Proper Medical Aid! in st a re bea: 11:P'lt; saoflbevipsti(hsfoprati\v«By DR. MORRIS F1SHBEINEditor, Journal of the American Medical Association,and of Hvgfia, the Health MagazineLONG before there were physicians or midwives. no doubt, many women bore children successfully without the help of either. Frequently, however, these mothers suffered unnecessarily, and sometimes they became ill or died as a result of complications which today arewell controlled.As human life became more complex, and as conditions of living changed, the medical complications of childbirth became more difficult. Crowding of human beings brought greaterchance of infection.There is a saying in medicine that a badly taught or ignorant midwife can kill more women than a highly educated doctor can cure.If women made sure of their ability to bear children successfully and without com plica t-on s by having a suitable physical examination beforehand; if they consulted competent medical advisers when they knew they were going to have ; children; and if they followed medical advice' ar carefully through the entire period before childbirth. the number of deaths would be greatly diminished and much unnecessary illness later would be prevented.A midwife may be able to recognize the presence of excessive bleeding, convulsions, swelling, j B( and similar complications, but not many can I -j-j recognize unfavorable physical conditions and i on wrong position of the child sufficiently early to ! w{enable the mother to get the kind of help necessary.Whether a midwife, a general practitioner, or : ^a specialist should have charge of the childbirth ! wtis wholly up to the mother. There axe few places i in the country where there is adequate control vo of the training or qualifications of midwives. | j0] The attention of a specialist in obstetrics m the best hospital is rather more expensive than that of a general practitioner. in.Furthermore, there are hardly enough obstetric j specialists in the United States today to take care ba of all women in childbirth. General practuion- )10 ers, therefore, handle most of the childbirths which occur. tlvIn uncomplicated cases, most general prac- : ontitioners can secure excellent results. Tln-re is |,n always the possibility, however, that they will j not be able to give as many hours of time to tne \ bn individual case as can be given by specialists. euThe work of the general practitioner takes , iolt; him into all kinds of cases, and he may ocea- e\] sionally have to pass from an infected pci--on [er to the woman 111 childbirth. All ihcsc con.-ni- rx! erat.ions should be carefully neighed by U;cwoman who is going to have a baby. i tiifa