Midwives and Midwifery

During the course of the Will Rees mysteries, midwives have made appearances in several books. Lydia herself has had occasion to require the services of a midwife and (spoiler alert) will need her again.

Midwives have a long history. There are references to midwives in Ancient Greek and Roman texts as well as in the Bible.

In the seventeenth century, however, the reliance on midwives began to diminish. Male doctors began to claim they were the proper individuals to help women deliver their babies. The men were educated while the women were ignorant. (And that was the kindest insult. They were also accused of being lazy, dirty and drunk.)

In A Midwife’s Tale; the Life of Martha Ballard, 1785 – 1812, edited by Laura Thatcher Ulrich, the midwife’s perception was much different. Most of these women had borne children themselves (although not all) and they were very experiences. Usually a younger woman would shadow an older midwife (it was not always a formal apprenticeship) to learn the necessary skills.

The male doctors, although they believed themselves far better at this, did not have the years of practice. In the above autobiography, there is a harrowing scene in which the male doctor takes the baby in a breech birth out in pieces. He had not learned to massage the mothers abdomen to turn the baby for the birth

The male doctors were also guilty of spreading puerperal fever. They would not wash their hands after dissecting corpses, going immediately to deliver babies. This has been well documented.

The account by Martha Ballard illustrates both the difficulties and the rewards of this profession. She leaves home at all hours and during all weathers to deliver babies. But she is far better paid for her skills than she would have been at any other type of ‘women’s work’,

It was her proud claim that, during all her years of practice, she lost only three babies.

Midwifery – and Witchcraft?

As Lydia, one of the principle characters (married to my detective Will Rees) prepares to deliver their first baby, my thoughts turned to births. In that time both maternal and infant mortality was high. It was not uncommon for a man to be buried in a church yard with several wives.

Most women, especially those in the country, had their babies delivered by a midwife. For one thing, it was considered indecent for a man to witness the birth. Male physicians were just beginning to make inroads in delivering babies in the cities. Thousands of women who were burned in Europe as witches were midwives and healers . Why? Well. everyone knew women, who were ill-educated to begin with,  were too stupid to learn something like this so the knowledge had to have a supernatural origin, i.e. the Devil. This in spite of the fact that midwives have been part of human history for millennia and there were less deaths when midwives delivered the babies. They washed their hands. Male doctors, according to the history I’ve read, did not and they passed bacteria from one woman to another, with maternal death following.

What did midwives do? Think about this: there were no pain killers other than alcohol and opium and anyway it was thought women should suffer. After all, they were guilty of listening to the serpent in the Garden of Eden and persuading Adam to eat the forbidden apple. Queen Victoria popularized pain killers during birth. (Smart woman).

There were no stethoscopes. They were not invented until 1816 and then looked like a long tube. Forceps were invented centuries earlier but were risky. Obstetric tools discovered in 1813 included forceps used by a male physician so they were known and used by then.

But midwives helped with the breathing, cut the cord, and some experienced midwives could turn a baby who was in a breech position. After the birth, they cleaned the baby, removing the mucous from nose and mouth, and made sure the cry was robust. Usually the midwife had an apprentice or two.

Now, with an interest in ‘natural birth’, we have come full circle back to midwives.