If the Journal Editor can bear yet another letter on this subject in addition to those that have already appeared in print in this Journal, would it help for all concerned to step back, take a calm look at the situation and consider what else may be involved? Dr Hutt feels that he may be "living in a different world" from Dr Devonald, the reason for that may be that the two doctors (or rather their patients) are indeed in different -worlds; Dr Hutt's practice where 80% of intrauterine device (IUD) insertions are in nullips is surely very exceptional. Patient-centred medicine may demand very different practice (although the same attitudes) in different circumstances, depending not only on parity but on the woman's total experience.
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