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I think WakeMed and Rex are both very good - I've met people who have strong preferences for one or the other for various reasons, but I don't think there are quantifiable differences. Seems like the people I've met are pretty evenly divided between the two. I would find an OB I like and go from there (unless one is significantly closer to you than the other - I think Wake Forest is about equi-distant from both, but i don't know that side of the county that well).
I know the Raleigh campus of Wake Med has the area's only dedicated Pediatric emergency department. Once you have a pediatrician, they can give you advice on when to head there and when to head to the closest general ER. There is a Wake Med North campus that would be closer to Wake Forest that has a hospital-level general emergency department (not just urgent care), but I don't think it's a full-fledged hospital - just emergency department and outpatient stuff. I'm not 100% sure.
Wake Med Raleigh is where super-early preemies and babies with serious problems end up (or at Duke or UNC), because they have a higher level NICU. But, Rex and Wake Med Cary can both serve most babies well, including some preemies (my 33-weeker was born at Wake Med Cary and I was very happy with her care).
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