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March 28, 1936

Foreign Letters

JAMA. 1936;106(13):1104-1108. doi:10.1001/jama.1936.02770130054023

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Abstract

LONDON  (From Our Regular Correspondent)Feb. 22, 1936.

The Use of Analgesics by Midwives  As more than half the labors in this country are attended by midwives, the problem of a safe and effective method of analgesia has arisen. In a previous letter it was reported that a gynecologist, Mr. L. C. Rivett, had worked out a method of chloroform analgesia by means of 20 minim (1.25 cc.) capsules, to be crushed and administered by the midwife or by the patient herself during severe pains. This method has been used in a large number of cases and has been claimed to be quite safe. However, this claim has now been rejected by a committee appointed by the British College of Obstetrics and Gynecology to investigate the question whether there is any safe method of analgesia which can be used by a midwife in the absence of a physician. The investigation

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