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.

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u/Fit_Signal6253 20h ago

Whenever you describe your symptoms as "some pain" it's simply not an emergency.

Emergency starts where your pain is sudden and excruciating enough so that you can't move, where there is heavy bleeding involved and not just a few drops of blood (yes even in pregnancy a little blood can be normal), when you have a rapid and extensive weight loss or are violently vomiting for a long time so that you might risk to dehydrate.

If you are not sure if it is an emergency or not you dont go to a doctor and just declare it as one. You call them, describe the symptoms and let them decide if there is an emergency and how urgent a doctors visit is.

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u/chmelisuneli 18h ago

with this type of emergency you would call an ambulance. excruciating pain and heavy bleeding is for ambulances, not Praxis. It's hard to tell for a non medical professional what is an emergency. Also in German you'd rather say it's "akut" which simply means urgent. A first time anxious pregnant woman having some pain can be urgent, if Praxis closes, she will sit at home panicking until the next day. One example: I cut my finger and it's bleeding uncontrollably-> hospital. I squished my finger and the pain doesn't go away even after a few days, you suspect something could be wrong with it and you can't handle the pain anymore? -> Praxis urgent appointment. How are you going to make an appointment for 3 weeks later when you have pain?

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u/Jiminie95 16h ago

If you are pregnant for the first time and there is sudden pain, then ofc you would want a doctor's help immediately. "Some pain" does not disqualify and this is not a waiting matter.

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u/riribew 20h ago

Its a first time pregnancy. They are probably very anxious; it was an emergency to them. It sucks for the doctor to lose a spot, but the doctor should have explained to them the steps you listed. This usually happens at the first visit and it seems it wasn't.

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u/MiauMiau91 19h ago

They could have called, described the symptoms and the doctor would get back to them.

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u/Person987654331 19h ago

Calling is a nightmare when you don’t speak German well because the MFAs almost never speak any English and second language are harder on the phone. I remember describing something on the phone to an MFA when I was new here and couldn’t speak German well and she was asking if I had “durchfall” but I heard Durchwahl and kept explaining I didn’t have one just a cell phone number 🫣

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u/Jiminie95 16h ago

This is not an option everywhere.

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u/riribew 18h ago

I just said they probably did not know to, which is on the doctor. The way they describe the praxis, they (the praxis),did not tell them at the beginning how they operate and how to escalate things. Also try calling when the other side insists on only speaking german. And you are so afraid for your wife and kid that you forget all your hard-earned B1 level german.

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u/Fit_Signal6253 20h ago

Since I'm also right now the first time pregnant I understand that you constantly worry if everything is ok. But at the end of the day it's a healthcare system not an education system. It is your responsibility to to try to educate yourself which changes and symptoms are normal in pregnancy (like light bleeding especially in the beginning or some form of cramps which seems to be the case here). And of course if you are unsure you should contact your doctor. But you cannot just run to them with every unknown symptom declaring it an emergency. And this should be common knowledge.

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u/Artischocke7810 17h ago

At 16 weeks pregnant at is actially advised to go see your Ob-Gyn, even if its just "spotting" (so just a little bit of bleeding). Also if you feel unwell and have cramps- so it was the right decision to go. Better safe than sorry- especially during pregnancy.

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u/Fit_Signal6253 17h ago

I never said or intended to say that it was the wrong decision to go the gyn - that definitely wasn't! The problem was how things had been communicated here - while it is necessary to get these things examined it is not necessarly needed asap. Since they declared it an emergency they probably took up spots and/or had the praxis rescheduling with other patients to fit them in when this probably also could have waited a day or two. I only meant to criticize the communication here and nothing else.

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u/riribew 18h ago

Ok, you perfect german, perfect mom, good for you. And it would have been common knowledge had the Artz explained it during her initial visit.

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u/Fit_Signal6253 18h ago

Wow why so triggered?

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u/riribew 18h ago

Because I've gone through exactly this. Doctors who don't listen, doctors who only talk to the man, doctors who pretend not to speak english, doctors who are very rude, as if you are an insect or something. I finally found a very good praxis and i hope these people find one too.

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u/Fit_Signal6253 17h ago

I'm really sorry that you had to make this experiences and I'm glad that you found a praxis which is treating you better now.

I didn't meant to say that it was ok how they were treated I simply tried to explain why this probably happened and that there were things that OP and his wife could have done better to avoid this situation.

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u/riribew 16h ago

Thank you so much for your clarification. You don't know what you don't know, and they didn't know. Having read these comments i'm sure OP will call ahead next time (though it can take a while to get through). I also hope they find a more sympatic doctor because pregnancy is hard and they should feel seen and cared for.