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March 11, 1916


Author Affiliations

Fellow of the American College of Surgeons; Fellow of the American Association of Obstetricians and Gynecologists; Obstetrician to St. Luke's Hospital; Consulting Obstetrician to Woman's Hospital CLEVELAND

JAMA. 1916;LXVI(11):797-799. doi:10.1001/jama.1916.02580370017006

For two or three years the attention of obstetricians in this country has been rather sharply called to methods of relieving the pain of labor. Various means to this end have been presented and in turn sharply criticized. Successive reports of work along this line have begun to clarify our ideas. Early enthusiasm has been modified by a longer experience. We are, however, far from adopting uniformly any one procedure as best. Here, as in every field of medical therapeutics, no fixed plan can govern every case; but the patient will continue to expect, and should be given, discriminating judgment as to the needs of her individual case. No rule of procedure should guide us, but rather judgment of our patient's condition and temperament, together with accurate knowledge of the drugs we are employing, their indications, contraindications and therapeutic effects should form the basis of our procedure.

In the summer

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