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June 21, 1902

WHAT OF THE FUTURE?CHAIRMAN'S ADDRESS, DELIVERED BEFORE THE SECTION ON OBSTETRICS AND DISEASES OF WOMEN, AT THE FIFTY-THIRD ANNUAL MEETING OF THE AMERICAN MEDICAL ASSOCIATION, AT SARATOGA SPRINGS, N. Y., JUNE 10-13, 1902.

JAMA. 1902;XXXVIII(25):1614-1617. doi:10.1001/jama.1902.62480250008001a

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Abstract

This question we may well ask ourselves, for we certainly will have other things to do than to take out tumors and diseased tubes. The obstetric part of our section has virtually been settled. Obstetrics is based on purely mechanical laws, and in the vast majority of cases nature needs no help. The small percentage of abnormal cases that require the assistance of the obstetrician are now well understood. The patients are under observation from the beginning of pregnancy, many of the cases which would be serious are recognized before that time, and by the induction of premature labor and other methods many of the more severe cases, I might say severe confinements, are prevented.

Even the severe cases that are allowed to go on to full term can be delivered safely, for mother and child, by Cesarean section. The dangers of the physiologic process of confinement are now virtually

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