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December 19, 1931


JAMA. 1931;97(25):1895. doi:10.1001/jama.1931.02730250053020

The propaganda which has made most of the people in the United States and elsewhere believe that our maternal mortality is worse than that of any other country in the world is difficult to overcome regardless of its inaccuracy. In his International Studies on the Relation Between the Private and Official Practice of Medicine, Sir Arthur Newsholme1 has pointed out that international comparisons are not dependable because of the great variation that exists in different countries. In developing such statistics it is possible to discover considerable differences in puerperal death rates which do not correspond with real differences. The practices in England and Scotland do not differ markedly, but those in the Netherlands and in the United States differ greatly from those in England and Scotland. Indeed, Sir Arthur Newsholme feels that the international position is somewhat chaotic and that it is doubtful whether the chaos could be removed

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