A reflective practice on difficult communication: an obstetrician’s perspective on birth plan versus birth preferences

Abstract Background Effective communication remains challenging for healthcare professionals, especially obstetricians, during patient interactions. Obstetric care often involves navigating the delicate balance between birth plans and patient preferences, which can lead to complexities and emotional challenges. Results The findings of this reflection reveal that rigid birth plans can result in disappointment when childbirth deviates from expectations. To address this, the article advocates for a shift towards promoting flexible birth preferences that align with individual needs and acknowledge the unpredictability of childbirth. Effective communication is emphasized, with a particular focus on the “NURSE” approach (Naming, Understanding, Respecting, Supporting, and Exploring), which plays a pivotal role in building trust and addressing patients’ emotions. Conclusion Enhanced communication training for healthcare professionals is essential in obstetrics. Antenatal counseling should prioritize the exploration of patient preferences, empowering individuals to actively participate in their care decisions. Moreover, healthcare institutions should foster open dialogue and collaboration between patients and care providers, creating a supportive environment that aligns care with expectations, ultimately leading to positive childbirth experiences. Healthcare institutions should actively promote open dialogue and collaboration between patients and care providers to enhance the quality of obstetric care.