General services include general medical, surgical, obstetrical and gynecological care. Such health practitioners include obstetricians, midwives, obstetrical nurses and many others. Obstetrical procedures include cesarean sections, episiotomies, and assisted delivery. From 1885 to 1887 he was President of Washington Obstetrical and Gynecological Society. Obstetrical, vascular, iatrogenic, and even urological sources have all been described. Fetal abduction does not refer to medically induced labor or obstetrical extraction. It describes 4 stages of obstetrical hemorrhage after childbirth and its application reduces maternal mortality. Medical and religious acceptance of obstetrical anaesthesia came after in the 19th century. The addition of obstetrical forceps came with complication to the mother during and after childbirth. The introduction of the obstetrical forceps provided huge advances in the medicalisation of childbirth. Its efficacy for reducing maternal deaths due to obstetrical hemorrhage is being researched. However, it is approved for use at term in obstetrical anesthesia. Long-term complications for the mother include obstetrical fistula. Some family practitioners or general practitioners also perform obstetrical surgery. The profession is subdivided in specialties such as cardiac, obstetrical, vascular, and general sonographers.