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Poor women who could afford neither physicians nor midwives were better off because they did not undergo the intervention of professionals who came hotfoot, bearing pathogens, from other births.
Midwives were better at physicians, that was in part how Semmelweis discovered the importance of washing hands. And physicians came not only from other births but also from things like autopsies.
Best was probably having a midwive coming to the home. That was the practise up here until the physicians monopolised childbirths through legislation.
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