Perspective: The key to lowering America’s high rates of maternal mortality
Mali Givens, 33, of the District, is examined by Ebony Marcelle, director of Midwifery, Family Health & Birth Center at Community of Hope. By Melissa Reynolds Melissa Reynolds recently completed her PhD in History at Rutgers University and will soon join the faculty of Princeton University as a Cotsen Postdoctoral Fellow in the Society of Fellows in the Liberal Arts.
Today those conditions are entirely treatable, but they persist because medical attention focuses overwhelmingly on the child, not the mother. Prenatal appointments revolve around heartbeat monitors and ultrasound scans. A majority of doctors still prescribe bed rest, even though it does not reduce preterm labor but does put women at considerable medical risk. Finally, several states with the strictest antiabortion laws have maternal mortality rates over twice the national average.
The origins of “western” gynecology can be traced to the ancient Greeks, who imagined a woman’s body ruled by her reproductive system. Because the womb was thought to affect all aspects of a woman’s health, ancient gynecology was holistic, focused not solely on reproduction but on a host of diseases supposedly unique to women.
The 12th-century Latin medical treatise “On Conditions of Women” provided a regimen for pregnant women that included long baths and foot rubs, as well as a lengthy section on “Difficulty of Birth,” with attention to various life-threatening complications in delivery. Though the treatments advised were nowhere near effective , they illustrate that preserving the health of the laboring woman by whatever means possible — magical or medical — was the primary concern.
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