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To the Editor:
—In all the discussion regarding the deplorable status of obstetrics in this country only a few of the factors in the problem have been touched. Specialists, like Dr. Williams (The Journal, Jan. 6., 1912, p. 1), with hospital facilities, trained assistants, a laboratory and absolute control of patients may make invidious comparisons but that does nothing to elucidate the subject. Obviously only a small percentage of the parturient women of the country can or will avail themselves of the benefits of a hospital or trained accoucheur. The general practitioner has the knowledge his college was capable of imparting, plus what he has added in practice. To his credit be it said, he usually makes the most of it. His equipment is generally greater than his compensation warrants. Moreover, he has his living to make and cannot be too insistent with his patient over whom, usually, he has
Mackay JH. The Management of Normal Labor. JAMA. 1912;LVIII(10):720. doi:10.1001/jama.1912.04260030118022