Full text: papers communicated to the first International Eugenics Congress held at the University of London, July 24th to 30th, 1912

A. Bluhm.Medicine and Eugenics.395 
Nevertheless, as is proved by the foregoing observations, the race is 
benefited when the development of rickets and the inadaptability for bearing 
associated with it, is prevented. 
It is also not out of the question that, in the course of generations, a 
regeneration of the “ germ plasma ” may come about if continued success 
is maintained in preventing the development of rickets. The comprehensive 
study of rickets, the real nature of which we do not yet know, in spite of a 
plentiful supply of literature on the subject, is an important task for 
Eugenists. In our efforts to avoid the ill-effects of Obstetrics, we must lay the chief 
emphasis on the instruction of the obstetrician. 
The chief of the German obstetricians, Hegar, says with truth that no 
single branch of the medical profession has so far troubled itself so little 
about prophylaxy as has Obstretrics. 
The present day obstetrician considers only the effect of the moment. He 
announces it with pride when he has delivered, by a Caesarian section, a 
crippled imbecile of a living child. He discusses in word and writing 
whether a mother, in case the birth of a living child can only be brought 
about by means of an operation threatening her own life, is justified in 
refusing that operation, and altogether forgets that in such a case the 
child generally means a loss to the nation instead of a gain. 
We must seek to awaken the “race conscience” of the obstetrician. 
He must no longer blindly seek to produce for the mother a living child, 
but must ask himself, in individual cases, whether he can take the respon­ 
sibility as regards the race. 
Only when a different, a Eugenic, spirit influences Obstetrics, will it 
become a blessing and not a curse to the race. 
If the obstetrician is permeated by the spirit of Eugenics, then he, more 
than any other person, can contribute to the diffusion of this spirit among 
broader strata of the peoples, and bring it to pass that the saying of 
Friedrich Nietzsche about marriage may become the universal blessing of his 
nation— “ Marriage, so name I the will of two, to call into existence one, who is 
more than they who called him into existence ! ”
        

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