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To the Editor:
—After 30 years of obstetric experience, I sometimes think patients are subjected to too much routine study and treatment. Perhaps we have swung too far, therapeutically, from supporting patients in their natural functions and physiological reactions. The multiplicity of scientific articles that are simply statistical, often with the lack of perspective that term implies, seems to be in part the basis for these practices, which too often are put into effect en masse with little respect for individual reactions. Aspects of routine postpartum care in lying-in hospitals, such as (1) excessively early ambulation when involution is just beginning, (2) involution of the breasts too quickly (and distortion of normal hormonal balance) by the administration of hormones when simple supportive measures, including sufficient fluids, give better results, and (3) unnecessary treatments of the perineal wound, which needs nothing more than simple cleansing, are glaring examples. A recent editorial,
Notes B. TOO MUCH ROUTINE CARE. JAMA. 1953;152(18):1732. doi:10.1001/jama.1953.03690180054022