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JAMA. 1912;LIX(20):1762-1764. doi:10.1001/jama.1912.04270110176002.
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The demands made on the general practitioner in obstetrics to-day make it one of the most arduous, painstaking and sacrificial branches of the healing art.

At times the work requires patience, technical skill and poise of nerve that is seldom exceeded in any other department of medicine. This is not recognized or appreciated by the laity, partly because of the timeworn belief that child-bearing, including labor and the puerperium, are natural processes, and need but little and ordinary care to bring them to a successful termination. Most non-medical persons believe that the many unfortunate happenings and untoward results are inevitable, and cannot be forestalled or successfully coped when encountered.

The comparatively small remuneration of the present day for obstetric services has its foundation largely in the same prevalent notion, to which we, as a profession, only too often lend encouragement by rendering only such limited services as we make ourselves believe


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