Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nursesNightingale, Florence
Science
Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nurses
Nightingale, Florence
Women's hospitals
Surely it is the first object to enable women, by the most thorough
training, practical and scientific, to practise that branch of the art
of medicine which all are agreed should be theirs, _not_ ‘like men’—for
nearly all the best men are agreed how deficient are the practical
training and opportunities of medical students, especially in midwifery,
which deficiency yet does not prevent them from obtaining diploma,
license, all they want, in order to practise—_not_ ‘like men’ then, but
like _women_, like women who wish to be real physician accoucheuses;
that is, to attend and to be consulted in all deliveries, abnormal as
well as normal, in diseases of women and children, as the best
accoucheurs attend and are consulted.
Sensible women say, ‘But the only means to obtain a scientific education
_is_ to enter men’s classes.’
_Is_ that the case?
Is the student’s scientific and practical education all that could be
wished?
Could there not be given (and _is_ there not given, in some Continental
schools?) a far more thorough and complete scientific education, as well
as practical, where there are none but women, in a midwifery school,
without all this struggle and contest, which raises questions so
disagreeable and ridiculous that a woman of delicate feeling shuns the
indelicacy of the contest—_not_ the indelicacy of the occupation?
The parody, the _qui pro quo_, is a curious one.
The indelicacy of a man attending a woman in her lying-in is by
necessity overlooked.
The indelicacy of a woman attending with men in medical classes is made
much of.
Would it not be far better to get rid of both at once? to have
women—trained with women, by women—to attend women—trained in all
branches of a scientific and practical midwifery education?
But let no one think that real midwifery education can be less complete
and thorough for a woman than it ought to be for a man, if women are
really to be physician accoucheuses.
And let no one think that two or three courses of lectures—a month,
three months, six months at a lying-in institution, conducting twenty,
thirty, or one hundred labours—will make a woman into a (real) midwife.
One hundred labours may be normal, requiring no interference but that
which a good midwifery nurse can give. The one hundred and first may be
abnormal and may cost the patient her life or health, the attendant her
reputation and peace, if her education has been nothing but the few
lectures, the few weeks, the few labours.
Let us suppose for a moment that, leaving aside the ordinary talk of
giving a woman a ‘man’s medical education,’ good or bad, we imagine what
a college might be to give the whole necessary training—medical,
scientific and practical—to make real midwives, real physician
accoucheuses.
Public-domain text, read in full here on John Shaqi.
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