Public or Private Birth?

This is one of those questions that feels simple until you are the one lying awake at night thinking about it.

Public or private.

I have had this conversation many times, and I have lived both experiences myself. So rather than listing pros and cons, I want to share what it actually felt like for me. The good, the difficult, and the parts that surprised me.

Because lived experience often explains things better than advice ever could.


My First Birth in the Public System


I delivered my first baby at Ipswich Maternity Hospital.


If I am being completely honest, my own care during that birth felt overlooked.

Things moved quickly. Decisions were made around me. I often felt like I was trying to keep up rather than being gently guided through what was happening. In moments where I needed reassurance, it sometimes felt like there simply was not time.

That part was hard.


But this is just as important to say.


When my baby needed NICU care, the nurses who stepped in were nothing short of incredible. The care they gave my little warrior was compassionate, attentive and deeply human. I could not fault them for a second.


The public system may be stretched, but there are people within it doing extraordinary work every single day. I will always be grateful for the care my baby received.

My Second Birth in the Private System


My second birth was at Mater Mothers Private Brisbane, and the experience was very different.

After my c section, my care was absolutely prioritised.


Pain management, monitoring, recovery. I felt seen, supported and looked after physically. There was no question that my wellbeing mattered.


What surprised me, though, was what came next.


There was an unspoken expectation that I would manage baby care largely on my own. Feeding, settling, the emotional adjustment. It was assumed I had it covered.


And while I did manage, it was a different kind of challenge. Quieter, but still heavy in those early days.

What Experiencing Both Taught Me


Having been through both systems, this is what I learnt.

No system is perfect.

No two births are the same.

And better looks different depending on what you need at the time.

Public care gave my baby exceptional medical support when it mattered most.

Private care gave my body focused recovery support when I needed it.

Both experiences gave me something valuable.


Both also had moments where I felt vulnerable in very different ways.

What Really Matters More Than Public or Private


What matters most is not the system itself.

It is whether you feel heard.

Whether you feel safe.

Whether you feel supported in the ways that matter to you.

Those needs can change from pregnancy to pregnancy, from birth to birth.


What one person finds reassuring, another may find overwhelming. That does not mean anyone made the wrong choice. It simply means birth is deeply personal.

If You Are Deciding Right Now


If you are currently weighing this up, these are the questions I would gently encourage you to ask yourself.

Where do I feel calm when things feel uncertain

Do I need familiarity or flexibility

What kind of support matters most to me after birth

There is no gold standard.

There is only the choice that feels right for you in this season.

And trusting yourself in that decision is already part of motherhood.

My Final Thoughts


I do not believe public or private defines the quality of your birth.


What defines it is how held you feel during one of the most vulnerable moments of your life.


Whichever path you choose, you deserve care, respect and compassion every step of the way.


Salma x