challenges

What are the challenges of

Obstetric Practice

in Rural area….

1.Main concern…is No Blood bank nearby and …as obstetrics is the only branch in medical field…in which no body can tell you when patient will require blood transfusion and how much?….

Though same in accidental bleeding case…but in obstetric case ………blood required in case of obstetric emergency becomes the responsibility of obstetrician….as he is in charge of the patient… ….so always….think of likely required blood ….big tension all the time on head of obstetrician…

2.Conviencing the Patient for cesarean….challenging task….if you are doing practice ethically…then it is big challenging to convince the relative….reason one of may be poor socio-economical sate of patient’s relative….but the real cause is …decreasing faith on obstetricians …..not only obstetricians but…on whole medical profession….

No faith or minimal faith or decreasing faith on medical Profession is of big concerned…..but the most who are sufferers are obstetricians….what I feel personally….

3.To take your charges: this problem is far greater than treatment part of patient…it is not the question….whether they afford or not….the point is the mentality of relatives…not to pay….as charged….they themselves now started to decide what should be the amount…..they are suppose to pay.

And these people expense more or equal amount of money on ceremony called ‘pachavi’ of ‘Barase’… ‘Namkaranvishi’.So there is no question of affordability….

These people’s some patients was charged twice or up to five timed more than the charges told by rural obstetrician…and had no complaint on it….rather precious issue for them to tell other….

4. Harassment of Obstetrician: As there can not be restrictions to accompanied relative and visitors….it is the general habit of concerned and non concerned relatives of  patient to ask repeatedly about status of patient….

5.Oversmart Relative

& patients:

These are some of

the way by which

the patient or relative

wants to prove themselves over smart…

a) Delay to visit

b) Refusing responsibility…by telling let ..xyz may come…

c) Repeatedly assuring ….is everything id fine?…or will you  able to handle             it?...