Monday, 17 April 2017

The Delicate Matter of Deciding Where to Give Birth

Choosing where to bring your child into the world is a big decision at the best of times, but when you and your other half are from two different countries it becomes an entirely greater challenge. Not only do you have to consider hospital birth vs home birth - and then, if you go with hospital birth, which hospital - but also the rather major factor of which country to deliver your baby in.

I was born at a now-closed hospital in London, a mere stone's throw away from the home in which I lived with my mother for 21 years before making my move to Dubai. My mother still lives in the same house, and my grandparents live an hour and a half outside of London. My husband was born and has lived his entire 25+ years in the UAE, where his mother, two brothers and three sisters also live, as well as it being where we met, got married, and have set up home together.

Here are some of the main factors we considered when weighing up our options as to whether I should give birth in the UK or UAE:

Quite clearly my husband has a far bigger family than me, so in logical terms, it would appear more reasonable to fly my 3 immediate family members to the UAE for the birth rather than booking an entire jet to transport my in-laws to the UK (slight exaggeration for comedic purposes!). My family wouldn't need visas to fly to the UAE and could stay for up to a month visa-free, whereas my in-laws would be required to fill out the online visa waiver applications a minimum of 48 hours before departure to the UK, which would mean a last-minute flight booking if I suddenly went into labour early would be entirely out of the question.

In practical terms, though, it is not quite so straight forward. My grandparents are both of a fine vintage, but a long flight to Dubai in the peak of summer would certainly not be ideal conditions for them. And, it being my first baby, of course I am absolutely adamant that I have my mother with me not only for the birth, but also for as much time as possible afterwards to help me adapt to motherhood. She works and has responsibilities in the UK, so to ask her to drop everything and come to the UAE for a month or more just isn't fair or feasible.

Then there's the thought of offending one side of the family or another, depending on which country we settle on deciding to deliver in. However, as with all things relating to such a major life event, I don't believe one should agonise over offending others when the best interests of the mother and baby are the main priority in such a situation.

Naturally this is a huge consideration, as the welfare of baby and mother are paramount. Luckily enough for us, the standard of healthcare both in the UK and UAE are exceptional - which is great - but doesn't really help in making the decision any easier! I am also fortunate enough to have private medical insurance (an essential for all UAE-based expats) and my policy will fully cover the costs of private maternity care both in the UAE and overseas, including the UK. So I'm thankful that I don't need to factor cost of care into the equation either, but once again, it doesn't assist with narrowing down my options from two to one.

This is a more documentation-based consideration to keep in mind for couples of different nationalities who are expecting a baby together. In our case, again, it doesn't really make a big difference in helping us to hone in on a choice, though, because with a British mother, our baby will be entitled to British citizenship regardless of where he's born, and with an Emirati father, he is also entitled to Emirati citizenship regardless of where he's born (though, as per UAE/GCC rules, he will not be able to hold dual citizenship - more on that in a future blog post). 

It may seem strange to some of you that this is a major contributing factor in making our decision, but anyone who has lived through a hot Middle Eastern summer will understand. It's only mid-April and temperatures are already reaching the mid-30 Celsius range here in Dubai at the moment, and quite frankly I'm already overwhelmed by it in my current pregnant state. Yes, it's easy to avoid the heat here if you want to - everything is air conditioned to Arctic proportions and driving everywhere is the norm - but I actually want to be as active and outdoors-y as possible both in the late stages of my pregnancy and after giving birth. 

I love the idea of walking (or, more accurately, probably waddling before my due date) in the park and along the River Thames pathway next to my home in London every day... The moderate exercise and fresh air will do me the world of good leading up to going into labour, and will also be blissful to experience with my newborn baby in his pram as I try to start walking off the baby weight. I think I would lose my mind if I was trapped indoors with my baby due to scorching heat for months on end. So this is one big plus point for a UK birth.

This turned out to be the crucial, all-deciding factor for us. My husband's work is 'seasonal', and the summertime is the only period in which he gets a decent stint of time off. Since we've been static in the UAE for the best part of the year (ok, ok, I know we went to London for 3 days and The Maldives for 4...but those were quick trips and not during his 'major' holiday time), it is important particularly for my husband to have a change of scene during the off-season. He fell in love with London since visiting with me for the first time in his life last summer, and he's very excited about spending a month or so there this summer. It's also a great place to use as a base and then travel for quick getaways to nearby European destinations. 

My due date is, obviously, in summertime. Mr Butterfly's duties will take a break at the end of May, so it makes sense for us to travel to London then - escaping the heat, getting a change of scene, having my mother on-hand to assist as I get closer and closer to delivering - and we can even try to get some extra mini-babymoon trips in to nearby places like Paris. The sticking point is the fact that my husband will have to resume his duties in mid-July, and Baby Butterfly is not due until the end of the month. However, for probably the first month back on duty, my husband will be based somewhere in Europe with his colleagues, so it would be much faster for him to get a couple of days' leave and hop on a plane from a European destination to London at my first signs of labour than it would be for him to head all the way back to Dubai if I was giving birth there. Plus, since he won't be able to stay with me for long after the birth, it's better for me to be at home in London with baby and my mother.

So, whilst there were good arguments for both places, all in all, the factors were weighted in favour of me delivering our little bundle of joy in London, and we all unanimously agreed on that decision. I honestly couldn't be happier with our choice and am so excited to bring our baby into the world in the place where I was born and raised, and most importantly surrounded by love.

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