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Re: UK Pap rules was Sexual abuse was Spanking babies From: GA12L@aol.com Mon Feb 27 10:02:16 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: UK Pap rules was Sexual abuse was Spanking babies" Previous message: GA12L@aol.com: "Re: UK Pap rules was Sexual abuse was Spanking babies" Next in thread: Anna Meenan, MD: "Re: UK Pap rules was Sexual abuse was Spanking babies" Reply: Anna Meenan, MD: "Re: UK Pap rules was Sexual abuse was Spanking babies" In a message dated 27/02/2006 15:56:34 GMT Standard Time, doctorjoe@aol.com writes: Of course, we all know where this is going, even if you don't. We don't need doctors and "modern" medical care. We just need to stay at home and take care of ourselves and it'll be fine. Just once in a while, when some disease pops up, we can ride the carriage into town and see the evil doctor. And where precisely are we going here? We have a different health system altogether from yours therefore the 2 cannot be compared. But we DO need doctors, I never said we didn't. But if you had a newly pregnant woman come to you who had no nasty diseases, was young, fit and healthy you'd still see her, wouldn't you? Here the same woman would be seen by midwives only. If a woman presents in pregnancy with no symptoms or past medical history of anything then nothing is done. Women here are very quick to come to us if they have a problem and we do investigate but it is up to the woman to come to us. Our philosophy is that pregnancy and birth are normal until proven otherwise. If we were getting a lot of women with problems that were undetected at the first antenatal visit we would be screening everyone but we don't. How often do you see any of the problems that Robert listed? We don't see that many to justify a national screening programme for all those as it would be too costly. We don't screen every woman for GBS because it could be there one day and not detectable the next so we have no idea how many women have GBS but I'd have thought if it was a national epidemic then all women would be screened. And like I said when women are worried about something they'll shout out very quickly. >From other lists pregnant women are grumbling about their doctors because they feel they have no control over their care. I'm not saying they don't or that they do but it is a theme that crops up over and over and one of the biggest bugbears is pre labour v/e's. One said just last night, "I wish pre labour v/e's were outlawed." You can imagine what I thought but as this was in America I couldn't answer. All I know is that we don't do them, what does a cervix which is posterior and closed in a primip tell you at 39 weeks; what does a multips os tell you at 39 weeks? What is the rationale behind a pre labour v/e? Can a woman decline it? I don't want to do the "We're better than you" thing cos we're not, we are different. Gail Next message: GA12L@aol.com: "Re: UK Pap rules was Sexual abuse was Spanking babies" Previous message: GA12L@aol.com: "Re: UK Pap rules was Sexual abuse was Spanking babies" Next in thread: Anna Meenan, MD: "Re: UK Pap rules was Sexual abuse was Spanking babies" Reply: Anna Meenan, MD: "Re: UK Pap rules was Sexual abuse was Spanking babies"

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