front cover of Birthing a Slave
Birthing a Slave
Motherhood and Medicine in the Antebellum South
Marie Jenkins Schwartz
Harvard University Press, 2010

The deprivations and cruelty of slavery have overshadowed our understanding of the institution's most human dimension: birth. We often don't realize that after the United States stopped importing slaves in 1808, births were more important than ever; slavery and the southern way of life could continue only through babies born in bondage.

In the antebellum South, slaveholders' interest in slave women was matched by physicians struggling to assert their own professional authority over childbirth, and the two began to work together to increase the number of infants born in the slave quarter. In unprecedented ways, doctors tried to manage the health of enslaved women from puberty through the reproductive years, attempting to foster pregnancy, cure infertility, and resolve gynecological problems, including cancer.

Black women, however, proved an unruly force, distrustful of both the slaveholders and their doctors. With their own healing traditions, emphasizing the power of roots and herbs and the critical roles of family and community, enslaved women struggled to take charge of their own health in a system that did not respect their social circumstances, customs, or values. Birthing a Slave depicts the competing approaches to reproductive health that evolved on plantations, as both black women and white men sought to enhance the health of enslaved mothers--in very different ways and for entirely different reasons.

Birthing a Slave is the first book to focus exclusively on the health care of enslaved women, and it argues convincingly for the critical role of reproductive medicine in the slave system of antebellum America.

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Do You Really Need Surgery?
A Sensible Guide to Hysterectomy and Other Procedures for Women
Michele C. Moore, M.D., FAAFP and Caroline M. de Costa
Rutgers University Press, 2004

At last, here is a user-friendly guide to gynecologic surgery. The authors' guiding principle is that each woman for whom any kind of surgery is recommended should be well informed about the indications, the risks, and the expected results.

Using anecdotes drawn from a combined fifty years of experience, doctors Moore and de Costa provide clear and accurate information about women's anatomy, physiology, common gynecological ailments, diagnosis, alternative treatments, and, finally, full details about surgery itself. Among the surgeries discussed are removal of the uterus (hysterectomy), removal of the ovaries (oophorectomy), and removal of fibroids. The various ways of performing these procedures are examined, including minimally invasive surgery done through the laparoscope.

The authors also help the patient through the post-operative phase, revealing what to expect, how to make the recovery easier, and how to take care of yourself after the surgery. The result is a book that empowers women as they weigh their options with regard to gynecologic surgery.

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From Midwives to Medicine
The Birth of American Gynecology
McGregor, Deborah K
Rutgers University Press, 1998
From Midwives to Medicine examines the development of modern medical treatment of women and the related history of women's health in the mid-1800s. McGregor looks not only at the medical figures who devised and practiced the innovative therapist, but also at the history of the patient experience in the development and the professionalization of a medical specialty. In exploring the controversial career of J. Marion Sims, "the father of gynecology," and the history of the Woman's Hospital of the State of New York, McGregor chronicles the emergence of a practice involving previously untried medical techniques and the use of experimentation on patients according to a social hierarchy based on race and sex.

Using patient records and archival material from the female governors and administrators at the hospital, From Midwives to Medicine shows how a new medical practice developed out of the changing patterns and historical experiences of childbirth, as well as out of the context of the social relations f the sexes. Sim's patients were slave women in the antebellum South, poor Irish immigrants in the industrial North, and upper-class white. Protestant, Manhattan socialites who sought help for their "hysterical" symptoms. During his career, which began in the South and flourished at the Women's Hospital in New York. Sims performed and perfected his technique to "cure" vesico-vaginal fistulas, the tears of childbirth, from which so many women suffered. But Sims achieved these successes on the operating table only after years of practicing his "silver suture" technique on unanesthetized slave women, who he believed "by the nature of their race... had a specific physiological tolerance for pain unknown to whites."
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Midwife to the Queen of France
Diverse Observations
Louise Bourgeois
Iter Press, 2017
Diverse Observations is a groundbreaking book available for the first time in English. Written by a midwife committed to improving the care of women and newborns, it records the evolution of Bourgeois’s practice and beliefs, comments on changing attitudes related to reproductive health, and critiques the gendered elitism of the early modern medical hierarchy
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Obstetrics and Gynecology in Low-Resource Settings
A Practical Guide
Nawal M. Nour
Harvard University Press, 2016

Responding to the growing need for tried-and-trusted solutions to the reproductive health care issues confronting millions of women worldwide, Obstetrics and Gynecology in Low-Resource Settings provides practical guidelines for ensuring the delivery of quality OB/GYN care to women in resource-poor countries. Including contributions from leading clinicians and researchers in the field, this welcome overview fills an important gap in existing medical literature on women’s health care and will be an invaluable resource for doctors, clinicians, and medical students at all stages of their careers who work in the global health arena.

The reproductive health risks that all women face are greatly exacerbated when health care facilities are inadequate, equipment and medications are in short supply, and well-trained medical staff are few and far away. Often in these settings, the sole doctor or medical professional on hand has expertise in some areas of women’s reproductive care but needs a refresher course in others.

This informative guide features hands-on, step-by-step instruction for the most pertinent OB/GYN conditions—both acute and chronic—that health care workers in the field confront. The authors examine a wide range of topics, including: strategies to reduce maternal mortality and stillbirths; infectious and sexually transmitted diseases, including malaria and HIV; cervical cancer; contraception; prenatal, delivery, and newborn care; and complications arising from gender-based violence and female genital cutting. Published in a convenient format with a durable binding, this reference will be an essential companion to health care providers throughout the world.

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Psychosomatic Aspects of Gynecological Disorders
Seven Psychoanalytic Case Studies
Alfred O. Ludwig, Benjamin J. Murawski, and Somers H. Sturgis
Harvard University Press, 1969
This book is a preliminary effort in a largely uninvestigated area: the influence of emotional stress on functional disorder in gynecological cases. It summarizes detailed longitudinal studies during a minimum three-year period relating weekly measures of adrenal activity and psychological treatment in women seeking help for their menstrual and sexual difficulties. The findings will interest endocrinologists, psychoanalysts, gynecologists, psychologists, and psychophysiologists.
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Public Privates
Performing Gynecology from Both Ends of the Speculum
Terri Kapsalis
Duke University Press, 1997
In Public Privates, a book about looking and being looked at, about speculums, spectacles, and spectators, about display, illumination, and reflection, Terri Kapsalis makes visible the practices and representations of gynecology. The quintessential examination of women, gynecology is not simply the study of women’s bodies, but also serves to define and constitute them. Any critical analysis of gynecology is therefore, as Kapsalis affirms, an investigation of what it means to be female. In this respect she considers the public exposure of female "privates" in the performance of the pelvic exam.
From J. Marion Sims’s surgical experiments on unanesthetized slave women in the mid-nineteenth century, to the use of cadavers and prostitutes to teach medical students gynecological techniques, Kapsalis focuses on the ways in which women and their bodies have been treated by the medical establishment. Removing gynecology from its private cover within clinic walls and medical textbook pages, she decodes the gynecological exam, seizing on its performative dimension. She considers traditional medical practices and the dynamics of "proper" patient performance; non-traditional practices such as cervical self-exam; and incarnations of the pelvic examination outside the bounds of medicine, including its appearance in David Cronenberg’s film Dead Ringers and Annie Sprinkle’s performance piece "Public Cervix Announcement."
Confounding the boundaries that separate medicine, art, and pornography, revealing the potent cultural attitudes and anxieties about women, female bodies, and female sexuality that permeate the practice of gynecology, Public Privates concludes by locating a venue from which challenging, alternative performances may be staged.
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Unseen Flesh
Gynecology and Black Queer Worth-Making in Brazil
Nessette Falu
Duke University Press, 2023
In Unseen Flesh Nessette Falu explores how Black lesbians in Brazil define and sustain their well-being and self-worth against persistent racial, sexual, class, and gender-based prejudice. Focusing on the trauma caused by interactions with gynecologists, Falu draws on in-depth ethnographic work among the Black lesbian community to reveal their profoundly negative affective experiences within Brazil’s deeply biased medical system. In the face of such entrenched, intersectional intimate violence, Falu’s informants actively pursue well-being in ways that channel their struggle for self-worth toward broader goals of social change, self care, and communal action. Demonstrating how the racist and heteronormative underpinnings of gynecology erase Black lesbian subjecthood through mental, emotional, and physical traumas, Falu explores the daily resistance and abolitionist practices of worth-making that claim and sustain Black queer identity and living. Falu rethinks the medicalization of race, sex, and gender in Brazil and elsewhere while offering a new perspective on Black queer life through well-being grounded in relationships, socioeconomic struggles, the erotic, and freedom strivings.
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