Part: 123456789         Session: 1         Page na123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173 [missing]174 [missing]175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250251252253254255256257258259260261262263264265266267268269270271272273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307308309310311312313314315316317318319320321322323324325326327328329330331332333334335336337338339340341342342a343344345346347348349350351352353354355356357358359360361362363364365366367368369370371372373374375376377378379380381382383384385386387388389390391392393394395396397398399400401402403404405406407408409410411412413414415416417418419420421422423425426427428429430431432433434435436437438439440441442443444 of 444

and to teach them how they should care for pregnant women and lay upon them the duty of having pre-natal care established. We came down to Johns Hopkins. I went out to Chicago to the Billings Hospital. They had a very fine project going, but strictly in that hospital. That hospital and its clinics had already developed a fine program of maternal service in which there was an effort to get the women in for pre-natal care and in which there was a regular team organized to go out when the calls came for difficult delivery. The theory was that any physician could deliver an ordinary case and that any physician could give ordinary care to an ordinary case but that he should be trained to recognize the symptoms of an unusual case. That unusual case should be transferred at once to the care of a specialist, through one of these clinics, especially through one of the attendants at a nearby hospital or clinic of the Maternity Center Association. Those unusual cases should have provisions made for entrance into a hospital at delivery.

What we did was to work out a system of control. We knew how many cases we had under care through the pre-natal clinic type of thing. We kept track of those cases in great detail through visiting nurses, through settlement workers, through everybody else to see that they came into the clinic