Dr Bindu

doctor ~MBBS, MS OBGYN//evidence based medicine🔬💉💊//
Jack of many trades ,yet to master one//
child of the cosmos💫✨🌠🌌
selenophile🌖

[The Ashram @theashramCH]

2/n:

Women endured fundal pressure (pushing on the abdomen to force the baby out), aggressive cervical checks without consent, membrane stripping, artificial rupture of membranes, aggressive Pitocin protocols causing unnaturally intense contractions, unnecessary catheterization and fetal monitoring restricting movement, forceps and vacuum extraction causing severe trauma, and excruciatingly painful manual placenta removal sometimes without adequate anesthesia.

The “husband stitch”—an extra suture to “tighten” the vagina for male pleasure—was performed without women’s knowledge or consent, causing pain during intercourse for years afterward.

Other female-specific procedures continue this pattern: painful pelvic floor therapy instruments, pessary fittings requiring trial-and-error insertions, cystoscopies through the sensitive female urethra with inadequate anesthesia, uncomfortable urodynamic testing, hysteroscopies causing severe cramping, endometrial ablation burning uterine lining, procedures on Bartholin glands in extremely sensitive areas, the vaginal mesh scandal causing widespread chronic pain, LEEP procedures, and tubal ligations dismissed as minor despite involving abdominal surgery—all while vasectomy remains a simple office procedure.

This systematic dismissal of female pain has deep historical roots. Ancient and medieval medicine viewed women as defective men, with pain attributed to divine punishment or “wandering wombs.”

The diagnosis of “hysteria” allowed physicians to attribute virtually any female complaint to the uterus and emotional weakness. J. Marion Sims, the “father of gynecology,” developed surgical techniques by experimenting on enslaved Black women without anesthesia, claiming they didn’t feel pain the same way.

Women were excluded from medical education, leaving their bodies studied and treated entirely by men. Anesthesia for childbirth was initially opposed as interfering with “natural” pain—until Queen Victoria used it, making it acceptable for upper-class women.

“Twilight sleep” gave women amnesia, not pain relief—they suffered but couldn’t remember to report it. Throughout the 20th century, women’s pain was labeled “hysteria,” “neurosis,” or “hypochondria.”

Endometriosis takes an average 7-10 years to diagnose because period pain is dismissed. Chronic pelvic pain, autoimmune diseases, and heart attacks in women are often attributed to anxiety. The language itself reveals the bias: “discomfort” instead of pain, “pressure” instead of pain, “mild cramping” for what women report as severe agony.

Contraception exemplifies how women’s bodies bear burdens designed by and for male convenience. Birth control pills were tested on Puerto Rican women in the 1950s with high-dose hormones causing severe side effects that were ignored. Women still endure nausea, mood changes, depression, blood clots, and are told it’s “worth it.”

Depo-Provera causes bone density loss and severe side effects. Hormonal implants can be difficult and painful to remove. The Dalkon Shield IUD caused infections, infertility, and deaths but remained on the market despite women’s complaints. Essure coils caused chronic pain and autoimmune reactions, requiring hysterectomies to remove, but took years to recall.

Meanwhile, male birth control trials are stopped when men experience the same side effects—mood changes, acne, decreased libido—that women are expected to tolerate, along with painful insertions, altered bleeding, cramping, blood clot risks, and more. Tubal ligation requires surgery and recovery, while vasectomy is a simple office procedure.

The entire burden of preventing pregnancy has been placed on women’s bodies, with their pain and side effects considered acceptable collateral damage.

/contd

[𝙍𝘼𝙅𝙀𝙎𝙃 𝙋𝘼𝙍𝙄𝙆𝙃 @imacuriosguy]

A simple question always being asked by everyone that previously vaginal delivery was so common and now why this shift to increasing C-sections?
A multifactorial answer :

Here’s the reality:

1. SURVIVORSHIP BIAS (Most Important):

- India’s maternal mortality in the 1960s-80s: 600-800 per 100,000. (vs ~100 now)
- You remember the survivors; thousands died in childbirth
- Women with obstructed labor, PPH, eclampsia often didn’t survive to tell their story. The morbidity was awful. VVF were very common because of prolonged pressure of fetal head, the bladder wall used to get necrosed and the hole connected directly with the vagina causing uterine to constantly come out of vagina.
- We celebrate the successes, forget the tragedies

2. DEMOGRAPHIC SHIFTS:

Then:First delivery at 16-18, flexible young pelvis, 6-10 children, physically active
Now: Late marriages, career establishment, Late First pregnancy in 30s, established rigid pelvis, sedentary lifestyle. An elderly primi gravida in labour can have a uterus which can be uncoordinated in action between contracting upper segment and relaxing lower one during vaginal birth leading to cervical dystocia and inability to deliver.

3. LIFESTYLE CHANGES:

Then: Daily manual labor, natural squatting, walking miles, minimal processed food
Now:Desk jobs, weak core/pelvic floor, obesity, high-carb diets → larger babies

4. REAL MEDICAL CHANGES:

- Rising obesity → CPD, GDM, failed inductions
- PCOS epidemic, thyroid disorders, metabolic syndrome
- Advanced maternal age (35+) now common
- ART pregnancies, precious babies

5. MEDICAL PRACTICE EVOLUTION:

- Then:No continuous monitoring, midwives skilled in difficult births, no medicolegal pressure
- Now:CTG detects every abnormality, defensive medicine, lost operative delivery skills, lower tolerance for prolonged labor

6. THE SELECTION FACTOR:
Your mother had favorable pelvis, good constitution, appropriate-sized babies. In her village, women with complications either died or didn’t survive to have 7 children. Natural selection was brutal.

7. THE PARADOX:

- C-section rates ARE too high (overcorrection)
- BUT maternal deaths dropped 75% since then
- We now save mothers AND babies who wouldn’t have survived before

BOTTOM LINE:
Your mother wasn’t “better” - she was physiologically blessed and lucky. Modern medicine saves women who would’ve died then, but we’ve overcorrected and lost confidence in normal birth.

The ideal:Combine old lifestyle factors (fitness, nutrition, activity) with modern safety net, better patient selection, and revived obstetric skills.
Hope this helps.

[Tathvam-asi @tathvamasi6]

Glad to see influencers cleaning our ancient temples with the help of locals.

These are the real influencers who deserve appreciation instead of people doing ‘nanga naach’.

Main stream media should pick and report it.

[Dr Bindu @binduprathyu97]

@autopsy_surgeon Don't attract attention immediately after joining residency .... blend in and observe .... don't be noticeable for being either too good at work or too bad ... helps in maintaining work life balance and sanity

[Dr Bindu @binduprathyu97]

@zaruww PDF

[Zucker Doctor @DoctorLFC]

I often feel bad for the child of senior citizen patients who accompanies them to the clinic for their appointments/checkups and yet all that the senior citizen patients want to talk about or praise is their other child who is settled abroad but is never with them in sickness.

[Venkatesh Alla @venkat_fin9]

I wish we had reservations in Income Tax too, where 70-80% of the tax burden is borne by the Reserved Categories, leaving just 20-30% for the General Category.

It's time to create a system that ensures this. What’s your take on this?

[Brahmin Speaks @BrahminSpeaks01]

❤️

[Anuradha Tiwari @talk2anuradha]

In govt teacher jobs results declared yesterday––
Someone who scored just "6 marks out of 100" will now teach your kids.

Students need 40% to pass, but teachers need just 6%.

A full-blown mockery of the Education System !

[Orange Book 🍊📖 @orangebook]

Becoming a luckier person is simple, you just need to be more disciplined in every aspect of your life: nutrition, sleep, training, studying, self-reflecting, and as you get better, life will just get better too.

[Dr Bindu @binduprathyu97]

Please don't sink as my soul shall lay in ur ruins
Weep in my arms as I hide u from world.

[BHUSHAN MADKE MD🇮🇳 @rashlessdoctor]

When intern insert catheter in vagina rather than urethra

OBGY PG

[Glen O'Humeral @HumeralO]

Mean arterial pressure implies the existence of a nice arterial pressure

[Shambhavi Gupta | Personal Brand Strategist @Shambhavi130]

Weight gain is more difficult than weight loss ,🥲 change my mind if you can.

[Dr Bindu @binduprathyu97]

@doctors__squad Ophthalmology

[Dr Bindu @binduprathyu97]

@AyushiiSingh01 I'm from yesterday

[Dr Bindu @binduprathyu97]

@drpraveenpsy Humiliation is least of the worries as we get used to it since ug period. Got so used to it that often fail to notice getting insulted.

[Dr Bindu @binduprathyu97]

@drpraveenpsy It just feels what's the purpose of doing pg if I'm going to be forever scarred,damaged . The dreams and hopes I had during my pg prep phase just got extinguished. All this feels like a mistake. With academics being given least importance pg is just a bonded labour .

[Dr Bindu @binduprathyu97]

@drpraveenpsy Denying basic human needs like food ,sleep ,not considering Jr pgs as humans , denying even casual leaves, when on leave expecting to be on call ,screwing with both physical and mental health and all in excuse of saying our seniors were worse,we had even harsher circumstances