The Health bulletin [serial] - University of North Carolina at Chapel Hill

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; 28 The Health Bulletin June, 1927 the government. New York has established a ti'aining school for midwives, but it is too small to more than touch the problem in the city alone. "From all information available, it seems that what is most needed in this country is the better training of the physicians in obstetrics—not to try to educate the midwife to the extent of the European countries. If this is done, she may become a fixed element in our social and economic system and assume a legal status which cannot later be altered . . . Broadly speaking, three standpoints are taken in this country—first, the midwife must be abolished ; second, the midwife had best be ignored and left to her own devices third, the midwife should be raised to a higher plane by proper state control and education. The first proposition is impossible imtil some better substitute for the midwife is provided to care for the large number of women she attends in childbirth. The second proposal is unworthy of consideration. The third proposition is at the present time the only practical way of dealing with the midwife problem—whether it has for its object the temporary safeguarding of helpless women and children, or finally the elimination of all but the educated midwives. Since the evil of the moment cannot be eradicated, the danger to the public can be minimized by some provision for the proper regulation, supervision and control of midwives by the State. The methods of regulating midwifery may be divided into three classes—restrictive measures carried to indirect abolition ; educational restrictions ; and, finally, registration and supervision. The purpose of regulation by educational restriction, generally speaking, is not to disturb the existing body of midwives, but to gradually replace them, by means of progressively elevated requirements and standards, by a smaller body of welltrained women ; this method to be carried in the course of years to the point of practical abolition. The primary object of registration is to bring the midwives under the supervision of competent officials, so that their work may be subjected to some measure of supervision."—The University of North Carolina Neics Letter. PER CENT OF WHITE AND NEGRO BIRTHS ATTENDED BY MIDWIVES, 1925
Ju7ie, 1927 The Health Bulletin 29 Per Cent of WTiite and Negro Births Per Cent of White and Negro Births Attended by Midwives, 1925 Attended by Mldwives, 1925 Rank County
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Vol. XLII MARCH, 1927 No. 3 DIPHTHE
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