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  • Title: The emotional component of the attitude of the physician in situations of obstetric failure.
    Author: Szymańska M, Knapp P.
    Journal: Adv Med Sci; 2006; 51():345-8. PubMed ID: 17357338.
    Abstract:
    PURPOSE: The research aim is to study the working attitude of a physician towards his patient with obstetric failures in the emotional component aspect. MATERIAL AND METHODS: A sample of 164 gynecological doctors was encompassed by the study. The physicians were mainly interviewed during various types of training courses, specialist conventions and during personal meetings. A 44-question anonymous questionnaire was directed at gynecologists. The question was closed. The survey used for the research (in "ex post facto" procedure) matches quantity and quality elements. RESULTS: Concerning the emotional aspect referred to the most difficult in the physician-- patient relation: 18% of the respondents stated they had positive feelings towards the patient, 16% had self-centred feelings and 1% had negative feelings towards the patient. Concerned the feelings of the doctor when the patient and her husband are in a situation of obstetric failure: 49% shared positive feelings in experiencing obstetric failure in patients, 38% concentrated on themselves and their own feelings and 4% gave a decided negative reply. Physicians' attitudes were measured in relation to the death of a patient: 52% related that experience very personally to themselves, 4% of the physicians referred to the death of their patient with a sense of great sorrow and 1% were negatively trying to put the blame on the deceased patient. CONCLUSIONS: The most emotionally difficult obstetric failure in the doctor--patient relation was the death of a prenatal child; the most effective reaction to the sorrow of a mother after the loss of her child was support and bringing relief to the patient; 38% of gynecologists have not answered the question because of luck of such experience and because of the too difficult trauma experience.
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