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September 24, 1927

The Queen Charlotte's Practice of Obstetrics.

JAMA. 1927;89(13):1084. doi:10.1001/jama.1927.02690130072046

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This book, which was written by the six members of the staff of Queen Charlotte's Hospital, gives the views held and the methods adopted at that hospital. It is unique that these individuals, each of whom is on the staff of at least one other hospital, should agree so closely in all the problems of obstetrics. For both spontaneous labors and forceps deliveries the lateral position is used. Episiotomy is practiced occasionally. In breech presentations where the legs are extended the authors advise bringing down one or both legs early in labor and then leaving the delivery to nature. They do not see any advantage in ever applying forceps to the after-coming head, even though this procedure has undoubtedly saved many babies. Conservatism is employed in the treatment of eclampsia, but the statistics of the hospital are not given. Among 308 cases of placenta praevia, there were fifty-four cesarean sections.

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