Tag: Birth Pregnancy and Obstetrics
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The history of fertility preservation in young people with cancer
Terrence StephensonLondon, England A whole cohort of cancer survivors owe both their lives and the conception of their children to a group of pediatric oncologists and colleagues from many disciplines spanning medicine, science, and the humanities. Their work brought to fruition and revolutionized the long-term care of childhood cancer survivors around the world and is…
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A cesarean section in Uganda in 1879
Howard FischerUppsala, Sweden “A strange story indeed, almost too good to be true.”1 Until the end of the nineteenth century, a cesarean section to deliver an infant was considered to be an operation with much risk and little success. In England, some physicians “doubted if a cesarean section was ever justified.”2 The first successful cesarean…
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Galactagogues in postpartum rituals
Puja PersaudTrue Blue, Grenada, West Indies Having a baby demands drastic changes in lifestyle, eating habits, and sleeping patterns. Many cultures across the world practice postpartum rituals that “allow the mother to be ‘mothered’,” and help to “facilitate the transition into motherhood.”1 For generations, the Indian descendants residing in Guyana of South America have helped…
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Posthumous reproduction
Ian CookeSheffield, England Family structures ensure that one’s genes are passed down through generations, but that does not always go according to plan. The opportunity may not arise because childhood or adolescent disease, notably cancer but also infections or trauma, may supervene. In 1996, I was doing a clinic late in the afternoon when I…
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Dr. Doyen separates conjoined twins in 1902
Howard FischerUppsala, Sweden “They were so close to each other that they preferred death to separation.”– Gabriel García Márquez, One Hundred Years of Solitude Eugène Louis Doyen, M.D. (1859–1916), was an internationally known Parisian surgeon. He was a “skilled and innovative physician,”1 famous for his dexterity and the speed of his operations.2 He wrote a…
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Miscarriage: A medical student in a rural clinic, Central America, 1977
Paul RousseauCharleston, South Carolina, United States Elena sits perched on a gurney with claret-stained thighs. She has just miscarried in the clinic’s lavatory. She inquires of the gender of the fetus, and hands twitching and heart flapping, I blurt, unexpectedly and duplicitously (for I could not know), “Una bebita.” A little girl. A guttural sob…
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Justine Siegemund, opening doorways to midwifery
Mariel TishmaChicago, Illinois, United States In the mid-1600s, midwife Justine Siegemund was a household name for mothers in Silesia, part of modern-day Poland. She served patients of every class in Legnica, in Berlin, and beyond, and published an obstetric manual which became one of the most popular midwifery books of its time. Details on her…
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A brief life
Andrea Eisenberg Bloomfield Hills, Michigan, United States I felt his legs wiggling in the sac of warm fluid surrounding him. His body was so tiny, his kicks were like a feather passing across my fingers. But his warm, dark world was about to slip away. Did he already sense it? Or did he swim peacefully, oblivious…
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Traditional obstetrics in Isaan, Thailand
Khwan PhusrisomDurham, United Kingdom Traditional midwifery and the culture of birth in Isaan, Northeast Thailand, may hold lessons for the prevention of obstetric complications. Since traditional midwifery has been declining for the past two decades,1,2 in 2020 I interviewed elders in my home village in the Yang Talat district in order to preserve their rapidly…
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The dream of the uterus
F. Gonzalez-Crussi Chicago, Illinois, United States More than one-half century ago, it was my duty to examine and describe, day in and day out, the bodily parts that surgeons removed at the hospital where I worked. Surely this peculiar daily routine must have incited the flights of fancy that I took then, and which I recount…