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cians Zantac Mg do a large consultation practice with midwives and often take the responsibility of reporting still- births at which they do not Where To Buy Zantac actually attend profes- sionally. The fact remains that, statistically, the physicians and hospitals are charged with a greater proportion of stillbirths to total births than mid- wives, and if they are willing to remain sponsors for midwives who are not sufficiently well trained to detect abnormalities or conditions which require interference in delivery, we shall have to continue to Zantac 75 Mg charge the stillbirths to the physicians ; Order Zantac Online or else conduct a campaign of education among physicians and get them to report these stillbirths as they should be Zantac 150 rejiorted, as occurring under 300 Mg Zantac the care of midwives and reported by physicians. The following table shows the ATTENDANCE AT STILLIilRTH BY HOSPITAL, PHYSICIAN. .■\ND MIDWIFE IN REL.\TION TO UTERO- GESTATION PERIOD Zantac 300 Mg Hospital Physician Midwife Month of gestation. .Vo. No. No. Not given 6 j 2 Third 16 30 6 '•;?""1> 2" 44 i Fifth 28 102 6 Sixth 55 124 13 Seventh 69 189 11 '■i'.B''''' 37 135 Zantac Coupon ts -^inlh 78 402 42 I'ull term 156 141 13 Total 465 1. 1 69 111 In studying the foregoing table one must take into consideration that physicians who do a large consultation practice with midwives are called upon to register stillbirths, although they do not do the actual delivery. This will increase greatly the number of stillbirths reported as attended by physi- Online Zantac cians in the ninth month. I might mention that it is not Zantac 150 Mg an uncommon occurrence for physicians to certify a stillbirth when they have never seen either the mother or the stillbirth. This table shows that the number Purchase Zantac of cases attended by hospitals and physi- cians in the ninth month and full term is much greater than that attended by midwives, but in con- sidering the percentage totals of each attended in the ninth month and full term there is very little variation, being: Hospitals, 50.33 per cent. ; Zantac Buy physi- cians. 46.46 per cent. ; and midwives. 49.56 per cent. It also appears that when comparing the per- centage totals Buy Zantac Online attended by each, the midwives attend comparatively more m the third and eighth month of pregnancy than do the hospitals or physicians. The physicians attend more Purchase Zantac Online of the seventh month stillbirths. Except for the foregoing facts, this table would lead one to believe that midwives are doing as good Buy Zantac obstetrics at all periods of gestation as are the hospitals and physicians. I must confess some disappointrnent in not finding that the per- centage totals of the ninth month" and full term stillbirths were not much higher for midwives than for either hospitals or physicians. Actual Causes of Stillbirths as Certified to on Order Zantac Returns. Out of a total of 1.867 certificates of still- birth examined at the Department of Health of Manhattan, 775. or 41.5 per cent, of the certificates did not contain information as to the cause of the stillbirth. This is due in part Cheap Zantac to the fact that many 416 THOM.-LS : SriLLBlHTIIS. I New York MEDiCAt Journal. persons reported stillbirtlis on ihc old form, winch under "cause" reads: '■Cause, if known." This common method of reporting was unfortunate. The new form, however, does not contain the words "if known," and the physician or other persons re- porting stillbirths are no longer relieved of the responsibility of ascertaining" and reporting the cause of stillbirth in each case. The following table Zantac Online shows the negligence of those engaged in the prac- tice of midwifery in reporting the cause of still- births : TABLE SHOWING RELATION OF ATTENDANCE AT STILL BIRTHS TO REPORTING OF CAUSE. Percentage Cause No cause Total cause Reported Zantac 150mg by given. given. reported. not given. Physician 736 433 ,,,6, 3-.0 465 33 S Hospital 309 Midwife 35 Coroner 12 76

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