Intervention rates and other statistics

Onset and augmentation of labour

North Shore Birth options blog: a graphic showing the onset and augmentation of labour at Northern Beaches hospital

Type of birth

North Shore Birth options  blog: A graphic showing statistics for type of births at Northern beaches hospital

Pain relief

North Shore Birth options blog: a graphic showing the pain relief statistics at northern beaches hospital sydney

Perineal status

North Shore Birth options blog: A graphic showing statistics for perineal status at Northern beaches hospital

Private Hospitals in the North Shore


North Shore Private Hospital

3 Westbourne St,
St Leonards, NSW 2065

North Shore Private has a collaborative team of obstetricians, paediatricians, midwives, social workers and lactation experts that support you through your pregnancy and birth. The hospital has 7 birthing suites and provides care for around 2,500 births per year. It is co-located with the public Royal North Shore hospital providing access to tertiary care facilities, including the NICU if needed. You have a private room and your partner can usually stay overnight. You can choose your Obstetrician who will provide your ongoing care. If you do not have private health insurance, the hospital offers a pay and stay option. 

North Shore Private at a glance

  • Luxury birthing suites with hotel-style amenities and comfort

  • Comprehensive maternity and postnatal education programs

  • No water birth facilities

  • Access to extra support up to when your baby is 12 months old

  • Access to emotional wellbeing support from a Gidget Foundation Psychologist

Models of Care available:

  • Private Obstetrician

  • Pay to Stay


Intervention rates and other statistics

Onset and augmentation of labour

North Shore Birth Options blog: a graph showing the North Shore Private's hospital onset of labour stats

Type of birth

A graphic showing statistics for type of births at North Shore private hospital

Pain relief

North shore birth options blog: A graphic showing statistics for pain relief in labour at North Shore private hospital

Perineal status

North shore birthing option blog: North Shore Birthing Options - A graphic showing statistics for perineal status at North Shore private hospital

Source: NSW Mothers & Babies Report 2023

Mater Hospital North Sydney

25 Rocklands Rd,
Wollstonecraft, NSW 2065

The Mater offers integrated collaborative care combining obstetricians, midwives, and support staff with Catholic healthcare values. The hospital combines medical expertise with holistic care principles, often incorporating spiritual and emotional support alongside clinical care. It provides care for around 2,000 births per year and has six dedicated birthing suites, including three that are equipped with a freestanding bath for water immersion during labor. you have a private room and your partner can usually stay overnight. You can choose your Obstetrician who will provide your ongoing care. If you do not have private health insurance, the hospital offers a pay to stay option. 

Mater Hospital at a glance

  • Collaborative care model combining medical and midwifery expertise

  • Childbirth, breastfeeding, parenting and postnatal education

  • No water birth facilities

  • On-site paediatric services and Level 4 Special Care Unit (SCU) for immediate baby care if needed

  • Access to additional support services including social work and pastoral care

Models of Care available:

  • Private Obstetrician

  • Pay to Stay

Intervention rates and other statistics

Onset and augmentation of labour

North shore birthing options blog: A graphic showing statistics for augmentation of labour at mater north sydney

Type of birth

North shore birthing options blog: A graphic showing statistics for type of labour atat mater north sydney

Pain relief

North shore birthing options blog: A graphic showing statistics for pain relief at mater north sydney

Perineal status

North shore birthing options blog: A graphic showing statistics for perineal status at mater north sydney

Source: NSW Mothers & Babies Report 2023


Sydney Adventist Hospital (The San)

185 Fox Valley Road,
Wahroonga, NSW 2076

Sydney Adventist Hospital is a private hospital that operates as a not-for-profit organisation under the Seventh-day Adventist Church. A multidisciplinary team of obstetricians, midwives, mothercraft nurses and paediatricians work together to provide care for around 1,700 babies per year. The San’s maternity unit has nine birthing suites, two of which are equipped for water births. There are 40 private rooms that include ensuites, breastfeeding chairs, and purpose-built baths. Some rooms have double beds while others have day beds for partners or support persons to use overnight. You can choose your Obstetrician who will provide your ongoing care. 

Sydney Adventist Hospital at a glance

  • Comprehensive maternity and postnatal education programs

  • Access to on-site special care nursery with transfer to the Royal North Shore Hospital, The Children's Hospital at Westmead NICU if required.

  • Spiritual care and pastoral services available

  • Skilled team of educators, lactation consultants and highly experienced nursing staff

Models of Care available:

  • Private Obstetrician

  • Pay to stay

Intervention rates and other statistics

Onset and augmentation of labour

North Shore birth options blog: a graph showing the stats of the SAN hospital onset and augmentation of labour

Type of birth

North Shore birth options blog; A graphic showing statistics for types of birth at the SAN hospital

Pain relief

North Shore birth options blog A graphic showing statistics for pain reliefat the SAN hospital

Perineal status

North Shore birth options blog A graphic showing statistics for perineal status at the SAN hospital

Source: NSW Mothers & Babies Report 2023

Public & Private Hospital birth statistics.

So you can compare intervention rates and other statistics more easily, I’ve compiled them into the following tables. You can view the original spreadsheet here.

Onset and augmentation of labour

North Shore birth options blog: A graphic showing statistics for augmentation of labour at hospitals in the north shore

Type of birth

North Shore birth options blog: A graphic showing statistics for types of birth at hospitals in the north shore

Pain relief

North Shore birth options blog: A graphic showing statistics for pain relief at hospitals in the north shore

Perineal status

North Shore birth options blog: A graphic showing statistics for perineal status at hospitals in the north shore

n.p. = not published


Home Birth Options.

Home birth is a growing option for low-risk pregnancies that is supported by substantial research evidence. Currently, 97% of births in Australia occur in hospitals.

Home birth involves giving birth in your own home with the support of registered midwives experienced in home birth care. Your midwife will visit you throughout pregnancy for antenatal appointments, be on-call for labour, attend you throughout labour and birth at home, and provide postnatal care for several weeks. Your home is prepared with birth supplies, and you create the environment you want - dim lighting, your own music, familiar surroundings, and unlimited support people.

Currently, none of the hospitals in the North Shore offer a Publicly Funded Home Birth (PFHB). You can find a list of the hospitals that are part of the current consortium here.

If you would like to explore homebirth, you will need to hire a Privately Practising Midwife (PPM). You should speak to several midwives to determine whether a homebirth with a PPM in attendance is an option for you, as they all have different acceptance criteria.


PPMs & Homebirthing Centres in the North Shore

The Nesting Hub

Serving the Northern Beaches and surrounding suburbs

Offering woman-centred/family-centred holistic midwifery care, they offer home-birthing, continuity of care, childbirth education, perinatal support and infant massage, to assist you and your family through this ever-changing chapter in life.

Midwife Jo

Serving North Sydney

Offering pregnancy, labour and birth, and postnatal support through a practice that is grounded in the belief that childbirth is a powerful and transformative experience.

Blooming Hearts Midwifery

Serving Greater Sydney

Blooming Hearts provides women and their families in the Greater Sydney area with private midwifery services.

ibirth
Serving Northern Beaches, Upper North Shore/ Hornsby Shire & Sydney

Forming relationships with women and their families and providing a continuation care model enables trust, communication, respect, education, support and care.

Find more privately practising midwives at Homebirth NSW


Choosing a Private Midwife:

  • Verify registration with Australian Health Practitioner Regulation Agency (AHPRA)

  • Check professional indemnity insurance coverage

  • Ask about their experience, philosophy, and approach to care

  • Understand their backup arrangements and transfer protocols

  • Confirm their birth attendance locations and hospital privileges

  • Discuss their collaboration with other healthcare providers

  • Review their emergency procedures and equipment.


Other Support Options.

Doula Support

While not a care provider, doulas offer continuous emotional and physical support during labour and birth. They work alongside your chosen model of care to enhance your birth experience. 

What Doulas Provide:

  • Emotional support and advocacy

  • Physical comfort measures

  • Birth preparation and education

  • Support for partners

  • Immediate postnatal assistance

Costs: Varies from doula to doula but expect to pay between $2,000-$4,000

Learn more about my birth and postpartum services.

Private Midwife Home Visits

Specialist service that gives you extra confidence and care in the comfort of your home. They offer support and advice for anything and everything to do with pregnancy, birth and baby. These midwives don’t replace the care from your usual care team, but are available to supplement it with valuable care when you need it.

Costs:

  • Home visit with a Medicare card: $250 travel fee applies (the appointment itself is bulk-billed)

  • Home visit without a Medicare card: $400 ($150 appointment fee and $250 travel fee)

  • Telehealth via phone or Zoom with a medicare card: Free (the appointment is bulk-billed).


Making your decision.

There’s a lot to think about when choosing a facility and model of care. The below considerations can help you as you make your decision.

Your birth preferences: Do you prefer physiological birth approaches, or are you open to medical interventions? Different care models have varying intervention rates.

Continuity of care: How important is it to know who will be caring for you during labour? Or is trusted support more crucial for you during pregnancy and in the weeks after you’ve had your baby. 

Your risk level: If you have pre-existing medical conditions, you may require specialist obstetric care, while low-risk pregnancies have more options available.

Budget: Consider both upfront costs and potential gap fees. Public options are pretty much totally free, while private care involves significant costs, even with private health insurance.

Location: Consider travel time during labour and postnatal convenience for follow-up care.

Support network: How important are visiting arrangements, partner accommodation, and family support needs for you?

Planning ahead

Start researching your options early in pregnancy, ideally by 12-16 weeks, to ensure you can secure your preferred care provider and have time to build a relationship with them before your birth.

Remember, your birthing experience is personal, and the best option is the one that feels right for you and your family. Take time to research, ask questions, and trust your instincts when making this important decision.


This guide provides general information about some of the birthing options on Sydney's North Shore. It should form part of your research, but it is advised you undertake additional research as well. Always consult with a healthcare professional for personalised advice based on your individual circumstances and medical history.

North Shore birthing options blog: Kelly Allen doula has long dark hair smiling into the camera

Contact Kelly

If you have any questions or would like more info, I’d love to hear from you. Get in touch by clicking the button below and completing the contact form.

[Contact Kelly]

About Kelly Allen

My name is Kelly, and I’m an emerging birth and postpartum doula who is completing training at the Doula Training Academy. I service women and birthing people in the North Shore of Sydney, helping you enter and emerge from birth and the fourth trimester feeling physically and emotionally well.

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