Tips to Choose the Right Gynecologist

Many women choose to give birth in private medicine not out of distrust of public medicine but to be sure that it will be the same gynaecologist who monitors their pregnancy who will attend to them during their delivery. This has, like everything, its good side and its bad side. And, having gone to the first appointment, we have to know if we have chosen the gynaecologist well or find another professional with enough time.

Private clinics

First, giving birth in a private clinic guarantees us a single room, and that, for a mother and her newborn is important, because they can enjoy greater privacy and tranquillity. If they have had a bad experience with a roommate in a previous birth, they will appreciate even more the knowledge that they will be able to control their space better.

But giving birth in a private clinic can also have drawbacks since they usually have a higher rate of inductions and caesarean sections. The reason is possibly the adequacy of deliveries to the availability of the gynaecologist chosen. In other clinics, it is not guaranteed that the gynaecologist will be the one who will attend the delivery, but they do offer, in some cases, a common criterion of the doctors on call. Therefore, having the same gynaecologist at delivery for private medicine may not be possible or even counterproductive. Each one must value it.

The Gynaecologist

But focusing on the question that was raised, we should be able to know many things about the doctor or the team that will attend to us, to be sure that we are placing our trust and the birth of our son in the best hands according to our criteria.

The birth plan

I would first ask a gynaecologist to admit a birth plan and calmly talk to us about our wishes, respectfully and scientifically exposing any discrepancies you may have with them.

Protocols

In addition, I would ask him for the protocols to be followed in both delivery care and neonatology at the reference clinic, as they are not the same everywhere. I would seek to always guarantee that medical interventions are made out of clear necessity and not by protocol, especially regarding shaving, enema, synthetic oxytocin, induction, bag rupture, induction date in pregnancies over 40 weeks, the opening of the route, internal monitoring, freedom of movement in labour and in the expulsion, presence of the father in the caesarean section and, finally, tests that are done to the baby as soon as it is born and if these are carried out without separating it from the mother.

I would find out who would treat me if the gynaecologist who carries my pregnancy could not attend me, so that, even if they are people he does not know, they have certain information about the cases that he cannot attend directly and what these are.

I would also ask if breastfeeding in the same delivery room is favoured if the clinic has protocols that train nursing professionals on breastfeeding if the presence of an accompanying doula is accepted and what rules they have in case the newborn is admitted to neonates.

Pain Management

You would also want to know what kinds of natural alternatives they offer to manage labour pain. There are several possibilities: massages, relaxation, aromatherapy, yoga, acupuncture, bathtubs, dilation balls, acupressure, and white noise, some not proven to be scientifically effective but chosen by many women who find relief with them.

If it is childbirth it is normal, and it is not induced or accelerated without a medical reason, allowing the woman to move freely, the pain becomes more bearable in most cases.

Having a comfortable, intimate space, without unnecessary interruptions, where the mother feels safe, is much more likely to enter a different state of consciousness in which the pain becomes less present. This type of care is not always guaranteed in the centres, either public or private, so, in addition to the confidence in the gynaecologist, analyzing the place where we will give birth is also important.

It is also important that we have all the necessary information about epidural anaesthesia so that we can receive and know its risks well.

Statistical data

To finish I would ask you for the statistics of your delivery care: caesarean section rates, inductions, episiotomies and instrumental deliveries. As a “client” if I bought a car I would not ask for less information, so as a pregnant woman I think I have the right to ask for all the information that I consider necessary. If he refuses to give them to me, I will refuse to give him my trust and he will not attend to me anymore.

And then, with all this information, if the answers are satisfactory, I would know if I have chosen my gynaecologist well.

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