JAMA. 1912;LVIII(1):31. doi:10.1001/jama.1912.04260010033010.
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The generally accepted opinion that obstetrics among the American Indian women is always a simple matter is, I think, hardly a true conception of the subject, as shown by the several cases cited below. The majority of labors are, of course, conducted without trained medical care, but the women nearly always have the assistance of native midwives, and it is now growing daily more common for them to call on the nearest white physician for aid.

I have prepared brief notes on a few cases which have come under my observation during a residence of several years among the Indians of southwestern Oklahoma, and which may prove of interest.

Case 1.  —A primipara, aged 16, only a short time out of one of the government schools on the reservation, was attended by an old woman who enjoyed an enviable reputation among her people as a midwife. The patient came under


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