When you’re expecting a baby, one of the first decisions you’ll make is what kind of maternity care you’d prefer — public or private obstetric care. Both systems offer high-quality care in Australia, but they differ significantly in terms of cost, continuity, hospital choice, and flexibility.
Understanding the key differences between public and private obstetric care will help you make an informed decision that suits your needs, preferences, and budget. This 2025 guide breaks it all down so you can feel confident moving forward in your pregnancy journey.
What Is Public Obstetric Care?
Public obstetric care is delivered through Australia’s public healthcare system and is covered by Medicare, meaning little to no out-of-pocket cost. Care is typically provided at a public hospital or antenatal clinic and may involve a team of healthcare providers such as midwives, general practitioners (GPs), and hospital-based obstetricians.
Key Features of Public Obstetric Care:
- No or minimal costs if you’re eligible for Medicare
- Access to a team of healthcare professionals, not just one obstetrician
- Most births take place in public hospitals or birthing centres
- Availability of midwifery group practice, shared care with GPs, or hospital-based care
- Emergency and specialist services available for high-risk pregnancies
What Is Private Obstetric Care?
Private obstetric care gives you the option to choose your own obstetrician and receive care primarily through the private health system. While Medicare covers a portion of the costs, you’ll need private health insurance (with obstetrics cover) to help manage out-of-pocket expenses.
Key Features of Private Obstetric Care:
- Choose your own obstetrician who will likely see you throughout your entire pregnancy and be present for your birth
- Appointments in a private clinic, often with shorter wait times and more flexibility
- Birth at a private hospital with private rooms and added amenities
- More continuity of care with one provider
- Higher out-of-pocket costs (even with insurance)
Comparison Table: Private vs Public Obstetric Care
| Feature | Public Care | Private Care |
|---|---|---|
| Cost | Covered by Medicare | Medicare + out-of-pocket expenses |
| Choice of Obstetrician | Usually not (assigned by hospital) | Yes (you choose your doctor) |
| Continuity of Care | Shared between providers | High (same obstetrician throughout) |
| Hospital Stay | Shared rooms (typically) | Private room (if covered by insurance) |
| Appointment Flexibility | Limited by clinic availability | Greater flexibility in scheduling |
| Access to Specialist Services | Yes (especially in high-risk cases) | Yes (especially for personalised care) |
| Eligible with Medicare only | Yes | No — private insurance usually required |
Cost Breakdown: What to Expect
Public Care Costs (2025)
- Free for Medicare card holders
- May incur costs for:
- Ultrasounds at private clinics
- Non-standard tests or classes
- Optional private hospital stays
Private Care Costs (2025)
- Average out-of-pocket costs: $3,000–$6,000+
- Includes:
- Obstetrician’s fees
- Hospital excess (depending on insurance cover)
- Anaesthetist and paediatrician fees (not always fully covered)
- Additional scans and tests
Tip: Always ask your private obstetrician for a detailed fee schedule upfront and check with your insurer about what’s covered.
Which One Should You Choose?
There’s no one-size-fits-all answer — the best choice depends on your personal preferences, health needs, and financial situation.
Choose Public Care if:
- You want quality care at minimal cost
- You’re comfortable seeing a team of professionals instead of one obstetrician
- You don’t have private health insurance with obstetrics cover
- You’re low-risk and happy with standard hospital facilities
Choose Private Care if:
- You prefer seeing the same obstetrician throughout your pregnancy
- You value shorter wait times and more flexible appointment scheduling
- You want access to a private room and added comfort
- You have private health insurance and can manage the additional costs
Shared Care: A Popular Middle Ground
In 2025, many expecting parents in Australia are choosing shared care, where you split your antenatal appointments between your GP and hospital or a public obstetrician. It offers convenience, affordability, and continuity for those without full private cover.
Shared care is especially useful in regional or remote areas, where private obstetric services may be limited.
Final Thoughts
Whether you choose public or private obstetric care, you’re in good hands — Australia is known for its world-class maternity services. The most important thing is to choose a care model that feels right for you, supports your pregnancy goals, and provides peace of mind.
Still deciding? Explore your options today.
Browse reviewed and vetted obstetricians across Australia by city or region at Obstetricians.au — compare care types, read real patient reviews, and connect directly with providers.
👉 Start your search now
){kind=link}