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April 23, 1938

Practical Birth Control: A Guide to Medically Approved Methods for the Married

JAMA. 1938;110(17):1393-1394. doi:10.1001/jama.1938.02790170073032

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In the preface the authors discuss frankly their attitude on the controversial subject of birth control. They feel that before deciding on pregnancy any woman with diseases of the general system—serious heart or kidney conditions, diabetes, tuberculosis—should consult a physician. The list of these diseases may be increased by including nervous and mental diseases or insanity. Therapeutic contraception in their opinion is warranted for medical reasons when the examination indicates repeated difficult deliveries and when defects and deformities exist. The well known argument that pregnancies should be spaced receives attention; the authors venture the statement that "three babies die who are born less than two years after the last child for only two who die when the interval is longer." Such questions as the age of the mother and the economic question as to the number of children that may be cared for are also considered, leading up to the

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