Although Bequia is a small island local women give birth to children there all the time. There is a hospital on the island that could give you care for a routine birth.

While I'm not trying to scare you I will tell you though, that if you have a serious medical problem you won't get anywhere near the level of care you would get "at home". You'd be much better off being evacuated to one of the larger islands like San Juan or even back to the US mainland.

I'd check with your own doctor before making the trip as he/she might be able to advise on on where to go if you need medical assistance for your specific condition.

I have a home on a different and larger more populated island and can tell you that one of the main topics of conversation among ex-pats is about medical care. To a person we all recognize that the local hospital is alright for "first aid" and routine medical care but but we all go "off-island" for annual physicals and major treatments. We all maintain Medical Evacuation Insurance as we would not want to be treated locally for a major illness or anything that would require surgey or is considered life threatening.

Discuss this carefully with your doctor before you travel.

Check into getting Medical Evacuation Insurance. Do a google search or check www.insuremytrip.com. Read the policy terms carefully as coverage varies and may not provide coverage for a pre-existing pregnancy.