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Man-Midwifery Exposed and Corrected
Gregory, Samuel
Published by George Gregory, New York
Location of original: Countway Rare Books, Harvard University
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degree of excitement'? and whether he conducts his excellent journal, in which he sometimes makes himself useful, by 'exposing the blunder of the sisterhood,' and by taking care of the public morals---whether hti sis all done from mere philanthroph? and once more'; whether he and his brethren practise the obstetric art from pure benevolence, a disinterested regard for the safety of the patient, and the good of the race? If so, I do not read the Boston Fee Table rightly, which says,
'For a case of midwifery in the daytime, $15
'If any part of the attendance is in the night, ....... $20
'And in all cases of extraordinary detention or attendance, also in proportion to the importance of the case and the responsibility attached to it and to the service rendered, when these are extraordinary, the charges shall be increased according to the judgment of the practitioner concerned. If in any case of midwifery, a second physician is called in consultation, both the attending and consulting physician shall charge at least the usual fee for delivery; except that when the consulting physician in such a case pays only a consultation visit, and is not detained in attendance on the case, he may charge the fee for a consultation visit. [The accoucheur is authorized to make a certain abatement from these established charges, as a favor to those unable to pay the whole.]
'In cases of midwifery, when the child is born, but not the placenta, before the arrival of the accoucheur, the whole fee is to be charged. When both the child and placenta are born before the arrival of the accoucheur, half or the whole fee is to be charged, according to the circumstances. This rule is not to be applied to cases where the delay arises from the accoucheur.
'When the circumstances permit, every physician shall present his account immediately after his attendance in a fit of sickness. This shall be particularly attended to in cases of midwifery.'
'Exemption from charges. The clegymen of the city and all members of the medical profession, within it, together with their families, should be attended gratuitously.' (Query. Has this any thing to do with retaining the clergy in favor of anti-criptural midwifery?) The above are some of the 'Rules and Regulations of the Boston Medical Association,' adopted some years since; but I am not aware that there have been essential alterations.

Now, as to this remuneration of the profession, I have not the least fault to find; for it is a laborious life, that of a doctor, and only the more successful portion of them get a tolerable compensation. That, however, is no fault of the fee-paying public; but man-midwifery has introduced a doctor into almost every family, and multiplied that useful profession altogether beyond what the health of the community requires. So much so, that here in Boston, according to the 'Directory,' we have over two hundred and fifty professional gentlemen, engaged in seeing the citizens into and out of the world. The practice and compensation being so minutely distributed, they cannot, as a general thing get fees enough to keep themselves in comfort, nor practical skill enough to perform the duties of midwives with a reasonable degree of safety to mother and child---as will appear more fully in the following pages.
But the pecuniary expense of man-midwifery is a trifle compared with other considerations. It would be well if the fee was fifty dollars instead of fifteen; the evil would then work its own cure, since midwives can afford to officiate for a much smaller fee than physicians can.
But it is necessary to return to the Journal, which speaks in a measure for the profession. The editor does not apparently think the remunerating excitement, in regard to the lectures, of so much consequence to other matters, (though he remarks, 'a flourishing business is conducted,') for he proceeds to lament the state of the times: 'We are wholly overstocked in New England with anti-isms of every possible shade and texture, from the advocates of bran pudding to the believers in anti-man-midwifery.'
Truly the times are out of joint; conservatism has reason to tremble; for this last 'anti-ism' is the most radical of all, striking, as it does, at the very foundations of morality, and even of society itself. 'O tempora! O mores!'
'These reflections,' continues the Journal, 'were called up by the energetic displaes of a man by the name of Gregory, who has been discoursnig in Boston on the horrible depravity of employing physicians in obstetrical practice.' As to the 'horrible depravity,' the reader can form his own opinion from the few exposures in this work, bearing in mind, all the while, that not a thousandth part has been told.
The censor then proceeds to give the opinion that 'the great irresponsible public' ought
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