Having a Baby in Malta

For expats and digital nomads residing in Malta, the prospect of having a baby in a foreign country can be both exciting and daunting. Malta, with its rich history, Mediterranean lifestyle, and friendly locals, offers a unique setting for starting or expanding a family. The healthcare system in Malta is generally well-regarded, and expats can expect to receive quality prenatal and maternity care. However, navigating a different healthcare system and understanding the nuances of having a baby in Malta requires some preparation and knowledge. This article aims to provide an overview of what expats should expect when having a baby in Malta, from choosing a healthcare provider to understanding the options for delivery and pain management.

Choosing a Doctor

When it comes to finding a doctor or midwife in Malta, expats have several options. The country has a good number of English-speaking doctors, which makes communication easier for those who are not fluent in Maltese. It's advisable to seek recommendations from other expats or consult the embassy for a list of reputable healthcare providers. Many doctors and midwives are associated with both public and private healthcare facilities, so expats can choose based on their preference and insurance coverage. It's important to find a healthcare provider who is experienced in managing pregnancies and who makes you feel comfortable and well-cared for throughout the prenatal period.

What to Expect for Prenatal Care

Prenatal care in Malta is comprehensive and follows standard European protocols. Expectant mothers will have regular check-ups with their chosen healthcare provider, which will include routine ultrasounds, blood tests, and monitoring of the baby's development. Malta's healthcare system is equipped to handle both low-risk and high-risk pregnancies, with specialists available for any complications that may arise. Prenatal classes are also available, which can be particularly helpful for expats to understand the local practices and meet other expectant parents.

Do Expats Typically Have Private Health Insurance when Having a Baby in Malta?

While Malta has a public healthcare system that is accessible to all residents, many expats opt for private health insurance to have more choices regarding their healthcare providers and facilities. Private insurance can cover the costs of private hospital care and additional services that may not be fully covered under the public system. It's advisable for expats to review their insurance options and choose a plan that provides adequate coverage for maternity care and childbirth.

Giving Birth at Public vs. Private Hospitals

The experience of giving birth in Malta can vary significantly between public and private hospitals. Public hospitals, such as Mater Dei Hospital, the main public healthcare facility in Malta, offer competent maternity care at little to no cost for residents. However, expectant parents may experience busier wards and less privacy. Private hospitals, on the other hand, typically provide more personalized care, shorter wait times, and private rooms, but at a higher cost. Expats should consider their preferences, insurance coverage, and budget when deciding where to give birth.

C-Sections in Malta

In Malta, cesarean sections are performed when medically necessary, and the rates are in line with European averages. While elective C-sections are not as common as in some other countries, they are available in both public and private hospitals. The decision for a C-section is typically made by the healthcare provider based on the health and safety of the mother and baby. Expats should discuss their birth plan and any concerns about delivery methods with their doctor well in advance.

Pain Management During Delivery

Pain management during delivery in Malta includes various options, such as epidurals, which are widely available in both public and private hospitals. Other forms of pain relief, such as gas and air (Entonox), and pain medication injections, are also commonly used. Natural pain management techniques, such as breathing exercises and birthing pools, may be available, especially in private healthcare settings. Expats should discuss pain management preferences with their healthcare provider to ensure their needs are met during labor and delivery.

Hospitals with Neonatal Intensive Care Units

In Malta, hospitals equipped with Neonatal Intensive Care Units (NICUs) are primarily located in larger cities. Mater Dei Hospital, the main public hospital in Msida, has a well-equipped NICU for premature and sick newborns. Private hospitals may also have NICU facilities, but it's important to verify this in advance. For expats living in more remote areas, it's crucial to plan for the possibility of needing to travel to a hospital with a NICU in case of complications with the pregnancy or after birth.

Expats Talk about Having a Baby in Malta

"We had our two first children at St. James Hospital in Sliema. This is a private hospital and the rooms are more like hotel rooms then hospital rooms. We had caesarian sections because the first child was in breach position and the second came too soon after the first so the scarring had not fully healed. We chose to have an epidural since we were having the C-sections and this allowed mother to stay awake during the entire process. Due to the C-Section, mother stayed in hospital for a few days after the birth. As I said before the hospital was really more like a hotel so the stay was not uncomfortable and the staff was great, helping her with the nursing and other first time parents transitional stuff. The staff was great and the doctors were amazing. The government hospital (St. Luke's) is also professionally staffed and well maintained although less comfortable then the private hospitals," commented an expat living in Sliema.

"There are many hospitals in Malta. Choose the one that best fits your needs. Proximity to your home should be considered but also the comfort and professionalism of the staff. Your doctor will most likely be able to go to any hospital but again it helps if the hospital is also close the doctor so they don't have an hour drive in traffic to get there when you need them," said one expat living in Sliema.