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absence of the physician - who must be summoned at once-
should practice the methods of resuscitation taught her,
until the child breathes regularly, or for at least half an hour.

Rule 12.-CONFIDENCES OF PATIENTS TO BE RE-
SPECTED: Midwives must conscientiously guard the secrets
of their patients and must only divulge them if the law
requires them to do so.

With the copy of the foregoing sent to physicians, was a circular-letter from the ASSISTANT COMMISSIONER, in which it was pointed out that the object of the movement is twofold: "First, to reduce the amount of avoidable suffering, sickness and premature death among the parturient and the newly-born; and, second, to rescue from incompetent hands a class of practice which legitimately belongs to the qualified physician. So far as I know, this is the first effort in this country to regulate the practice of midwives, and its success must depend very largely on the sympathy and co-operation of yourself and other members of the medical profession.

"Under the rules every midwife is required to register with the Health Department and to have her State certificate displayed in her office or reception room; and this certificate must bear the stamp of the Department showing that the possessor is registered. It would greatly help the perfection of the registration if you would favor me, from time to time, with the name and address of any midwife whom you know not to have such stamped certificate displayed as required.

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"Of even greater importance is information concerning midwives who violate Rules 3, 4 and 8. The State Board has decreed that midwives shall attend cases of normal labor only, as defined in Rule 4, and shall not attempt any obstetric or gynecologic operation, nor prescribe for any serious illness either of mother or infant. In all such cases it is made her duty to call a physician, and, in order that this shall cause no hardship to the poor who are unable to pay for the services

of a doctor, arrangements are being made whereby such services will be given gratis in all proper cases- that is, where the family is too poor to pay any fee.

"There is, therefore, absolutely no reason, excuse or justification for any midwife usurping the function of the physician. She must confine herself to those duties for which she is supposed to be competent and for which only is she licensed. She must leave to the properly qualified physician all obstetric and gynecologic operations, and the medical and surgical treatment of disease and injury-which she does not now do, as a rule."

The response to this appeal was so prompt and generous that the DEPARTMENT was at once enabled to organize a complete Obstetric Staff from among the obstetricians, gynecologists and pediatricians, who tendered their active services and so made practically operative the provisions of Rule 3.

The personnel of this Staff at the close of the year is as follows':

OBSTETRIC STAFF OF THE CHICAGO HEALTH

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[The following Obstetricians will respond to the call of
any registered midwife (see Rule 3) to assist in labor cases
occurring in the area defined for each.]

DR. EFFIE L. LOBDELL, 169 Clark street. Express 284.
DR. JOHN M. SLOAN, 264 South Halsted street. Main 159.

Between the River on the north and Twelfth street on
south; between the South Branch on the west, and the
Lake on the east.

DR. A. A. BURR, 2036 Indiana avenue. South 644.

Between Twelfth street on the north, and 26th street on the south; between the east side of Clark street on the west, and the Lake on the east.

South 374.

DR. FRANK CARY, 2935 Indiana avenue. DR. LESTER E. FRANKENTHAL, 3236 Michigan ave.; S. 657. Between Twenty-sixth street on the north, and Thirtythird street on the south; between Wentworth avenue on the west, and the Lake on east.

DR. SHELDON LEAVITT, 148 Thirty-seventh street. Oak 847. Between Thirty-third street on the north, and Thirtyninth street on the south; between Stewart avenue on the west, and the Lake on the east.

DR. C. E. PADDOCK, 2600 Indiana avenue.

South 1110.

Between Sixteenth street and the South Branch on the north, and Thirty-ninth street on the south; between Western avenue on the west, and on the east Clark street (Sixteenth to Twenty-sixth), Wentworth avenue (Twenty-sixth to Thirty-third), and Stewart avenue (Thirty-third to Thirty-ninth).

DR. J. B. DELEE (Lying-in Dispensary). Canal 123.

Between Twelfth street on the north, and the River on the south; between Peoria street (Twelfth to Twentysecond) and Halsted (Twenty-second to River) on the west, and the River on the east.

DR. F. A. STAHL, 527 South Halsted street. Canal 76.

Between Twelfth street on the north, and the River on the south; between Throop street on the west, and on the east Peoria street to Twenty-second, Halsted street to the River.

DR. FRANK J. NOVAK, 733 West Eighteenth street. Canal 78. Between Taylor street on the north, and the River and Drainage Canal on the south; between Western avenue on the west, and Throop street on the east.

DR. L. H. SIXTA, 947 West Twenty-first street. Canal 416. Between Twenty-second on the north, and the Drainage Canal on the south; between City Limits on the west, and Western avenue on the east.

DR. P. T. BURNS, 531 South Leavitt street. West 974. Between Twelfth street on the north, and Twenty-second street on the south; between City Limits on the west, and Western avenue on the east.

DR. LAWRENCE RYAN, 1285 W. Van Buren st.; W. 872. Between North avenue on the north, and Twelfth street on the south; between City Limits on the west, and West Fortieth street on the east.

DR. W. RITTENHOUSE, 583 Ogden avenue: West 135. Polk and California; W. 475. 975 Warren avenue; W. 184. Between Lake street on the north, and Twelfth street on the south; between West Fortieth street on the west, and Kedzie avenue on the east.

DR. FRANKLIN C. WELLS, 359 Warren avenue. West 995. DR. R. N. FOSTER, 553 Jackson boulevard. West 245.

Between Lake street on the north, and Taylor (to Campbell), Twelfth street (to Kedzie) on the south; between Kedzie avenue on the west, and Paulina street on the east.

DR. FRANK B. EARLE, 535 Washington boulevard. West 149. Between Chicago avenue on the north, and on the south Washington (to California avenue), West Lake to Fortieth street, between West Fortieth street on the west, and Paulina street on the east.

DR. EFFA V. DAVIS, 516 West Adams street.
DR. HARRIET A. RICE, Hull House. West 70.

West 960.

Between Van Buren street on the north, and Twelfth street on the south; between Throop street on the west, and the River on the east.

DR. E. R. MORAS, 171 Blue Island avenue. Main 4561.

Between Lake street on the north, and Van Buren street on the south; between Center avenue on the west, and the River on the east.

DR. F. A. M'GREW, 291 North Carpenter street.

West 1114.

Between the River on the north and east, and Lake street on the south, and May street on the west. DR. P. H. CONLEY, 477 Grand avenue.

West 157.

Between Ohio street on the north, and Taylor street on the south; between Paulina street on the west, and May street (to Lake street), Center avenue (to Van Buren), and Throop street (to Taylor) on the east.

DR. RUDOLPH W. HOLMES, 1216 Milwaukee avenue. W.987. Between North avenue on the north, the River on the east, Milwaukee avenue on the south, and Ashland avenue on the west.

DR. W. J. SIEMINOWICZ, 581 Milwaukee avenue. West 981. Between Milwaukee avenue on the north, and Ohio street on the south; between Ashland avenue (to Chicago) and Paulina street (to Ohio) on the west, and May street on the east.

DR. A. B. OYEN, 807 North Rockwell street. West 906.

Between North avenue on the north, and Chicago avenue on the south; between West Fortieth street on the west, and Western avenue on the east.

DR. KARL SANDBERG, 622 North Hoyne avenue. West 843. Between North avenue on the north, and Chicago avenue on the south; between Western avenue on the west, and Ashland avenue on the east.

DR. L. E. LAWSON, 68 Humboldt boulevard. W. 403 and 906. Between Belmont avenue on the north, and North avenue on the south; between North Seventy-second street on the west, and Kedzie avenue on the east.

DR. FRANCIS E. THORNTON, 354 W. Belmont avenue. W.320. Between Belmont avenue and City Limits north; between Western avenue and City Limits west.

DR. T. J. CONLEY, 1593 Milwaukee avenue.

West 988.

Between Fullerton avenue on the north, and North avenue on the south; between Kedzie avenue on the west, and the River on the east.

DR. E. I. HOOK, 439 West Fullerton avenue. West 743. Between Belmont avenue on the north, and Fullerton avenue on the south; between Kedzie avenue on the west, and the River on the east.

W. H. ALLPORT, 85 Rush street.

North 709.

Between Chicago avenue on the north, and the River on the south; between the River on the west, and the Lake on the east.

DR. J. W. NILES, 390 North Clark street. North 611.

Between Division street on the north, and Chicago avenue on the south; between Wells street on the west and the Lake on the east.

DR. NORMAN KERR, 111 East Chicago avenue. North 214. Between Division street on the north, and Chicago avenue on the south; between the River on the west, and Wells street on the east.

DR. E. D. SMITH, 305 East Division street. North 721.

Between North avenue on the north, and Division street on the south; between Halsted street on the west, and the Lake on the east.

DR. L. H. PRINCE, 51 Lincoln avenue. North 1144.

Between Fullerton avenue on the north, and North avenue on the south; between Halsted street on the west, and the Lake on the east.

DR. C. S. BACON, 426 Center street. North 1109.

Between Fullerton avenue on the north, and Division street on the south; between the River on the west, and Halsted street on the east.

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