Next month will
be the 2nd anniversary of my dear Mother’s death, and her room is
still pretty much the same as it was the day she entered a nursing home eight
years ago. That’s the way my father
wants it. He always cherished the hope
he’d be able to bring her home someday, and her room was waiting, but his own worsening
health problems precluded that.
Yesterday I started cleaning the room up a bit and came to a box of
miscellaneous papers. It contained an
array of ancient bank statements and tax receipts, report cards of mine she had
saved, a dog’s tag, (she always had a dog or two) a few cancelled checks. They make you ponder, these remains of a life
do. Here are all the ephemera but where
is the person? It’s quite profound to
realize all this “stuff” outlasted her as it will all of us.
Mom (on the ground) and her older sister Marian |
A small yellowed
envelope caught my eye and upon opening it I found her birth certificate and a
revelation -- Mom was born at home! It
never crossed my mind that a baby born in 1926 would be born anywhere but in a
hospital. My mother’s family lived in a
very rural area in eastern Wayne County, NY.
There were no cities around though there was a smallish hospital in
nearby Lyons, NY. I questioned my father
about this but he could add nothing to the story. My mother was the fifth of seven children, so
childbirth was nothing new for my grandmother, her mother and probably a
midwife assisted with the delivery while my grandfather occupied the younger
children or sent them to a relative or neighbor.
After looking
around the net I discovered it was actually quite common, particularly in rural
areas, for women to give birth at home during that era. I also discovered that may have been a very good
thing for everyone involved. The
mortality rates for women and their babies were actually higher in areas where
physicians performed deliveries in hospitals, and it’s easy to see why. A prominent American obstetrician of that
time, Dr. Joseph DeLee, termed childbirth, “a pathological process from which
few escape damage.” He advocated routine
sedation of the mother, episiotomy and forceps delivery, followed by removal of
the placenta using a technique whose name alone sends a chill down my spine,
“the shoehorn maneuver.” Unfortunately,
his recommendations did become the norm even in complication free deliveries
and many women and their babies suffered for it. A later study concluded that an increase in
infant mortality rates at that time was due to injuries resulting from
obstetrical interference during the birth.
It was not until
the 1930’s that maternal death rates began to recede, due largely to the
introduction of sulphanamides, (sulfa drugs), to combat puerperal infections
which were responsible for a large number of maternal deaths. Thankfully the medical community today regards
childbirth as the natural process it is and such draconian measures are no
longer in use. Midwives have even made a
return though usually in a hospital setting.
I am reminded by this to never assume, even things that seem self
evident may surprise you.
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