There are four recognized midwives in Tzintzuntzan between 55 and 60 years of age, and a younger woman of 40 who is still an apprentice. All are married, with children of their own, but none has had any real medical instruction (1948)." "Health services were further implemented in 1963 with the opening of a modern steel-frame prefabricated health center, with a resident trained midwife and assistant to care for a variety of health problems. . . . Although basic services continue to be pre- and postnatal, and the well-baby clinic, conducted by a physician from Pátzcuaro, the nurse-midwife actually runs the center like a general clinic, sewing up wounds, dressing infections, giving injections, and delivering babies (1967)."