The fact that in the past physicians concerned themselves only with
the actual delivery in no way excluded other advisers during
pregnancy; on the contrary, for these very reason the patient was
the recipient of everybody's advice. Any Woman who had borne a
child felt especially chosen by heaven to counsel those who were
about to bear children. With the development of prenatal care this
attitude has gradually changed, so that the obstetrician has become
the adviser-in-chief; but he still has numerous unsolicited lay
assistants. Within the week a very intelligent patient, the wife of
a physician, asked me if it was dangerous to raise her arms above
her head. I was startled to hear so primitive a question from so
sophisticated a person. Whenever possible the patient should place
herself under the care of a competent, well-trained obstetrical
specialist. The selection of a doctor should not be guided by the
fee he is reported to charge, for almost every doctor is human and
will adjust his price to the limited mean of honest patient.
Happily the purchase of obstetrical services is not like buying an
automobile.
General
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