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November 3, 1951


Author Affiliations

President Chicago Board of Health, Chicago.

JAMA. 1951;147(10):990. doi:10.1001/jama.1951.03670270080030

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To the Editor:  —The instructive article "Principles for Improving Patient Care in the Hospital Labor and Delivery Suite," by Gold, Faison, and Wallace, in the Aug. 18, 1951 issue of The Journal, describing the essential features of care during labor and delivery, was of great interest to us, since in Chicago, for 13 years, regulations aimed at requiring this type of care have been in force.We have come to the conclusion that the outlining of the essential features of care during labor and delivery, and even the adoption of regulations requiring such care, do not produce the desired results unless some adequate system is established to enforce the regulations. Such enforcement is, of course, facilitated when all medical, nursing, and hospital groups are in sympathy with the regulations and exert cooperative effort. The enforcing agency must know from month to month whether the regulations are being violated. There must

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