210 THE INTERNAL SECRETIONS—1920 
perineum is grasped with bare hand, covered with a 
towel rung out of lysol solution. The fourchette is thus 
kept relaxed as the head and shoulders escape. 
The following advantages appear to be evident, as 
shown by 50 consecutive cases: 
No pain from beginning to end of labor. 
No danger to mother or child. (No mortality or 
morbidity.) 
No forceps. 
Almost no lacerations (3 in 50 cases). Birth of baby 
generally without a drop of blood. 
No postpartum hemorrhage. 
Short labor (average, 3 hours). 
No postpartum fever. 
No postpartum soreness. 
No exhaustion. Patient is earlier at work. 
No straining, hence no injury therefrom. 
Easy asepsis at delivery. 
Perfect control and examination of mother. 
Easy examination of child in uterus. 
No blue babies. 
Second stage of labor not over 5 minutes in dura- 
tion. No danger from cord around neck. 
No shocking of the modesty of the mother. 
Easy correction of faulty presentations. 
Easy management of pathological conditions. 
Easy delivery of placenta. 
No assistants necessary. 
All mothers can nurse babies. 
All of which serves to encourage the bearing of 
children. 
Another presumptive advantage which may be men- 
tioned is that fewer, if any, cancers of uterus will oc- 
cur in after life. 
Disadvantages: If pituitary solution be given just 
before birth after pains may annoy. By holding the 
