Amit Dhage Profile picture
Primary Care Physician, Public Health Professional, Blogger, ShortFilm maker

Jun 26, 2022, 11 tweets

During clinical posting in labour room in final year MBBS, as we used to witness such harassment by senior doctors/nurses, it was a hot topic of debate among students. Both boys and girls were divided on whether slapping a woman during labour was necessary or unethical! (1/n)

I am sure, this was the exact time when most of us formed our strong opinions on the subject to never revisit them again. A large majority of students would get impressed by the confidence of senior residents/ nurses with which they would justify the slapping and cursing.(2/n)

They would say- 'Women won't cooperate during labour unless you abuse them', 'Many times women exaggerate their suffering', 'If a woman doesn't focus on attempting to push the baby out, labour gets prolonged & baby suffers', 'Hitting is the best way to get a woman to focus'(3/n)

All of such justifications would trickle down among final yr MBBSstudents every year, every batch and they would practice the same during their internship, where senior residents/nurses would encourage abusing women. It was like we're being trained to abuse women in labor.(4/n)

Students would further justify things saying 'You know what, that senior resident/nurse is actually a good human, it's just that this abuse is a part of their work'. Those of us, who would take stand against such abuse were termed as very (unnecessarily!) sensitive and (5/n)

tender hearted or extremely idealistic and not practical. These debates are, I assume, that perpetually the part medical college environment, and very few would come out the 'necessity(!)' part of the debate. I remember how happy I was to realize that there was actually (6/n)

a 'national program for safe and dignified motherhood'. I witnessed the same picture while working in a primary health center in a tribal area of Gadchiroli, I was able to change it for that time, being a MO in charge. This abuse had a different paradigm in that setting. (7/n)

ANM and staff nurses mostly belonged to non tribal castes and served women in labor that belonged to tribal groups. There already was a cast/class bias working here, similar to the class bias that I could see in medical college labour room. (8/n)

No resident would dare to speak in raised tone, if any local politician/influencer was associated with any woman. Even one of my distant relatives brought their daughter for delivery in our college expecting that I would be there to take care. I only stood there with her, (9/n)

and all of staff greeted her well and the labor was smooth, without stress and abuse. Those relatives still remember me for that time. In PHC also, I experienced a quick popularity among tribal villages for being a doctor who wouldn't hit/abuse a woman during labour.(10/n)

Footfall increased and the PHC had the most productive year ever since it's inception. It is bitter truth that abusing a woman during labour has been a long medical tradition, more than just a routine practice and it gets normalised each year by upcoming students.This must end.

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