“…The "trained obstetrical patient," particularly the woman having her first chid, was given education, physiotherapy, increased supervision in labor-and, analgesia and anesthesia in labor and a low forceps delivery (Portnuff, 1953;Jacobson, 1953;Hingson and Hellman, 1958 sidered good for women, but need not affect obstetrical practice (Portnuff, 1953). Natural childbirth, in fact, was uscd to make those women more tractable patients.…”