Hektoen International

A Journal of Medical Humanities

Tag: childbirth

  • Obstetrical fistula: A malady hidden by shame

    Layla A. Al-JailaniYemen Nouria strolls across the kitchen, making lunch for her family as she does every day. Her stride is slightly wobbly, but any observer would think this was a healthy young woman. What they do not see, however, is the hidden anguish, pain, and shame that tears at her body and eats through…

  • Rural home visit 1973

    Paul RousseauCharleston, South Carolina, United States The road frozen and snowflakes fluttering, I travel to a distant farmhouse—the sick in bed on her side, hair in sweat-wet crescents and vomitus on the sheets, the husband wailing, “She’s dying, she’s dying,” and a dog and three toddlers lapping milk from the linoleum—and as I stoop to…

  • Wet nursing: A historical perspective

    Mariella ScerriMellieha, Malta Wet nursing, a form of breastfeeding provided by someone other than an infant’s biological mother,1 has a long and sometimes controversial history. Death in childbirth, a mother’s illness, as well as cultural habits and circumstance have all been reasons across civilizations to employ a surrogate to feed a newborn.2 In elite households, “nurses…

  • 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…

  • Labor of love

    Mary OakSeattle, Washington, USA Each week my elderly father and I watch babies being born. In the silver-shadowed flickers of a television, we sit as we often did in my childhood. Now in the spectral shade of his decelerated years, I care for him. He spends a lot of time watching TV. I join him…

  • The missing chapter in our curriculum

    Alexandra AdamsHershey, Pennsylvania A fourteen-year-old girl, large with child, presented to her community health center in northern Uganda. Blood was rushing down her legs, and she was doubled over in pain. Immediately, the medical officer called the ambulance. Tears ran down the girl’s face—she never wanted this baby. She had asked the nurses to help…

  • Forceps: a brief history

    “He’s a little old man very pale of complexion / Into many things makes a narrow inspection / His head’s very long and his hand’s very small” are the mysterious lines that open an anonymous 17th century English poem.1 Often presumed to refer to Hugh Chamberlen the Elder—the last of the famous Huguenot immigrant family…

  • Birth trays in the Italian Renaissance

    Rachel BakerChicago, IL Recurring outbreaks of plague and their resulting demographic catastrophes largely contributed to the Renaissance emphasis on family and procreation. After the initial epidemic in 1348, the plague returned more than a dozen times over the next two centuries. Childbirth was seen as a vital measure to combat plague’s devastation, and a woman’s…

  • On a miraculous birth

    Frank Gonzalez-CrussiChicago, Illinois, United States For all the odes that sing the advent of a new life, childbirth is a bloody, messy affair. Those of us who, by reason of our trade, observed it at close range know that it is also a scission, a brutal separation of two beings, during which life issues forth…