In an expert commentary to national media, midwife Pavlina Angelova reveals deep structural problems in modern obstetric care that go beyond a specific medical case.
A key point in her analysis is the loss of human empathy in critical medical situations. She emphasizes that during complicated births, medical staff face the challenge of saving two lives simultaneously, which inevitably affects interpersonal communication.
According to the professional, there are serious organizational challenges arising from the insufficient number of medical specialists. In moments of high workload - for example, with 3-4 births and two midwives - conditions are created for forcing the birthing process.
Another critical aspect that Angelova highlights is the unfair financial system in healthcare. Currently, compensation focuses on doctors, completely neglecting the significant role of midwives in the entire medical process.
The expert also makes a sharp criticism of state policy for attracting medical staff. The announced measures for free education are superficial, in her opinion, as true qualification requires at least eight years of targeted preparation.
An additional problem is the mass requalification of midwives as nurses, which represents a serious loss of specialized human resources. Angelova emphasizes that this process threatens the future quality of midwifery care.
Her position is categorical - a fundamental change in the system is necessary to restore the human dimension in medical care. She calls for a rethinking of professional standards and creating a more humane environment in maternity wards.
The case that provoked the current debate is related to a specific complaint by a mother at the Maternity Hospital "Maichin Dom", which has already triggered an inspection by the Medical Supervision Agency.
The key question Angelova raises is whether the priority should be solely physical health or whether emotional support is also an essential part of medical care.