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June 5, 1954


JAMA. 1954;155(6):593-594. doi:10.1001/jama.1954.03690240059023

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Delivery in the Home.  —When a woman desires to have her baby at home in Great Britain, there are alternatives as to the assistance she may summon. In obstetric practice in most countries, a physician is called, but in Great Britain deliveries may be conducted exclusively by trained midwives without medical support. Under the National Health Service, confinement may be attended by a midwife alone without cost to the patient. The midwife may be an independent worker or the employee of a public authority. The patient is also entitled to the services of a physician as an obstetrician, and in this case, the midwife assumes the function of a maternity nurse, if the physician desires to conduct the delivery. The fact remains that in most cases the physician prefers to leave the delivery to the midwife while he attends to other duties, e. g., connected with analgesia. Although, before a

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