2. Endeavor here to get a knowledge of midwifery that will qualify you to attend ordinary cases of _natural_ labor, and enable you sometimes to give medicine when needed, and when there are no physicians in attendance; but understand that there are many times when the only proper thing for you to do is to send for a physician or experienced accoucheur. 3. Do not hesitate to seek knowledge and experience and instruction from any source where you think that you can obtain it. Physicians will be willing to aid you, and I think the time is coming when he will regard the educated nurse as his friend, and not as his natural enemy. 4. I do not think it best that you should call yourself a midwife, because if you do it will excite misapprehension and prejudice. Seek in every way to be skillful as a nurse, and seek to have a corresponding reputation. 5. Do not undervalue your position, if you have the wisdom and courage and perseverance necessary to prepare you to minister to your sex in their time of greatest suffering and trial. Do not doubt that your mission is an honorable one. And even if you do not minister very often to the sick in labor, except as the right arm of the medical man, you may help to raise the standard qualifications of the nurses of our land. Do not suppose that I am complaining harshly of our present supply of nurses. Women have shown a wonderful adaptability to the needs and exigencies of their suffering friends in nursing and caring for them. And it is because they are so ready to receive instruction that I endeavor here to furnish good instruction for them. 6. Do not suppose that your knowledge obtained by study is sufficient to enable you to act as midwife (except in an emergency), unless your studies are supplemented by observation, as mother nurse, &c. 7. Do not be unwilling to minister to women who are poor. The young physician is willing to do something in this way to gain experience and for the sake of humanity, and this will be your opportunity to gain experience without coming in competition with rivals. 8. The nurse as well as the medical man, must study the phenomena of labor at the bedside of the patient. No one can be qualified by mere reading for the duties of a midwife, and no woman that is diligent and observing can attend a case of labor without some addition to her knowledge. INSTRUCTION TO THE NURSE MIDWIFE. When I use the term nurse midwife I mean a nurse that has some knowledge of midwifery, that can be called to attend to women near the time that she expects to be confined, and that can remain in attendance for two weeks or more if it is desired or necessary. Sometimes a woman would, if possible, have a skilled nurse with her a week or more before confinement, especially because she would thereby avoid sending for the physician unnecessarily, and because she would be less likely to detain him for a long period of time.