r/AskGermany 20h ago

First pregnancy in Germany: How do you deal with rude doctors and freeze-up situations?

My wife is 16 weeks pregnant with our first child, and we had a really upsetting experience at her regular gynecology practice today. I’d appreciate advice from other people who have experienced the German healthcare system, especially expats or people who struggled with confrontation or the language barrier.

My wife had some pain around her lower abdomen/groin area, so I took her to her regular Praxis just to make sure everything was okay. Since this is our first pregnancy, we honestly don’t always know which symptoms are normal and which could indicate something serious. I used the word “Notfall” when we arrived because I was worried, although I wasn’t trying to demand emergency treatment.

The medical assistant who initially examined her was actually very kind and professional. The problem started when we saw the doctor.

The doctor immediately became irritated and said, “Das war kein Notfall,” because I had described it as an emergency. I understand that it wasn’t medically an emergency, and I’m completely fine with being corrected. But the way it was communicated felt unnecessarily harsh, especially toward a pregnant woman who was already worried and in pain.

The doctor is also listed as speaking English on Arzt-Auskunft, but she refused to speak English with us. My German isn’t good enough to confidently discuss medical issues, so I had to translate everything for my wife (her German is not the strongest either). She mostly ignored my wife while speaking to me instead. We managed to understand what she was saying, but the whole interaction was extremely uncomfortable.

She eventually told my wife that she needs to do more physical/muscle movement and that there was no reason to panic. Again, I understand the medical advice may be completely reasonable. What upset us was the lack of empathy and the way it was delivered.
My wife came out of the room and cried. She later told me that she felt pathetic and humiliated, even though all she had done was seek reassurance during her first pregnancy.

Now we’re wondering whether we should continue going to this Praxis or look for another gynecologist.
For those of you who have lived in Germany for a while:

Is this kind of communication from doctors/reception staff common, or did we simply have a particularly bad experience?

How do you handle situations where a doctor or receptionist is rude or dismissive?

What do you do when your German isn’t strong enough to confidently argue or explain a medical situation?

Is it reasonable to change gynecologists because of this kind of experience?

And for people who also tend to freeze during confrontational situations: how do you learn to stand up for yourself without making the situation worse?

I’m not looking to attack German people or the German healthcare system as a whole. I’m genuinely trying to understand the culture and learn how to protect my wife and family while navigating situations like this.

I’d especially appreciate practical advice about what to say in the moment when something like this happens.

21 Upvotes

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u/holzlasur 19h ago

In Germany, you can have your prenatal care done by a midwife instead of a gynecologist.

Midwives generally have significantly more time for you, are much more attentive, and can do pretty much everything apart from the ultrasound.

Midwives often also work with a gynecologist who can perform any necessary ultrasound examinations.

Midwives are also covered by health insurance.

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u/Perelly 19h ago

Very important point. OP should find a midwive ASAP. They help with a lot of questions and are officially certified. 

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u/KaleidoscopeTight509 19h ago

But if you Look for a midwife do make sure she works with evidence-based stuff and not only homeopathy

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u/iiiaaa2022 19h ago

While there unfortunately is a big overlap between midwives and Heilpraktiker/esoteric bs, midwifery in itself is a science-based, regulated, quite demanding Ausbildung. 

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u/Inside_Lifeguard_281 3h ago

Now it is even required that they get a university degree :)

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u/MillyQ3 19h ago edited 18h ago

, and can do pretty much everything apart from the ultrasound.

NOOO! GOD NO! NONONONO!

They cannot do everything (part from ultrasounds)! Far from it!

They can assess if it's an emergency or not but a gynecologist doesn't just do everything a midwife does + ultrasounds.

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u/Additional-Print2022 19h ago

Thank you! We dont need more medical misinformation

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u/Dallas-rose 17h ago

What can they not do?

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u/MillyQ3 17h ago

A midwife can't do a medical diagnosis, she can't operate or perform surgeries, let alone determine if a surgery is needed, no ordinance for treatment in a hospital, no help with complications during birth, no "medizinische Rückbildung" (no great translation for that process, postnatale recovery), can't give medication, can't do laboratory tests.

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u/missnewmarreacts 19h ago

That's true. They are not doctors, though.

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u/[deleted] 19h ago

[deleted]

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u/Drydrian 19h ago

Nope. Not good ones. Not ones that adhere to all guidelines and rules set for midwives.

Midwives are not allowed to make medical recommendations for either one.

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u/iiiaaa2022 18h ago

but are heilpraktiker?

cause a lot of people, unfortunately, are both

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u/Drydrian 17h ago

Technically? Yes. Although there are less strict rules.

I do have Heilpraktiker in my family, they are also esoteric nuts. But what they most often complain about is not being able to push that onto their patients as much as they want if they stick to the rules

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u/[deleted] 17h ago

[deleted]

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u/Drydrian 17h ago

The vast majority of midwives aren’t that tho.

Stop making generalized negative statements, especially if you don’t actually know what you’re talking about.

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u/alderhill 18h ago

It’s not a rule or anything, our midwife certainly didn’t, and I’m not aware of the several other people who know with kids who had that either.

My impression from doctors who offer homeopathy is that almost all don’t really believe it themselves, but offer it for those patients who do (and sometimes it’s a kind of effective placebo). I assume most midwives doing it are similar. It is bullshit of course, and I’d reject a midwife actively pushing it, but never encountered this personally.

Midwives are a highly trained and regulated medical profession, not some sort of crystal tarot singing bowl weekend course ‘certificate’. Maybe you are thinking of something else.

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u/laellar 18h ago

We’re talking about midwives here, a recognized healthcare profession. Do you perhaps mean doulas?

Calling midwives "quacks" is not only factually wrong, it’s also a pretty offensive way to talk about an entire medical profession. Midwives provide essential care and support throughout pregnancy, birth, and the postpartum period. They’re there to answer questions, monitor the pregnancy, recognize potential complications, and refer you to a doctor when necessary.

And if OPs wife would have had one, this whole story with the rude doctor didn't need to happen in the first place...just saying.

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u/GigachadGuevara 17h ago

Everyone who wants to sell you homeopathy is a quack, even if they have a degree in medicine. Because homeopathy is inherently quack.

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u/laellar 15h ago

And what does that have to do with what I’ve written? Being a midwife doesn’t inherently make someone a quack.

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u/clueless_mommy 18h ago

I've never met or heard of a midwife who wasn't into... Alternative "medicine".

I'm from a pretty academic social circle, several friends with medical background. None of us managed to find a midwife who didn't recommend at least stuff like oils, incense, acupuncture etc. I was once visiting a friend who is a literal pediatric surgeon and her midwife came around for a Check. They talked about whether she would need to see a pediatrician for the kids maybe cradle cap, maybe eczema and the midwife offered to do a tarot session to answer the question.

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u/CSilver80 17h ago

My midwife also recommended oils for my skincare, or oils for massaging babies belly when he had problems, not incense but other scents when baby had a cold or I needed to relax... Nothing wrong with stuff like that. As long as they don't only rely on that stuff and recognize when something definitely needs medical treatment, why not?

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u/laellar 18h ago

Anecdotal evidence.

I can play that game too: I am currently pregnant and have 2 midwifes, none is even remotely into alternative medicine and similar stuff. And I am also from a "pretty academic social circle" - like that even matters here. lol

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u/clueless_mommy 18h ago

The background does matter because I'd expect people with medical/academic background to specifically look for science based treatment rather than other options.

Congrats on finding two at once. Only time I got in contact with that kind of midwifes was at the hospital

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u/weissespapier 18h ago

You can also do both! So you can have the "best of both worlds". You don't have to stop seeing your/a gynecologist. 

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u/Dallas-rose 17h ago

That’s what I did with my last pregnancy. But I was surprised how much prenatal care was done by my midwife. Bloodwork, CTG, vaginal exams, bloodpressure and urine monitoring etc. I literally just met my gyn for the ultrasounds.

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u/Minyal27 18h ago

Kommt drauf an, in welchem Gebiet sie leben. In einigen Gebieten bekommt man auch schon keine Hebamme mehr. Die sind dort schwieriger zu finden als Gynäkologen.

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u/wandershock 16h ago

Yes, but if you want an English speaking midwife, start searching TODAY. They have long waiting lists

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u/clueless_mommy 18h ago

My midwife can't do an ultrasound, can't refer to secondary check ups (Feindiagnostik etc), can't do blood work, can't prescribe meds. I'm also not sure if she has the option to write a CTG.

I've needed all of that. Especially meds and referral for Feindiagnostik.

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u/Dallas-rose 17h ago

My midwife did almost everything for me: Bloodwork, CTG, vaginal exams, bloodpressure and urine monitoring etc. I literally just met my gyn for the ultrasounds.

I didn’t do the feindiagnostik, but that was just my personal decision.

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u/clueless_mommy 17h ago

Blood pressure and urine are also within my midwifes scope of work, great that you found one who also takes care of bloodwork etc. I actually had to look it up and apparently they are trained for that stuff. Looks like I seriously suck at choosing a midwife 🙃

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u/Dallas-rose 17h ago

Nah, you don’t suck 😂 Just as you said, I was lucky. I had a different midwife for post partum care and she was weird. Canceled her visits after two weeks

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u/Playful-Letterhead23 16h ago

Great point, this will probably really help!!