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April 13, 1907


Author Affiliations

Formerly of the Sloane Maternity Hospital, New York City. KASHING, CHINA.

JAMA. 1907;XLVIII(15):1267-1269. doi:10.1001/jama.1907.25220410043002e

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There is no way of estimating the mortality from childbirth in China, but it must be very large. Ignorant midwives attend most of the cases. A physician is rarely sent for, and when he comes, so far as I can learn, he is not supposed to examine the patient, but merely feels her pulse and writes a prescription for the particular complication from which she is suffering. A woman in labor is considered unclean, and ordinarily a Chinese doctor would not be willing to pollute himself by coming in contact with the discharges from a labor case. Among the higher classes, especially, the relatives of a puerperal woman will not come into her room until a month after her delivery. She is taken care of by midwives and female servants. The result of such neglect can easily be imagined.

PLACENTA PRÆVIA.  One of the first obstetric cases I saw after

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