Hektoen International

A Journal of Medical Humanities

Tag: Birth Pregnancy and Obstetrics

  • A physician and a pregnant patient

    A very pregnant young woman, not feeling her best, is sitting with a doctor in consultation. Another woman in the background is holding a container full of urine that the doctor will examine. But presumably the doctor has already determined what ails the patient, for he is writing a prescription. The ubiquitous chamber pot is…

  • A birth remembered

    F. Gonzalez-CrussiChicago, Illinois, United States Memory is to old age as presbyopia (far-sightedness) is to eyesight. Presbyopia makes you lose the ability to see clearly at a normal near working distance while maintaining a sharp distant vision. Just so the elderly recollect in painstaking detail what happened to them fifty or sixty years ago, yet…

  • James Simpson, who made childbirth painless

    A large jolly man with broad shoulders, large hands, blue eyes, and a charismatic personality, James Young Simpson was said to have been the most popular man in Edinburgh since the death of Sir Walter Scott.1 Born in 1811 at Bathgate, he was the seventh son of a village baker in a poor family housed in…

  • Infertility in Nigeria and the race for parenthood

    Princewill UdomPort Harcourt, Nigeria Infertility is a growing problem in Nigeria. In one study, researchers found that female gender-related causes accounted for 42.9% of infertility, in contrast to male causes, which were about half that number.1 Common causes are broadly categorized into genetic, physiological, endocrine, and lifestyle factors. One consequence of this problem is a…

  • Two hearts beating: the history and benefits of “Kangaroo Care”

    Nursan CinarHamide ZenginSakarya, Turkey The rate of preterm birth is between 5 and 18% worldwide. Prematurity is the most important cause of neonatal mortality and morbidity, especially in developing countries. According to the World Health Organization (WHO), the neonatal mortality rate is 20% worldwide.1 Having a premature baby is a source of anxiety and stress…

  • An unusual pregnancy: the gestation and delivery of the Nun of Watton

    Barbara HargreavesDurham, United Kingdom Sometime around the year 1150, a four-year old girl was given to the Gilbertine community of nuns at Watton, England. There she grew up, took vows, and became a nun herself. It appears that she was ill-suited for the life of a religious sister, and when a group of Gilbertine brothers…

  • Seventeenth century obstetric illustrations

    Around the middle of seventeenth century man-midwifes or accoucheurs began to revolutionize the practice of obstetrics by reforming education, introducing scientific principles, and developing safe rules for the conduct of the delivery and the use of the forceps. Foremost among this new brand of practitioners were two Scotsmen, William Smellie and his one-time student William…

  • Enough

    Laura LoertscherPortland, Oregon, United States The last food you ever ate was a cup of orange sherbet from the nurses’ station. I saw no reason to make you NPO. After all, you were eating for two. Did you know this would be your last meal? You came to the hospital on a late Friday afternoon,…

  • Bob Edwards and the perils of publicity

    James Owen DrifeLeeds, United Kingdom The physiologist Robert Edwards began thinking about human in-vitro fertilization (IVF) in the 1950s and first suggested it in print in 1965. Thirteen years later Louise Brown, the world’s first IVF baby, was born in Oldham, United Kingdom.  Today that sequence of events seems logical, even inevitable, but it very…

  • A history of breastfeeding and wet nurses

    Nursan CinarSumeyra TopalSinem Yalnizoglu CakaSakarya, Turkey Breastfeeding has been vital to life since the beginning of humanity. For infants who are unable to get this unique nutrition from their own mothers, wet nursing practices have been accepted since ancient times. The concept of wet nursing was evident in the clay tablets of  the Hammurabi Laws.…