‘Love them or hate them’: the ‘arrogant bubble’ and dis/trust in the postsocialist birth care system
HREŠANOVÁ, E. ‘Love them or hate them’: the ‘arrogant bubble’ and dis/trust in the postsocialist birth care system. Helsinki, 2014.
|Anglický název:||‘Love them or hate them’: the ‘arrogant bubble’ and dis/trust in the postsocialist birth care system|
|Autoři:||Mgr. Ema Hrešanová Ph.D.|
|Abstrakt EN:||In this paper I pick up the thread of Mike Dent’s previous notes on post-socialist healthcare system in Europe. According to Dent those European countries that were under the Soviet influence tend to manifest a high polarization of trust in the healthcare systems, and most people tend to ‘either love or hate’ their doctors while just a few hold a balanced critical view. This paper points to similar tendencies in the postsocialist Czech Republic while it particularly focuses on a specific domain of birthcare surrounded by similar dichotomous discourses. I especially examine the perspective of those who communicate an inherent distrust in the birthcare system and aim to show what lies behind. This examination is built on thematic analysis of 25 narrative interviews with women who preferred ‘natural childbirth’ with minimal medical interventions, which were conducted from June 2012 to February 2014. Distrust in the system of healthcare and hospital environment constituted one of the most significant themes in the narratives. Many participants mentioned their own previous negative experience, birth care providers’ paternalism and disrepectful attitudes as the main source of their distrust. My participants criticized an ‘arrogant bubble’ around childbirth created by obstetricians who denounced homebirths but never acknowledged potentially harmfull consequences of procedures which they routinely perform in hospitals. Interviewees’ assesments of hospital staff, however, strikingly differed from the way in which they perceived other physicians providing them maternity and postpartum care in their outpatient’s departments. This points to the importance of ‘relational continuity’ in birthcare provider-receiver relations.|