Table 1 Manipulations scenario previous c-section
Manipulated element | Non-critical patient | Critical patient |
|---|---|---|
Questions posed | Neutral questions Example: Eventually, suppose I’ll give birth by C-section, would that be an emergency procedure or how should I prepare for that? For example, in that case, would it be possible for my husband to attend the delivery? | Making assumptions and get ahead of the facts Example: If I understand correctly, I still have a 25 per cent chance that I’ll get an emergency C-section and that my husband cannot attend the delivery because I’ll get anaesthesia |
Reaction to answers of physician | Understanding Example: Okay, I can imagine. And would that be dangerous for the baby or wouldn’t you expect any complications? | Asking for guarantees Example: But can you guarantee that there will be no oxygen deprivation for the baby and that he will not suffer? I hope you don't take any risk that could harm me or the baby |
Trust | Showing trust Example: Okay, I understand. You probably have experience with this | Showing distrust Example: But do you know how to respond? Do you already have experience with such situations? |
Knowledgeability about medical situation and possible consequences | Nothing mentioned about level of information | Showing that the patient is informed Example: My neighbour is also a gynaecologist and he told me that such a tear can bleed dramatically so that I could lose my uterus |