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Diary of a Midwife

Excerpts from a midwife’s diary reveal information about women’s role in medicine in the Federal period.

Primary Source

Background

Medical care in the early United States was very different from what it is today. There were doctors, but they only performed very specific tasks like bloodletting and their services were very expensive. Most people relied on the services of midwives for medical care.

Today, a midwife is a woman trained to deliver babies and care for pregnant and postpartum women. But in early America, midwives played a much larger role in caring for their communities. Midwives knew herbal remedies and treatments to address many common illnesses and injuries. They could forage for ingredients and make their own medicines. When someone in the community went into labor or fell ill, their family would call the midwife to examine and care for them. If someone died, a midwife would help prepare the body for burial.

Midwives learned their trade by working with other midwives. In this way, important medical and community information was gathered and passed from woman to woman. Being a midwife was one of the most respectable jobs a woman could have outside the home in the early United States.

Documents

(Untitled)

Document Text

September 23, 1786: “I was called early this morning to see Lidia Savage who was very ill. Gave her some urine and honey and some licourice and put a plaster to her stomach. Went up afternoon. Find her relieved.”
March 17, 1789:“I was called at the twelfth hour to go to George Boltons wife in travail. Mr. Ballard went after his horse which was lent to Polly Savage. I waited two hours and Mr. Usher came with Captain Savages mare. I set out alone and arrived safe. My anxiety was great for the woman, but I found her safe. She was safely delivered at the ninth hour evening and I returned at two.
December 30, 1790: I was called at the dawn of the day to Wiesoms, found his wife suffering for want of help. She was delivered of a son the eighth hour. The infant I was fearful would expire but revived and I left mother and child cleverly. Arrived at home at twelve o’clock, then went to Mr. Burgess. I gave his wife some medicine, walked home. Called to see Polly McKethney who it is that is mending slowly.

Summary Text

Today, I was called to visit Lydia Savage who was very sick. I treated her with urine, honey, licorice, and put an herbal patch on her belly. When I visited again this afternoon, she was better.
At noon, I got a message that George Ballard’s wife was in labor. It took me two hours to get a horse. I was very worried that it took so long, but she was ok. She gave birth at 9 PM and I made it home at 2 AM.
At dawn, I got a message that Mrs. Wisdom was in labor. When I arrived she was not well. She gave birth at 8 AM. The baby almost died, but I was able to save it. By the time I left, both mother and child were well. I got home at noon and went to visit Mr. Burgess’s wife. I gave her medicine and walked home. Then I visited Polly McKethney. She is slowly getting better.

Teaching Materials