Pregnancy care options in NSW

Pregnancy care

Starting your pregnancy care early is an important way to look after yourself and your growing baby.

Early and ongoing pregnancy care helps:

  • support your health and wellbeing to ensure the best outcomes for you and your baby
  • connect you with the right support for your pregnancy, birth and the weeks after.

As soon as you know you're pregnant, try to make your first appointment with your GP or maternity service. Early care helps you be supported right from the start.

Pregnancy care options

In NSW, there are two main pregnancy care pathways: the public system and the private system.

Both options offer safe, high-quality care. What's best for you depends on your health, preferences, budget, and what's available near you.

Talking with your GP, local hospital, or a maternity care provider early in pregnancy can help you understand what options are right for you.

Public system

In the public system, most women will have their baby in a public hospital, but some local health districts have birth centres and publicly funded home birth programs. Most of the costs are covered if you have a Medicare card

There are four common types of pregnancy care in the public system:

  • midwifery continuity of care
  • Aboriginal Maternal and Infant Health Service (AMIHS)
  • GP shared care
  • hospital-based.

Midwifery continuity of care

What it is

You will have a known midwife throughout your pregnancy.

How it works

Two common types are:

  • Midwifery Group Practice (MGP):
    • one main midwife supports you throughout your pregnancy, labour, birth, and early postnatal period
    • a small backup team of midwives and doctors may provide care if needed
    • some places offer MGP teams specially for women having Aboriginal babies.
  • Midwifery Antenatal and Postnatal Service (MAPS):
    • one main midwife cares for you during pregnancy and after your baby is born
    • other midwives and doctors provide care as needed
    • care during your labour and birth is provided by midwives who work in the birthing unit.

Where care is offered

Appointments are usually held at a public hospital or a community clinic. Your birth may be in a hospital, a birth centre or at home.

Getting started

Talk to your GP or contact your local public hospital early in pregnancy to book your first pregnancy appointment.

Aboriginal Maternal and Infant Health Service (AMIHS)

What it is

AMIHS is a culturally safe maternity service for women pregnant with Aboriginal babies. You'll be cared for by a midwife and an Aboriginal health worker who work closely as a team and provide you with continuity of care.

How it works

Your team will support you during pregnancy, birth, and until your baby is 8 weeks old.

Where care is offered

Appointments may be in community health centres, public hospitals, Aboriginal Medical Services (AMS), or ACCHO.

Getting started

Talk to your local AMS, ACCHO, GP, midwife, or local public hospital early in pregnancy to book your first pregnancy appointment.

GP care

What it is

GP care means you see your GP for most of your pregnancy care, with a few visits at the hospital's antenatal clinic. It's a good option if you feel comfortable with your GP and you're having a healthy, uncomplicated pregnancy.

There may be some costs, depending on how your GP's practice works.

How it works

You’ll have most of your appointments with your GP.

There are two main types of GP care:

  • GP shared care:​
    • you have most of your check-ups with your GP, with some key visits at your hospital
    • the hospital team will manage your labour, birth, and any hospital care
    • some Aboriginal Community Controlled Health Organisations (ACCHOs) also offer this care.
  • GP obstetrician care
    • your GP is specially trained in pregnancy and birth
    • they will care for you during pregnancy and may be there for your baby's birth
    • your appointments are mostly in your GP's clinic, with some key visits at your hospital including a booking-in appointment early in your pregnancy.

Where care is offered

Appointments are mostly with your GP, with some at your hospital. Birth takes place in a hospital.

Getting started

Talk to your GP early in your pregnancy about the type of pregnancy care they provide.

Hospital based

What it is

You'll have your pregnancy check-ups at the antenatal clinic in a public hospital. You might see different healthcare professionals throughout your pregnancy. This kind of care is available for most women, including those who have a health condition or need a bit of extra support.

How it works

Your care may be led by:

  • midwives, in collaboration with doctors if required, or
  • obstetric medical officers, in collaboration with midwives.

Where care is offered

Appointments may be at the antenatal clinic of your local public hospital or in a community clinic. Your birth will usually take place in a hospital.

Getting started

Talk to your GP or contact your local public hospital early in pregnancy to book your first pregnancy appointment.


Find your local public maternity hospital

If you're planning to have your baby in the public health system, this map can help you get started.

You’ll also find information on its location and a link to the local website that has information on the care offered, how to book in, making contact and more.

Choosing your care early can help you feel more confident and supported as you get ready to welcome your baby.

Find a maternity hospital

Private system

If you choose private care, you'll usually see the same private obstetrician or midwife throughout your pregnancy and give birth in a private hospital.

Private care has out-of-pocket costs. Most women who choose to give birth in a private hospital will pay for it with their private health insurance. Not all services are covered by Medicare or your insurer, so it's a good idea to check what's included.

The most common types of private maternity care are seeing a private obstetrician or a private midwife.

Private obstetrician

What it is

A private obstetrician is a specialist doctor who provides pregnancy and birth care.

How it works

  • You'll have regular check-ups at the obstetrician's private clinic.
  • When you go into labour, your obstetrician will care for you at the private hospital.
  • Midwives at the hospital will also support your labour, birth, and recovery.
  • You will need to pay for this care. Most women who choose this care will have private health insurance to help cover some of these costs. You may also be able to access some Medicare rebates.

Where care is offered

Appointments are held at your obstetrician’s private clinic. Birth usually takes place in a private hospital.

Getting started

Ask your GP for a referral early in your pregnancy or contact a private obstetrician directly.

Private midwife

What it is

A privately practising midwife is a midwife you choose to provide care before, during and after you give birth. Some work on their own, while others work in small teams.

How it works

  • You'll usually see the same midwife (or small team of midwives) throughout your pregnancy, birth, and early postnatal period.
  • If any risks or complications come up, your midwife will consult with a doctor or refer you to hospital care.
  • Ask your midwife about any costs that they may charge and the rebates you may be able to access through Medicare or private health insurance.

Where care is offered

Appointments may be at your home, a private clinic, or in the community.

Birth may take place at home or in a hospital.

Getting started

Talk to your GP or contact a private midwife early in your pregnancy to book your first pregnancy appointment.


Current as at: Wednesday 10 September 2025
Contact page owner: Maternity, Child and Family