Women centered labour care

It is great communicating with expectant mothers and understanding their concerns and expectations. Recently one of my collegues was very offended when she had to do a cesarian section for a patient at 2 am and the patients' relatives were very angry as they were under the impression that if the doctor was trying so hard and waiting for so long it had to be a normal delivery.The doctor was highly offended because she felt that she had used all her energy and hard work for a patient and finally due to no fault of hers ,a cesarian happened.The patient instead of feeling grateful is actually blaming her for the cesarian section. As doctors, sometimes we often take a lot of things for granted. Most patients understand a lot of things which we may not necessarily communicate to them. Most patients know that if labour progress is not satisfactory a cesarian will happen.But there is a minority of patients who will not understand that fully.They will assume  that the doctor can assess in early labour whether cesarian will happen and some kind of mismanagment has happened if they were not told beforehand that a cesarian will happen. Our communication channels with the patient should be multi dimensional so that we understand the patients well.Otherwise we may have done a great job but the patient"s perception will be very different