Nearly a year into life in Patagonia, and it no longer feels like “Patagonia” – the mystic, great unknown, and now just feels like home. We’ve moved into a house in a safe neighborhood surrounded by native forests, enrolled our toddler in preschool, developed our routines and a set of friends, and are trying our hand at gardening. Not much left to tackle except for childbirth in a foreign country, right? Well, we’re doing that too. As I begin my third trimester, I thought I’d share some of the things I’ve learned about being pregnant and preparing for having a baby in Chile.
For anyone coming to Chile from the US, home of sometimes-great-but-always-incredibly-expensive-healthcare, you’ll be pleasantly surprised with healthcare in Chile. It ranges from dirt cheap to expensive-but-still-much-cheaper-than-in-the-US, depending on your location and personal preferences, with childbirth ranging from $800 for a midwife-lead birth in Southern Chile to upwards of $10,000 for a Cesarian birth in Santiago.
Costs can be minimized by signing up for a health plan called an Isapre (residency is not a requirement.) Our premiums on Masvida, the Isapre we selected, run at 1/3 of the rates we were paying for a high-deductible health plan in California in 2009, and have much more comprehensive coverage. The one thing that takes a bit of getting used to with the Isapre is that you pay your bono (copay) at the insurance office prior to your doctor’s appointment, and bring proof of payment with you to the appointment (or else pay at the doctor’s office and then go to the Isapre afterwards for a reembolso – immediate cash reimbursement.)
In the US, a pregnant woman often has to decide whether she wants to have a midwife or a doctor be her primary caregiver for childbirth – in Chile you get both! I have monthly visits with my OB/GYN in Chile, who weighs me, prescribes medicines and tests as needed, and listens to the developing baby’s heartbeat. In addition, I have monthly visits with my matrona (midwife), who listens to the baby’s heartbeat, demonstrates relaxation breathing techniques, and chats about approaches for prenatal stimulation. I like having two different women I can bounce questions off of, and knowing that they’ll both be there by my side on delivery day.
I’m getting ready to go on a tour of the clinica (private hospital) where I’ll be having the baby, though from what I’ve learned from the matrona, the birth experience is very customizable. There are private rooms, birthing bars (no bartenders or beer; just a bar to grasp during labor), encouragement of immediate breastfeeding after delivery, and a nursery available for mothers who don’t want to room in with the baby for the night. I’ve been encouraged to bring music and whatever else I’d need to make the room feel comfortable, and have learned that unlike in the US, labor, delivery, and recovery occur all in the same room.
While my Spanish isn’t yet perfect, and Chilean Spanish is a language in and of itself, I’ve found that this has not been a barrier to receiving high quality medical care as I prepare to bring a new life into the world. The hardest part was probably figuring out how to make myself understood over the phone in order to make appointments. I’ve found in Chile and Argentina that asking for una cita is equivalent to asking someone out on a date; in Argentina request un turno with the doctor, and in Chile request una hora.
Among the perks of being preggo in Chile is the ability to cut in line anywhere and knowing that I’ll always be offered a seat or a ride. A female stranger even offered me a ride downtown one afternoon last week as I waited for the bus. . . I’m looking forward to heading into the final stretch of my pregnancy in Chile, and to hearing my baby’s heartbeat once again at this week’s doctor visit – fortunately I’ve already paid my bono!














