Congratulation Sue.  The path you took with  this issue is the hardest one, but the right one.  I've challenged an obstetrician's practise too, and I know how lonely it is to be the one standing up for what is right in the face of something that is SOOOoo  wrong.  Well done.  It takes maturity and guts, and you have done the profession proud.  Best wishes, Lois Wattis
  
----- Original Message -----
Sent: Friday, April 26, 2002 5:04 PM
Subject: VBAC feedback

Dear list
A couple of weeks ago I asked if any of you had seen or heard of manual checking of scars following VBAC.
I collated your responses, copied the relevant passage from "Effective Guide...".
and wrote a letter to go with it all, and posted the lot to the doctor involved.
He telephoned me at home a few days later, actually on the weekend,  and we had a very lengthy conversation.  He was a bit taken aback at the force of some of your comments!
On balance, I feel the conversation was productive and was not acrimonious.  I respected the fact that he phoned me at home rather than make a verbal assault in the workplace, and it gave us both the opportunity to express our opinions in a neutral zone. 
I have worked with this doctor (among others) for the past 11 years, and we have had one or two disagreements in that time, without it ever becoming nasty, so I was happy that this was the same.
He did say that he would no longer manually check scars - so I guess you could say that the result was a positive one!  And I said that I respected his decision to change his practice in light of evidence etc..
It was an interesting exercise for me, as even after all this time (23 years) as a midwife, I still found it took a great deal of courage to actually confront the power of the medical profession.  (Why???)
Anyway, thank you for all your feedback - none of my colleagues had heard of this procedure either - though in all fairness, my research has shown me that it was indeed considered normal practice once! 
Happy IMD to you all.  I shall be celebrating with a long-overdue, childfree weekend alone with my husband!
 
Sue C

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