i wasnt going to come back to this, but i do have a few more things to mention, just things to think about.
a story for you, sadly true.
A woman in her late 20's has her first baby, her husband works away a lot, she gets on ok, but its tired and run down with one illness after another, she also has heavy periods and finds things a bit uncomfortable 'down there' she does see the gp who basically says its because she has a baby and her partner is away and maybe she is anaemic, they rpescribe iron tablets and say to get her blood tested. the GP puts her female problems of heavy, irregular periods and discomfort down to the fact she is bfeeding and her hormones etc.
She thinks ok, she starts taking the iron tablets as prescribed and around the same time also goes back to work part time, she never gets around to getting the blood test, as its just one of those things on her list of things to do and finding childcare etc for an extra appointment and fitting it in with work.... etc etc it doesnt happen.
a few months later life is carrying on, the mum is ok, and she falls pregnant with baby no 2, around this time she is also due a smear test, but as she is pregnant the dr says they will do it at her 6wk check after the birth, the pregnancy continues, not an easy pregnancy, spotting here and there and mum run donw, but nothing hugely abnormal.
cue delivery day, having had a normal vaginal delivery for no 1, she expects roughly the same for no 2, when she goes into labour she goes to hospital, the midwife examines her to see how she is getting on (she has her mum with her as her dh is away) the mum sees a a fleeting look on panic on the midwives face as her daughter is examined, the midwife then goes to get another midwife. who examines her and says they just want to get a dr to check something, but not to worry the baby is fine.
the dr comes and examines her and they then tell the lady in labour that she has a 'mass' on her cervix, this means that even tho she is dilating she wont be able to have a vaginal delivery, it is also propably the cause of her spotting during pregnancy and once they have delivered baby safely by c section they will have a look, its probably a cyst etc etc.
so they do the c section, baby delivered healthy and fine, but mum haemorrages, they end up doing a complete hysterectomy to save her life.
ok not great but mum happy to be alive, they have two children etc, only a few weeks later they get a call to the hospital, the 'mass' on her cervix turned out to be a tumour, the cancer had already spread, they found it in the womb etc, they hoped that as they had reomved her womb that maybe she would be ok, but further tests showed the cancer had spread, they did try further treatments.
sadly three months after the birth of her baby the mum died :(
We all often as mum ignore our own minor health problems or put them down to being tired etc, as this mum and her gp did. had she managed to get that blood test or that smear done before she was pregnant with no 2, things may have been caught and the outcome different, her consultant explianed to her dh that her pregnancy may well have accelorated the growth of the cancer, she was 28, it was a rare, agressive cancer, but they would never know if it was the pregnancy that masked symptoms, she had had heavy, irregular bleeding which should have been checked out but was put down to a 'hormones' with bfeeding and then the delayed smear test, just bad luck.
this is a very sad story but it just shows how mums dont always see the gp when they should or when they do its often just 'well your a mum you are tired, bfeeding etc' so her symptoms werent investigated further, again just bad luck and no one at fault.
but couple a mum who already is busy, has young children and doesnt always prioritise her own health, and then add in more difficulties SUCH AS A PUSHCHAIR BAN, then it IS just another barrier,another reason for her to think its not worth the hastle of going to the gp. Yes this is an extreme example i am using, but it happens up and down the country in many lesser ways.
i have put of seeing the gp for my eczema as its a pain to phone and only be able to get an appointment if you phone at 8am, when i am just going out of the door to do the school run!
when i was ill after ds4 and in psych unit i missed an app to see the dermatoligist at the hospital, i explained this a few months later when i was well and needed to see the dermatologist and was told that as i had missed an app i needed to see the gp to get a re refferal, i said but i was in a psych unit i have my discharge letter with the dates and reason etc, but no the rule is you miss an app you need to be re reffered!
i finally manage to see my gp and get the referal, who agrees its stupid but rules are rules and despite the fact i had a valid reason to miss my app i now have to go back on the waiting list to see the consultant! i do so but also tick the box saying i will take an app at short notice, one day i get a call saying there is an app at 12:30, ok i say i will take it, i only have the baby to take with me the othesr are at pre-school and school. i have to get them at 3:00 but its a shortish journey from hospital to school so that will be fine.
only when i get to the hospital they are running half an hour late, thats stil ok tho :)
cue half an hour later when the receptionist then puts up a note saying appoinment are running 55mins late! but thats still doable so i wait some more, thankfully the baby is sleeping/feeding etc. at 1:30 i ask and still they are running late, it gets to 2pm and i still havent been seen, i explain i need to leave by 2:30 to get the bus and get to school to pick up my other children and if i am not seen soon i will have to just leave.
to be told "if you leave and miss your appointment you will need to referred again by your gp" i am slightly incredulous and explain my app was at 12:30 i took it at short notice and that i have children to pick up and i CANNOT just wait for an infinite period of time.
the receptionist simply tells me that I am CHOOSING to miss an app, then looks at my records and says 'which you have form for doing'
i expliani to her YES I missed ONE app, when i was in HOSPITAL very ill, she shrugs and mutters something about there always being an excuse, at this point i tell her i will write and send a copy of my dishcharge papers so she can see that i was infact in hospital and unable to attend and i shall also complain aobut the fact i HAVE waited 2hrs but due to having children to pick up i HAVE to leave and am therefore being told i need a re referral as i am CHOOSING to miss an app, which i am really NOT, i am simply having to collect my children i was there at my app time and for 2 hrs afterwards!
The system has flaws already but that make it difficult and you know waht i dont mind too much, its free (well paid for by taxes) but i AM hugely grateful for the nhs, but a bit of flexibility, i e the receptionist saying yes i understand you need to get your kids and cant wait, so i will try and find you another appointment slot, or the fact that when i missed my first app as i was in hospital, they could have listened to my reason (i could have faxed through the 'proof') and then they could have re booked me an app, but NO rules are rules!!!
so adding yet another 'rule' that will make it harder for mothers (generally) is just another thing that will make it harder for them to access healthcare when some can and do struggle already, its just something else to discourage them and in familes where people are busy and stressed or just getting on with life, even the smallest of things can be used as a reason for not going to the dr, to time, to childcare, to them thinking they dont really need to see the gp and thinking they are 'making a fuss'. these things are small and inconsequential to some but they add up to make it seem a bigger struggle and a pushchair ban would add to that for some people.
fwiw i liked kung fu pandas idea they ask when you book will you be brining a pushcahr and that way they can allocate space for one or two pushchair, however many they can depending on their location etc.
anyway this thread is nearly full, so hopefully this bloody message with now post!