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To the Editor:
—There appeared an article in The Journal describing the conduct of a case of normal labor, which advocated certain procedures to be practiced by the attending physician. Some of them, if the conduct of a case of labor is to be regarded as a surgical procedure, which it most certainly is, are deserving of severe criticism. After sterilization of the hands the following is advocated on part of the physician: "Having lubricated the index and middle-fingers of his right hand with some sterile lubricant, such as petrolatum, the physician inserts these fingers into the vagina and examines the cervix uteri to determine whether it is dilated, whether the pains affect the muscular fibers of the cervix, what part of the child is presenting, if the head is presenting, to determine if possible the position in which it lies, and whether any part of the placenta is attached
Jackson FH. The Management of Normal Labor. JAMA. 1912;LVIII(6):428–429. doi:10.1001/jama.1912.04260020112025
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