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To the Editor:
—I have been practicing in the country for seven years, and during this time have had enough obstetric experience to enable me to saythat I have never found (and I may say that I do not believe there exist) any of the exigencies to which you refer (The Journal February 10, p. 428) that cannot be met and handled just as capably by the country physician as by anyone else. Women have babies just the same way in and out of city practice, and apart from the fact that hospital facilities are not so easily had in the country, there is no reason why methods of management should not be quite the same in one locality as in another. It should be remembered, too, that the article in question dealt with normal labor; not with difficult cases. I am a member of the State Board of Medical
Williams EM. The Management of Normal Labor. JAMA. 1912;LVIII(10):720. doi:10.1001/jama.1912.04260030118023
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