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March 8, 1947

The Essentials of Obstetrics and Gynecology

JAMA. 1947;133(10):732. doi:10.1001/jama.1947.02880100076034

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This small manual contains many useful and essential facts about obstetrics and gynecology, but unfortunately some subjects are treated too briefly. Thus the entire subject of sterility is discussed in three and a half pages, and the menopause is described on only one page. On the other hand, more than a page is devoted to dyspareunia which is far less important than the menopause, and seven pages and six illustrations are given over to congenital malformations. Only half a page is devoted to the Rh factor, and the word erythroblastosis does not even appear in the index.

The authors state that "spinal and local anesthesia during labor have their advocates but are not widely used." This is undoubtedly true in Canada but not in the United States, where both forms of anesthesia, particularly spinal, is being used more and more. The conservative treatment of eclampsia is properly emphasized. The use

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