Why is it so important? The fact that a pregnant woman expects from a specialist not only the appointment of some kind of tests and drugs, but ordinary human support, assurances that "everything will be fine," because it's especially valuable from his lips. , the ability to support, inspire confidence, give strength in such a situation is often perceived as a manifestation of professionalism.Relations with a doctor are really very important.How to feel comfortable and confident at any stage? Choosing a doctor and coming to the reception, we, as rules Already we are waiting for something, as if pre-allocate "role." For someone, a doctor is someone who can solve any problem, for someone - an ally, a partner, and someone does not even see the need for specialist support. In any of these positions there are pluses and minuses. It is important to know them, to be able to recognize and use oneself for the good. The conditions for creating positive relations between the patient and the doctor should be as comfortable for both sides as possible.
So ... Lena is the top manager in a large company. She believes: now is the time for professionals, to which they relate themselves. Therefore, choosing a doctor, she was looking for, above all, a good specialist. Also has found: the professor, the doctor of sciences, the head of the maternity department of the best clinic of the city. And she was calm: her health and the health of the child are in safe hands. All the tests she delivered on time, impeccably fulfilling all the recommendations of the doctor, not at all doubtful of their correctness and expediency. However, she did not even think about it: "He knows what to do, it's much better than I." The professor announced the day of birth: "Lenochka, fortieth week has gone, it's time to go to the pigeon. "As you say, doctor," Lena rejoiced, "That's nice, I'm on duty this Thursday, then we'll give birth." Lena came to the hospital at the appointed time. They did the stimulation, everything went according to plan. The fights began, and with them the pain came. For a long time they did not wait, they did an epidural. But closer to the attempts, the doctor reduced the effect of anesthesia so that Lena could effectively push and help her baby to be born. "The midwife was saying something to Lena in her ear, but she understood almost nothing. I just wanted one thing - to make the pain go away and it's all over quickly. "Come on, come on, breathe, breathe!" - almost begged her midwife. However, Lena could not think of anything, along with her pain, embittered with indignation: "Why is this happening to me, why should I endure this nightmare, because I have the best doctor, I paid him so much money ?!" In a situation where the doctor seems the woman absolutely trusts him, he accepts all his appointments without question and without asking what is needed and why.The indicators of professionalism in this case are the scientific degree and the position occupied in the medical institution: the doctor of sciences is better than the candidate or simply specialist, supervisor Preference is given to male doctors, because they have supposedly more time and opportunities for self-development and self-improvement.
What are the advantages?
The whole pregnancy does not leave a woman feeling that she was lucky, she has a feeling of absolute safety, security, she is sure that the doctor guarantees her a good, correct result. Such confidence gives a positive attitude before giving birth.
What are the disadvantages?
If the future mother needs such a degree of security, then she is not self-confident and internally removed from her own participation in the process, seeks to absolve herself from responsibility and transfer her to the doctor. But after all, neither the doctor, nor anyone else can give birth for you ... In the event that everything ends safely, there is a feeling of deep gratitude to the doctor. If the situation goes beyond the "scenario" (there are no surprises in childbirth), there is a feeling of disappointment, my mother feels deceived, makes a lot of claims to the doctor.) Memories and stories about childbirth in such a situation are either enthusiastically grateful or full of disappointment and resentment.
The partner doctor
Olga is 36 years old, her oldest son is finishing school. She reacted to pregnancy and the forthcoming birth very responsibly: she watched herself, tried to eat right, went to the courses of "conscious parenthood." It is important for her to share her views on the process of birth and respect her right to make decisions, whatever they were. Olga wants her to be free from anything during the battles so that she can take any convenient position, use special breathing techniques and even sing - just as she was taught in courses during pregnancy .In addition, she was going to refuse the use of any kind of " l because she did not want to be stimulated or anesthetized because she needed medicine so that the doctor would not just be against it, but that he would support her in these desires. "Olga, the like-minded doctor, met her child preparation courses: the doctor gave a lecture about unconventional methods of anesthesia - massage and acupuncture, Olga immediately realized that she had found the one who needs it. "A woman trusts a doctor as a specialist with the necessary knowledge, however, she does not eliminate the situation herself, does not shift responsibility to him for the development of events. She perfectly understands how much depends on her, and with pleasure prepares for childbirth: she leads a healthy lifestyle, eats properly, goes to courses for future parents, does special exercises. About their rights and responsibilities, the future mother is well informed, if necessary she is ready to defend them, but without extreme need does not rush into battle. A sense of confidence, calm, a favorable emotional environment. In such a situation, a woman sometimes develops unhealthy perfectionism: she aspires to be the best mother, to do everything exceptionally correctly. There may be an illusion of the ideal conditions created by her, but to unexpected situations, the mother may not be ready. If events do not develop as planned, there is frustration, feelings of guilt and insolvency.
The doctor is a friend
Learning that she was pregnant, Zoya began to look for a doctor: she made inquiries, asked friends. Fortunately, it turned out that a close friend of her husband's friend - a doctor-obstetrician. Throughout her pregnancy she was calm and confident that everything was going well. She did not always like what the doctor was saying, but Zoya was silent, saying to herself: "He certainly tries and does everything right, I did not come to him from the street." In the last trimester, there were alarming symptoms: a drawing pain in the lower back, "Zoya immediately called the doctor." Do not worry, we'll arrange everything now, "he told her. And the next morning, Zoya lay in the most respected clinic of the city, and completely free. On the detour the nurse quietly told the doctor: "Nikolai Petrovich, the girl is from Perkhovtsev." And it began: ultrasound, tests, a dropper, again ultrasound, again a dropper, some tricky analysis of the amniotic fluid ... A week later, Zoe was told that the professor suspected she has some rare syndrome, and an additional examination is needed to clarify the diagnosis. "Zoya did not feel anything, she felt great, most of all she wanted to go home." However, she could not refuse - because she was put here on this recommendation, about her take care of such specialists The diagnosis was not confirmed, but Zoya spent almost a month in the hospital. "Relations with the doctor in this situation are confidant, almost related (often this is a relative, a close friend or someone to whom they came" on acquaintance "). His recommendations are trusted unconditionally because they have already helped someone. A critical look at the doctor is almost impossible, because he is associated with a whole range of people close to the patient: with friends, colleagues, relatives.
What are the advantages?
A sense of confidence, security, because the doctor is "responsible" for the situation not only for a woman, but also for her relatives or acquaintances, this confidence is strengthened by the fact that it is not somebody else's, but "one's" doctor. In addition, he can ask any question, call at any time, appoint a visit, not in accordance with the schedule of admission to the clinic. In such a situation, it is almost impossible to argue or disagree with someone in any way, especially to refuse his services: this is, as they say, "uncomfortable." It is also very difficult for a woman to relax and behave as naturally as possible in childbirth with such a doctor-friend because the doctor is very closely connected with the social environment of his patient.
The doctor is the enemy
Katya does not reject modern medicine, but she does not trust doctors in principle, she perceives all their words extremely suspiciously. Usually, after returning from the clinic, she is not in a hurry to buy medicine and do what the doctor said. First she searches for the most detailed information on the Internet, discusses her visit to the doctor in different forums and only after that makes the final decision - whether to be treated or not. During the pregnancy Katya was observed immediately by two specialists: in the district consultation and in a paid medical center. However, she did not fully trust any of them. A week before the birth, a doctor from the district women's consultation began to insist on going to the maternity ward in advance, for preservation. But Katya found this to be a sign of unprofessionalism and refused flatly from hospitalization. Katya was afraid of going to the hospital in principle: she was sure beforehand that both the doctor and the midwife would do everything "wrong." It is not surprising that the birth was long, severe and ended with caesarean section. "Such a woman is characterized by the desire to fully control the situation and distrust of physicians in general: they want to prescribe expensive and harmful medicines, scold for everything, whether it's a set of excess weight, bad tests or the desire to spend a vacation away from home.In this situation, a woman, as a rule, scrupulously studies laws, knows her rights and duties as a doctor , at any opportunity, enters into polemics.It studies medical literature, asks the doctor "qualified" questions, in every possible way demonstrating her knowledge. Often such patients change several doctors during pregnancy.
What are the advantages?
The illusion of control and the situation of the mistress of the situation gives a sense of confidence and strength to really influence the course of events. Such mothers are uncomfortable for a doctor, but they do not let him relax, they make you remember that any patient has rights.
What are the disadvantages?
The situation of mistrust is very tense: both the patient and the doctor are dissatisfied with each other. This style of interaction takes a lot of energy, which is absolutely necessary for another. In addition, the doctor is unlikely to want to emotionally support such a mother. A woman spends energy on monitoring the situation and eventually can not relax. Hence the difficulty in childbirth: the forces end quickly, and there is nowhere to wait for support, because she used to rely only on herself.