OJN  Vol.5 No.9 , September 2015
A Brief Overview of How Male Medicine Co-Opted the Midwife’s Role in the Birth Process
The term medicalization has been defined as the process by which non-medical issues come to be defined and treated as medical problems. There are no better examples of this than pregnancy and childbirth. Prior to the intervention of physicians and hospitals, most females delivered unassisted or assisted by a relative or a midwife who usually had no formal education. As long as this remained the practice, pregnancy could not become a medical procedure. Through systematic changes, discussed in detail herein, this primarily female-oriented event involving family and amateur aids would come to be dominated by males who were the sole legally authorized providers of obstetrical care [1]. The increasing cultural authority of medicine facilitated the transfer of home delivery to hospital delivery and changed normal birth into a surgical procedure. This paper will examine the history of obstetrics and how a profession comes to redefine a normal life event as a disease state.

Cite this paper
F. Vernon, L. (2015) A Brief Overview of How Male Medicine Co-Opted the Midwife’s Role in the Birth Process. Open Journal of Nursing, 5, 758-764. doi: 10.4236/ojn.2015.59079.
[1]   Szasz, T. (2007) The Medicalization of Everyday Life: Selected Essays. Syracuse University Press, Syracuse, 83.

[2]   Bolduan, C. and Weiner, L. (1935) Infant Mortality in New York City One Hundred Years Ago. Journal of Pediatrics, 7, 55-59.

[3]   Jacobson, P. (1956) Hospital Care and the Vanishing Midwife. Millbank Memorial Fund Quarterly, 34, 253-261.

[4]   Borst, C.G. (1995) Catching Babies: The Professionalization of Childbirth, 1870-1920. Harvard University Press, Boston, 1.

[5]   (1966) International Federation of Genealogy and Obstetrics and the International Confederation of Midwives Maternity Care in the “World International Survey of Midwifery Practice and Training” (Report of a Joint Study Group), Pergamon, Oxford, London, New York, Toronto, Sidney, Paris, Braunchweig, 3.

[6]   US Department of Health, Education and Welfare (1969) Vital Statistics of the United States. Volume I, Natality, US Government Printing Office, Washington DC, Table I-S, 1-20.

[7]   Foucault, M. (1975) The Birth of the Clinic, Trans. Alan Sheridan-Smith. Vintage Books, New York.

[8]   Gallagher, E.B. (1988) Modernization and Medical Care. Sociological Perspectives, 31, 59-87.

[9]   Parkland School of Nurse Midwifery (2015) History of Midwifery in the US 05/28/2000.

[10]   Donegon, J.B. (1978) Women & Men Midwives: Medicine, Morality, and Misogyny in Early America. Greenwood Press, Westport.

[11]   Bonaparte, A.D. (2007) The Persecution and Prosecution of Granny Midwives in South Carolina, 1900-1940. PhD Dissertation, Vanderbilt University, Nashville, 178-181.

[12]   Spencer, A.G. (1972) Woman’s Share in Social Culture. In: Schneir, M., Ed., Feminism: The Essential Historical Writings, Vintage, New York, 269-285.

[13]   Garrigues, H.J. (1898) Midwives. Medical News, February 19, 1898, 11.

[14]   Brack, D.C. (1975) Displaced—The Midwife by the Male Physician. Women & Health, 1, 18-24.

[15]   Leavitt, J.W. (1986) Brought to Bed: Childbearing in America, 1750-1950. Oxford University Press, New York.

[16]   Barker, K.K. (1998) A Ship upon a Stormy Sea: The Medicalization of Pregnancy. Social Science and Medicine, 47, 1067-1076.

[17]   Huntington, J. and Connell, F. (1994) For Every Dollar Spent: The Cost-Savings Argument for Prenatal Care. New England Journal of Medicine, 331, 1303-1307.

[18]   Lantz, P. and Partin, M. (1995) Prenatal and Infant Health Indicators. Conference Papers, Volume 2, Institute for Research on Poverty Special Report Series, Indicators of Children’s Well-Being, Child Education and Economic Security, May 1995, 3-32.

[19]   Burnham, J.C. (1982) American Medicine’s Golden Age: What Happened to It? Science, 215, 1474-1479.

[20]   Starr, P. (1982) The Social Transformation of American Medicine. Basic Books, New York.

[21]   Stevens, R. (1998) American Medicine and the Public Interest. University of California Press, Berkeley.

[22]   Brown, W.E. (1930) The Trend of Modern Obstetrics. Journal of Iowa State Medical Society, 20, 550-553.

[23]   White House Conference on Child Health Protection: Forceps and Cesarean Section, “Fetal, Newborn and Maternal Mortality”. D. Appleton-Century Co., New York, 1932.

[24]   Irving, F.C. (1937) Maternal Mortality at the Boston Lying-In Hospital in 1933, 1934, and 1935. New England Journal of Medicine, 217, 693-695.

[25]   (1936) Childbirth: Nature vs. Drugs. Time, 27, 32-36.

[26]   Holmes, R.W. (1921) The Fads and Fancies of Obstetrics. American Journal of Obstetrics and Gynecology, 2, 225-237.

[27]   Peller, S. (1943) Studies on Mortality since the Renaissance. Bulletin of the History of Medicine, 13, 427-461.

[28]   Doyal, L. (1995) What Makes Women Sick: Gender and the Political Economy of Health. BMJ, 311, 577.

[29]   de Kruif, P. (1936) Why Should Mothers Die? Ladies’ Home Journal, 53, 8.

[30]   (1943) Childbirth without Pain. Newsweek, 21, 65.

[31]   Day, J.L. (1926) The Use of Nitrous Oxide and Oxygen in Obstetrics in the Home. Anesthesia & Analgesia, 5, 212-213.

[32]   (1943) Vogue Answers Questions on Childbirth. Readers’ Digest, 43, 33-35.

[33]   Rudolfsdottir, A.G. (2000) I Am Not a Patient, and I Am Not a Child: The Institutionalization and Experience of Pregnancy. Feminism & Psychology, 10, 337-350.

[34]   Mitchell, L.M. (2001) Baby’s First Picture: Ultrasound and the Politics of Fetal Subjects. University of Toronto Press, Toronto.

[35]   Parry, D.C. (2008) We Wanted a Birth Experience, Not a Medical Experience: Exploring Canadian Women’s Use of Midwifery. Health Care for Women International, 29, 784-806.

[36]   Young, I. (2001) Pregnant Embodiment. In: Welton, D., Ed., Body and Flesh: A Philosophical Reader, Blackwell Publishers, Oxford, 274-285.

[37]   Yarzebski, J., Col, N., Pagely, P., Savageau, J., Gore, J. and Goldberg, R. (1996) Gender Differences and Factors Associated with the Receipt of Thrombolytic Therapy in Patients with Acute Myocardial Infarction: A Community-Wide Perspective. American Heart Journal, 131, 43-50.

[38]   Kudenchuk, P.J., Maynard, C., Martin, J.S., Wirkus, M. and Weaver, W.D. (1996) Comparison of Presentation, Treatment, and Outcome of Acute Myocardial Infarction in Men versus Women. American Journal of Cardiology, 78, 9-14.

[39]   van Wijk, C.M.T., van Vliet, K.P. and Kolk, A.M. (1996) Gender Perspectives and Quality of Care: Towards Appropriate and Adequate Health Care for Women. Social Sciences and Medicine, 43, 707-720.

[40]   Oakley, A. (1984) The Captured Womb: A History of the Medical Care of Pregnant Women. Basil Blackwell, Oxford.

[41]   Rushing, B. (1993) Ideology in the Re-Emergence of North American Midwifery. Work and Occupation, 20, 46-67.

[42]   Inhorn, M.C. (2006) Defining Women’s Health: A Dozen Messages from More than 150 Ethnographies. Medical Anthropology Quarterly, 20, 345-378.

[43]   Namey, E.E. and Lyerly, A.D. (2010) The Meaning of “Control” for Childbearing Women in the US. Social Science & Medicine, 71, 769-776.

[44]   Timmermans, S. and Oh, H. (2010) The Continued Social Transformation of the Medical Profession. Journal of Health and Social Behavior, 51, S94-S106.

[45]   Lagan, B.M., Sinclair, M. and Kernohan, G.W. (2011) What Is the Impact of the Internet on Decision-Making in Pregnancy? A Global Study. Birth, 38, 336-345.

[46]   Pandey, S.K., Hart, J.J. and Tiwary, S. (2003) Women’s Health and the Internet: Understanding Emerging Trends and Implications. Social Science and Medicine, 56, 179-191.

[47]   Midwives Alliance of North America (2014) Legal Status of US Midwives.