Note 2 — Chapter IX

“The undersigned, Secretary of Legation of the United States of America, certifies that Miss Marie Elizabeth Zakrzewska has exhibited to him very strong recommendations from the highest professional authorities of Prussia, as a scientific, practical, experienced accoucheuse of unusual talent and skill. She has been chief accoucheuse in the Royal Hospital of Berlin, and possesses a certificate of her superiority from the Board of Directors of that institution. She has not only manifested great talent as a practitioner but also as a teacher; and enjoys the advantage of a moral and irreproachable private character. She has attained this high rank over many female competitors in the same branch; there being more than fifty in the city of Berlin who threaten by their acknowledged excellence to monopolize the obstetric art.