The Women's Victory—and After: Personal Reminiscences, 1911-1918
John Stuart Mill · en
One instance of the working of this change will suffice to prove my
point. In 1902, after twelve years of hard spade work undertaken by a
group of very able and experienced women, an Act was passed to secure
that those women habitually practising as midwives should receive
adequate training for their calling. The case for such legislation
was overwhelming. In over 70 per cent. of the births in this country
the mothers were attended by midwives. The death percentage was
unnecessarily high, especially from puerperal fever. Remedial
legislation on such a matter called forth no party passions; so the
case for the training of midwives was extremely simple and free from
complication. But a certain amount of opposition was manifested by the
least enlightened section of the medical profession; and this for a
long time was the chief barrier in the way of getting any Government
to adopt the Bill and use their power to pass it. As I said just now,
it took twelve years to overcome this obstacle. But the Act was passed
in 1902; experience proved that there were many weak places in it. No
provision had been made for the payment of doctor's fees where, in
difficult cases, it was desirable that the midwife should have the aid
of a medical practitioner. Neither had any provision been made for the
payment of travelling expenses for members of the Central Midwives
Board, and other expenses incidental to the efficient carrying out of
the Act. No doubt the promoters of the legislation of 1902 were well
aware of these "weak places," but dared not raise a discussion on them
for fear of jeopardizing the whole Bill. So matters stood until the
passing of the Reform Act in February, 1918. Then, that same year,
before any woman had voted, the Government produced the Midwives
Amending Act, 1918. Mr. Hayes Fisher, now Lord Downham, was in charge
of it in the House of Commons, and explained its object as being not
only to amend the "weak places" already referred to, but added that it
also aimed at "attracting to this great profession ... a high class of
midwives.... We want them more in quantity ... and we want to improve
them in status." No one had ever spoken in this tone in Parliament of
midwives and their occupation before women were enfranchised. Words of
this kind would probably have wrecked the Bill of 1902, as many doctors
were extremely jealous of midwives acquiring any professional status at
all. But the amending Bill went through rapidly and quietly. The lives
of women in childbirth were taken account of by Parliament in quite a
different spirit directly women acquired the status of citizens.