1 00:00:05,160 --> 00:00:08,640 Speaker 1: Heinrich was having a bad time. For two years, he 2 00:00:08,720 --> 00:00:12,120 Speaker 1: had been an inquisitor in southern Germany and was involved 3 00:00:12,160 --> 00:00:15,120 Speaker 1: in the witch trials that had begun to sweep western Europe. 4 00:00:15,360 --> 00:00:17,840 Speaker 1: But Heinrich ended up not being a good fit for 5 00:00:17,920 --> 00:00:20,720 Speaker 1: his role. Although he had a profound sense of duty, 6 00:00:20,800 --> 00:00:24,279 Speaker 1: he lacked any sense of professionalism. For one thing, he 7 00:00:24,320 --> 00:00:27,440 Speaker 1: had become deeply obsessed with the sex life of one 8 00:00:27,440 --> 00:00:30,080 Speaker 1: of the women he accused and brought to trial. It 9 00:00:30,120 --> 00:00:34,160 Speaker 1: was all too much, and his unhinged displays were deeply embarrassing. 10 00:00:34,600 --> 00:00:38,040 Speaker 1: Because of this, the bishop, his boss, set free every 11 00:00:38,159 --> 00:00:41,960 Speaker 1: last woman on trial that day, fired Heinrich and publicly 12 00:00:42,000 --> 00:00:45,479 Speaker 1: declared him to be insane. Heinrich, who had been looking 13 00:00:45,520 --> 00:00:49,880 Speaker 1: forward to making a name for himself, was mortified, inconsolable. 14 00:00:49,920 --> 00:00:52,960 Speaker 1: Even The next course of action, it was decided, would 15 00:00:52,960 --> 00:00:55,480 Speaker 1: be to put his truths down on paper. He would 16 00:00:55,520 --> 00:00:58,840 Speaker 1: write a book. The year was fourteen eighty six, and 17 00:00:58,920 --> 00:01:01,880 Speaker 1: it would be a clap that would echo for centuries 18 00:01:01,920 --> 00:01:04,880 Speaker 1: to come. Heinrich took to his study and got out 19 00:01:04,920 --> 00:01:07,920 Speaker 1: his ink his order of business created a guidebook that 20 00:01:07,920 --> 00:01:10,560 Speaker 1: would help solve for this world that he felt was 21 00:01:10,600 --> 00:01:13,720 Speaker 1: perverted by women. He wrote hundreds of pages on how 22 00:01:13,760 --> 00:01:17,000 Speaker 1: to spot treacherous ones, on how women often caroused with 23 00:01:17,040 --> 00:01:20,240 Speaker 1: the devil, on how they practiced witchcraft and were generally 24 00:01:20,319 --> 00:01:23,319 Speaker 1: up to evil doings. It acted as a guide for 25 00:01:23,680 --> 00:01:29,120 Speaker 1: identifying witches and suggested different kinds of torture, prosecution strategies, 26 00:01:29,319 --> 00:01:32,480 Speaker 1: and punishments for those convicted of the charges outlined in 27 00:01:32,480 --> 00:01:35,280 Speaker 1: its pages. The ones he cautioned his readers to fear 28 00:01:35,280 --> 00:01:39,959 Speaker 1: the most, he wrote, were the concubines, domineering spouses, and midwives. 29 00:01:40,560 --> 00:01:43,120 Speaker 1: The latter, he wrote, was the worst of the worst. 30 00:01:43,400 --> 00:01:46,600 Speaker 1: Heinrich wrote that midwives not only killed babies at birth, 31 00:01:46,640 --> 00:01:50,000 Speaker 1: but hungered to drink their blood. He claimed that midwives 32 00:01:50,000 --> 00:01:52,880 Speaker 1: were in the business of actively recruiting young women to 33 00:01:53,000 --> 00:01:55,720 Speaker 1: join their ranks, and had the best luck with ones 34 00:01:55,760 --> 00:01:59,160 Speaker 1: who were already morally corrupt by signing over their souls 35 00:01:59,240 --> 00:02:02,480 Speaker 1: to the devil, giving over the souls of the babies 36 00:02:02,480 --> 00:02:06,360 Speaker 1: in their charge. He believed that Europe was under spiritual siege, 37 00:02:06,640 --> 00:02:10,639 Speaker 1: and if only people knew the satanic midwives could be stopped. 38 00:02:11,200 --> 00:02:14,600 Speaker 1: It was a madman's treatise with an academic flourish, and 39 00:02:14,919 --> 00:02:18,040 Speaker 1: Heinrich Cramer wanted to get his writings into as many 40 00:02:18,080 --> 00:02:21,520 Speaker 1: hands as possible. The advent of the printing press indeed 41 00:02:21,600 --> 00:02:25,600 Speaker 1: allowed this to happen, spreading copies of his Malleus Maleficarum 42 00:02:25,960 --> 00:02:29,639 Speaker 1: far and wide. The book was condemned by top theologians 43 00:02:29,919 --> 00:02:33,560 Speaker 1: and decried by the Catholic Church. They saw these accusations 44 00:02:33,600 --> 00:02:40,120 Speaker 1: as reprehensible and suggestions of torture to illicit confession as unethical. Midwives, 45 00:02:40,160 --> 00:02:43,040 Speaker 1: after all, were often the local healers. They were in 46 00:02:43,080 --> 00:02:46,600 Speaker 1: the business of helping people get well, birthing babies, and 47 00:02:46,680 --> 00:02:50,560 Speaker 1: even legally allowed to care for their spiritual wellbeing through baptism. 48 00:02:50,840 --> 00:02:54,200 Speaker 1: But still the book gained momentum in the secular courts 49 00:02:54,560 --> 00:02:56,920 Speaker 1: and with lay people who could afford to purchase it. 50 00:02:57,320 --> 00:03:00,240 Speaker 1: By sixteen oh four, King James the First declared that 51 00:03:00,280 --> 00:03:03,560 Speaker 1: he would rather his child was baptized by an ape 52 00:03:03,680 --> 00:03:07,680 Speaker 1: as by a woman, repeating Heinrich's idea that midwives were 53 00:03:07,680 --> 00:03:11,240 Speaker 1: in the business of trickery and soul stealing. But to 54 00:03:11,320 --> 00:03:13,760 Speaker 1: some it was clear that it wasn't the souls of 55 00:03:13,800 --> 00:03:17,640 Speaker 1: a nation that were under attack, but rather the midwives themselves, 56 00:03:18,320 --> 00:03:24,200 Speaker 1: the very people who tended to their survival I'm Aaron Manke, 57 00:03:24,960 --> 00:03:36,560 Speaker 1: and welcome to bedside manners. Giving birth is an incredible feat. 58 00:03:36,800 --> 00:03:39,160 Speaker 1: Of course, I haven't done it myself, but I hear 59 00:03:39,200 --> 00:03:42,480 Speaker 1: that words sometimes fall short in describing how profound of 60 00:03:42,520 --> 00:03:45,080 Speaker 1: an experience it truly is. And for as long as 61 00:03:45,080 --> 00:03:48,200 Speaker 1: women have been giving birth, midwives have been present. The 62 00:03:48,240 --> 00:03:52,760 Speaker 1: word quite literally means with women. Written and oral traditions 63 00:03:52,800 --> 00:03:56,880 Speaker 1: across ancient cultures affirm the importance of midwives in their societies. 64 00:03:57,080 --> 00:04:00,400 Speaker 1: In ancient Rome and Greece, the formally educated midas wives 65 00:04:00,400 --> 00:04:02,680 Speaker 1: were held in such high esteem that the writings were 66 00:04:02,720 --> 00:04:06,080 Speaker 1: often cited by male physicians. We see reverence for them 67 00:04:06,160 --> 00:04:09,920 Speaker 1: in Egyptian carvings. Communities have long looked to their midwives, 68 00:04:10,080 --> 00:04:12,800 Speaker 1: who were often versed in all matters of life and death. 69 00:04:13,000 --> 00:04:15,760 Speaker 1: They worked in the homes of expectant mothers or made 70 00:04:15,760 --> 00:04:18,360 Speaker 1: private spaces for them to come give birth. To be 71 00:04:18,520 --> 00:04:21,520 Speaker 1: a midwife was in honor. It was long a position 72 00:04:21,640 --> 00:04:25,839 Speaker 1: of power, respect and expertise. So it was a curious 73 00:04:25,880 --> 00:04:30,440 Speaker 1: moment when in sixteen fifty eight English physician Perceval Willoughby 74 00:04:30,720 --> 00:04:33,560 Speaker 1: sheepishly crawled on his hands and knees into the birthing 75 00:04:33,640 --> 00:04:36,600 Speaker 1: room of an expectant mother. Had the laboring patient been 76 00:04:36,600 --> 00:04:39,600 Speaker 1: made aware of his arrival, she probably would have been horrified. 77 00:04:39,880 --> 00:04:43,279 Speaker 1: Having a man in the birthing chamber was considered indecent. 78 00:04:43,839 --> 00:04:47,200 Speaker 1: Perceval's own daughter, a midwife, had asked him to advise 79 00:04:47,240 --> 00:04:50,159 Speaker 1: on what she believed to be a particularly difficult case 80 00:04:50,200 --> 00:04:52,920 Speaker 1: of a baby in the breach position. The record tells 81 00:04:52,960 --> 00:04:56,040 Speaker 1: us that he merely took a quick look, supposedly unnoticed, 82 00:04:56,360 --> 00:04:59,919 Speaker 1: and slunk away. Perceval gave his thoughts on the baby's position, 83 00:05:00,400 --> 00:05:02,680 Speaker 1: but he was wrong. How could he have known about 84 00:05:02,720 --> 00:05:05,359 Speaker 1: what the baby was doing by simply looking from across 85 00:05:05,400 --> 00:05:09,440 Speaker 1: the room. But still his advice was sought. Perceval's story 86 00:05:09,520 --> 00:05:12,640 Speaker 1: was emblematic of the moment you see beyond that birthing room, 87 00:05:12,800 --> 00:05:16,120 Speaker 1: something strange was happening. Although midwiffery had long been the 88 00:05:16,120 --> 00:05:18,800 Speaker 1: domain of women, men were beginning to encroach in what 89 00:05:18,880 --> 00:05:22,599 Speaker 1: amounted to a business opportunity. Women had the market cornered, 90 00:05:22,640 --> 00:05:24,840 Speaker 1: and they saw that there was money to be made. 91 00:05:25,000 --> 00:05:27,880 Speaker 1: Perceval and his medical school cronies got into the business 92 00:05:27,880 --> 00:05:31,200 Speaker 1: of publishing midwiffery manuals. They were going to great lengths 93 00:05:31,240 --> 00:05:34,800 Speaker 1: to assert their authority over the long standing female domain, 94 00:05:35,040 --> 00:05:38,279 Speaker 1: even though this particular striving was far out of step 95 00:05:38,320 --> 00:05:42,080 Speaker 1: with the social norms. Then, in sixteen seventy one a 96 00:05:42,160 --> 00:05:46,359 Speaker 1: response came. A woman named Jane Sharp published The Midwives Book, 97 00:05:46,720 --> 00:05:49,920 Speaker 1: or the Whole Art of Midwiffery Discovered in England. At 98 00:05:49,920 --> 00:05:54,039 Speaker 1: almost one hundred thousand words long, the book was revolutionary. 99 00:05:54,640 --> 00:05:59,480 Speaker 1: Jane's book documented actual practice, anecdotes and observations of birth, 100 00:06:00,080 --> 00:06:04,200 Speaker 1: wrote expertly about anatomy and sex, conception and disease, and 101 00:06:04,279 --> 00:06:08,040 Speaker 1: pregnancy and delivery. What made this text so novel was 102 00:06:08,080 --> 00:06:11,039 Speaker 1: that it was written in plain language for everyone. You 103 00:06:11,240 --> 00:06:13,640 Speaker 1: didn't have to have a medical degree to understand it. 104 00:06:13,880 --> 00:06:18,200 Speaker 1: Her voice was authoritative and her stance was confident. For millennia, 105 00:06:18,400 --> 00:06:20,920 Speaker 1: women's knowledge of bodies and how to care for them 106 00:06:21,120 --> 00:06:24,279 Speaker 1: had been passed down orally kept in diaries or shared 107 00:06:24,320 --> 00:06:27,080 Speaker 1: in letters, but never had such a grand treatise been 108 00:06:27,120 --> 00:06:30,120 Speaker 1: made so widely available. It was an answer to all 109 00:06:30,160 --> 00:06:33,200 Speaker 1: of the men who were writing and selling midwifery books 110 00:06:33,279 --> 00:06:36,520 Speaker 1: without having ever delivered a baby. In the pages of 111 00:06:36,560 --> 00:06:39,279 Speaker 1: her book, she asserted the rights of herself and other 112 00:06:39,320 --> 00:06:42,279 Speaker 1: women to continue doing birth work. It's possible that she 113 00:06:42,400 --> 00:06:45,480 Speaker 1: sensed what was coming for midwives and edging out by 114 00:06:45,520 --> 00:06:48,960 Speaker 1: the medical establishment. She wasn't going down without a fight, though, 115 00:06:49,160 --> 00:06:51,520 Speaker 1: so she set out to prove that the pen was 116 00:06:51,560 --> 00:07:01,440 Speaker 1: indeed just as mighty as the sword. Two centuries later, 117 00:07:01,600 --> 00:07:05,039 Speaker 1: and across the world, in America's Ozark Mountains, a granny 118 00:07:05,040 --> 00:07:08,560 Speaker 1: woman caught a baby. This wasn't her first and surely 119 00:07:08,600 --> 00:07:12,000 Speaker 1: wouldn't be her last. Laboring women always called upon her 120 00:07:12,040 --> 00:07:14,400 Speaker 1: when their birthing time drew near. She was a mother 121 00:07:14,560 --> 00:07:17,760 Speaker 1: many times over, and a grandmother too. She was an 122 00:07:17,800 --> 00:07:21,040 Speaker 1: auntie beloved by her neighbors, young and old, and knew 123 00:07:21,040 --> 00:07:25,040 Speaker 1: everyone and everything that lived within her community. From her 124 00:07:25,080 --> 00:07:28,520 Speaker 1: gardens and woods, she gathered native plants, knowing that through 125 00:07:28,560 --> 00:07:30,920 Speaker 1: the alchemy of heat and time, she could turn them 126 00:07:30,960 --> 00:07:34,480 Speaker 1: into soothing potions. She loved the sap from sweetgum trees 127 00:07:34,760 --> 00:07:38,239 Speaker 1: and the leaves of yellow dock for teas. She learned 128 00:07:38,280 --> 00:07:41,160 Speaker 1: these things from her mother and from her grandmother. Carrying 129 00:07:41,160 --> 00:07:44,920 Speaker 1: on a long vocation of community care, our granny Woman 130 00:07:45,000 --> 00:07:48,560 Speaker 1: and her sisters all carried with them the midwifing traditions 131 00:07:48,560 --> 00:07:53,160 Speaker 1: of their enslaved ancestors. During America's enslavement of African people, 132 00:07:53,280 --> 00:07:56,840 Speaker 1: The granny woman held a special place in plantation society. 133 00:07:57,080 --> 00:07:59,880 Speaker 1: From the perspective of her captors, it was her job 134 00:07:59,880 --> 00:08:02,840 Speaker 1: to keep her fellow slaves healthy and to ensure their 135 00:08:02,880 --> 00:08:06,560 Speaker 1: fertility in order to make more enslaved bodies for her 136 00:08:06,600 --> 00:08:09,800 Speaker 1: fellow captives. She was there to protect them with her 137 00:08:09,840 --> 00:08:13,360 Speaker 1: deep held knowledge of both plant medicine and the female body. 138 00:08:13,880 --> 00:08:16,720 Speaker 1: The reputation of such women was held in high esteem 139 00:08:16,800 --> 00:08:19,480 Speaker 1: in this social order, which allowed her to occupy a 140 00:08:19,600 --> 00:08:22,680 Speaker 1: unique liminal space. She might be sought out for medical 141 00:08:22,680 --> 00:08:25,640 Speaker 1: care from her white owners, or be allowed to travel 142 00:08:25,720 --> 00:08:28,760 Speaker 1: to a birth on a neighboring plantation. She might attend 143 00:08:28,840 --> 00:08:32,280 Speaker 1: to blackbirths as well as white ones. With the Emancipation 144 00:08:32,440 --> 00:08:36,400 Speaker 1: Proclamation of eighteen sixty three, the formerly enslaved population did 145 00:08:36,440 --> 00:08:39,240 Speaker 1: what they could to establish themselves in a hostile land. 146 00:08:39,480 --> 00:08:42,560 Speaker 1: These black midwives entered into the free market, free to 147 00:08:42,600 --> 00:08:46,520 Speaker 1: practice how and on who they chose. Midwives worked across 148 00:08:46,520 --> 00:08:49,680 Speaker 1: the country and importantly held down their posts in poor 149 00:08:49,760 --> 00:08:53,640 Speaker 1: and rural areas. They provided crucial gaps in community care. 150 00:08:54,080 --> 00:08:57,280 Speaker 1: White physicians, many who had recently come back from training 151 00:08:57,280 --> 00:09:01,440 Speaker 1: at European medical schools felt threatened by these midwives. As 152 00:09:01,480 --> 00:09:04,760 Speaker 1: medicine began to gel into a professional class, those in 153 00:09:04,840 --> 00:09:07,720 Speaker 1: power had a lot of interest in gatekeeping. These newly 154 00:09:07,800 --> 00:09:11,800 Speaker 1: minted physicians had their economic security to protect. By the 155 00:09:11,840 --> 00:09:15,520 Speaker 1: early twentieth century, the schools would begin to teach obstetrics, 156 00:09:15,600 --> 00:09:18,120 Speaker 1: which finds its roots in the modern Latin word which 157 00:09:18,160 --> 00:09:21,920 Speaker 1: means quite literally midwife. Perhaps they found this term to 158 00:09:21,960 --> 00:09:26,000 Speaker 1: be more academic. In doing so, they were intentionally distancing 159 00:09:26,040 --> 00:09:30,319 Speaker 1: themselves from the more informal, long women held tradition of delivery. 160 00:09:30,559 --> 00:09:32,880 Speaker 1: It was an attempt to edge out women from their 161 00:09:32,920 --> 00:09:35,960 Speaker 1: profession and gain more of the market share that was 162 00:09:36,240 --> 00:09:40,600 Speaker 1: women's bodies. But in nineteen ten, a landmark publication arrived. 163 00:09:40,880 --> 00:09:44,360 Speaker 1: The Flexner Report was a study of American medical education. 164 00:09:44,880 --> 00:09:48,760 Speaker 1: The report revealed a high maternal mortality rate. It situated 165 00:09:48,800 --> 00:09:52,559 Speaker 1: midwifery firmly in its crosshairs and recommended that birth should 166 00:09:52,559 --> 00:09:56,440 Speaker 1: be treated as a medical event, so hospitalizing every mother 167 00:09:56,720 --> 00:10:00,240 Speaker 1: and abolishing midwiffery. This would create a steady streat of 168 00:10:00,280 --> 00:10:03,640 Speaker 1: revenue for new hospitals. At this point, about half of 169 00:10:03,640 --> 00:10:06,520 Speaker 1: the births in America were attended to by physicians and 170 00:10:06,559 --> 00:10:10,199 Speaker 1: the other half by midwives. The following year, an obstetric's 171 00:10:10,200 --> 00:10:13,040 Speaker 1: professor in New York was quoted in saying that midwives 172 00:10:13,080 --> 00:10:18,559 Speaker 1: are and I quote dark, dirty, ignorant, untrained, incompetent women. 173 00:10:18,840 --> 00:10:22,959 Speaker 1: Evil though necessary, evil that must be controlled. We must 174 00:10:23,080 --> 00:10:26,560 Speaker 1: save our women. By nineteen fifteen, doctor Joseph de Ley, 175 00:10:26,760 --> 00:10:30,000 Speaker 1: the most famous obstetrician of the day, suggested that birth 176 00:10:30,040 --> 00:10:33,720 Speaker 1: be viewed as a dangerous pathological process that must be 177 00:10:33,800 --> 00:10:36,760 Speaker 1: controlled to the highest degree. He believed that every woman 178 00:10:36,760 --> 00:10:40,640 Speaker 1: in labor needed medical intervention, even when the intervention itself 179 00:10:40,720 --> 00:10:43,840 Speaker 1: left long lasting damage to the mother and child. He 180 00:10:43,920 --> 00:10:48,679 Speaker 1: invited the use of forceps, restraints, episiotomies, and drug cocktails 181 00:10:48,720 --> 00:10:53,000 Speaker 1: to knock laboring mothers unconscious. He stripped humanity from childbirth, 182 00:10:53,200 --> 00:10:56,520 Speaker 1: and to many it seemed that modernity had finally arrived. 183 00:10:57,280 --> 00:11:00,560 Speaker 1: By nineteen seventeen, a national debate and dias desire for 184 00:11:00,640 --> 00:11:03,960 Speaker 1: governmental response had been triggered. They needed to do something 185 00:11:03,960 --> 00:11:08,120 Speaker 1: about the American midwife problem. In nineteen twenty one, the 186 00:11:08,120 --> 00:11:11,360 Speaker 1: Shepherd Tuner Act was passed by Congress, which provided federal 187 00:11:11,400 --> 00:11:14,960 Speaker 1: funding for maternity and childcare. The states were required to 188 00:11:15,040 --> 00:11:19,000 Speaker 1: match these federal dollars, but without necessary health care infrastructure, 189 00:11:19,320 --> 00:11:23,120 Speaker 1: many rural places heartily welcomed midwiffree to fill in the gaps. 190 00:11:23,400 --> 00:11:27,280 Speaker 1: States worked towards regulating their practices in the meantime, requiring 191 00:11:27,320 --> 00:11:30,520 Speaker 1: training and licenses in order for them to legally work, 192 00:11:30,800 --> 00:11:33,360 Speaker 1: but none of this made birth safer. In fact, until 193 00:11:33,360 --> 00:11:36,840 Speaker 1: the invention of antibiotics in nineteen twenty eight, maternal and 194 00:11:36,960 --> 00:11:40,720 Speaker 1: infant hospital deaths kept rising, as did the incidents of 195 00:11:40,760 --> 00:11:44,320 Speaker 1: death from birth injuries. America saw a forty one percent 196 00:11:44,440 --> 00:11:48,560 Speaker 1: increase in infant mortality due to injury between nineteen fifteen 197 00:11:48,640 --> 00:11:53,800 Speaker 1: and nineteen twenty nine, primarily due to invasive obstetrical interference. 198 00:11:54,200 --> 00:11:57,400 Speaker 1: By nineteen thirty five, less than fifteen percent of American 199 00:11:57,400 --> 00:12:02,200 Speaker 1: births were attended by midwives. Practitioners were working in the poor, 200 00:12:02,240 --> 00:12:05,480 Speaker 1: black and rural South, a place where many white doctors 201 00:12:05,880 --> 00:12:08,280 Speaker 1: chose not to go. But it was also around this 202 00:12:08,400 --> 00:12:12,400 Speaker 1: time in rural Alabama that a very special baby was born. 203 00:12:19,360 --> 00:12:22,160 Speaker 1: Annie Lee Logan came into the world as the fourteenth 204 00:12:22,240 --> 00:12:25,360 Speaker 1: child of Martha and Lenn Rodgers. She was born around 205 00:12:25,440 --> 00:12:29,000 Speaker 1: nineteen ten near the community of Sweetwater. Her family's land 206 00:12:29,080 --> 00:12:32,120 Speaker 1: was beautiful as the name suggested. Her parents owned it, 207 00:12:32,200 --> 00:12:34,600 Speaker 1: and even though they were cash poor, they lived in 208 00:12:34,640 --> 00:12:38,680 Speaker 1: abundance among their fruit orchards, rice fields, and vegetable gardens. 209 00:12:38,960 --> 00:12:42,240 Speaker 1: As Annie got older, she began to experience fainting spells. 210 00:12:42,600 --> 00:12:45,480 Speaker 1: These kept her from working her family's fields and gardens, 211 00:12:45,600 --> 00:12:48,280 Speaker 1: but they gave her access to another world. She went 212 00:12:48,320 --> 00:12:51,440 Speaker 1: off with her mother to deliver local babies. Annie was 213 00:12:51,480 --> 00:12:54,360 Speaker 1: curious about everything that she saw and cared for her 214 00:12:54,360 --> 00:12:57,040 Speaker 1: baby dolls just as well as her mother cared for 215 00:12:57,120 --> 00:12:59,959 Speaker 1: new infants. By the time Annie was about eight years old, 216 00:13:00,120 --> 00:13:03,679 Speaker 1: the state legislature began to crack down on non licensed midwives, 217 00:13:04,000 --> 00:13:06,160 Speaker 1: which is to say all of them. The state of 218 00:13:06,200 --> 00:13:10,520 Speaker 1: Alabama soon established a regulatory board which managed all registration 219 00:13:10,679 --> 00:13:13,960 Speaker 1: and training. And while this seems like a sensible chapter 220 00:13:14,080 --> 00:13:16,440 Speaker 1: in the March toward progress, the truth was a bit 221 00:13:16,480 --> 00:13:20,679 Speaker 1: more complicated. You see, America didn't have a midwife problem 222 00:13:20,800 --> 00:13:24,040 Speaker 1: like the American Medical Association claim. Rather, it was the 223 00:13:24,120 --> 00:13:27,240 Speaker 1: midwives who had a problem on their hands. The issue 224 00:13:27,280 --> 00:13:31,679 Speaker 1: here was one of inclusion. Long ago, Europe had established 225 00:13:31,679 --> 00:13:34,720 Speaker 1: midwiffery schools and accepted them as integral parts of the 226 00:13:34,720 --> 00:13:38,040 Speaker 1: medical field. But this was not true for America. Instead, 227 00:13:38,080 --> 00:13:41,640 Speaker 1: American medical schools refused to accept women into their ranks, 228 00:13:41,840 --> 00:13:45,439 Speaker 1: let alone black women. They wanted to replace all midwives 229 00:13:45,480 --> 00:13:49,000 Speaker 1: with male doctors, many of whom lacked functional knowledge and 230 00:13:49,160 --> 00:13:52,640 Speaker 1: culturally competent care. After her mother died when Annie was 231 00:13:52,679 --> 00:13:54,959 Speaker 1: about eighteen years old, she went to work to support 232 00:13:55,000 --> 00:13:57,760 Speaker 1: her family. She took up work as a domestic servant. 233 00:13:58,080 --> 00:14:00,360 Speaker 1: A few years later, already having had a child of 234 00:14:00,360 --> 00:14:02,559 Speaker 1: her own, she began to consider what it might mean 235 00:14:02,600 --> 00:14:05,040 Speaker 1: to her to become a midwife. It was when she 236 00:14:05,160 --> 00:14:08,400 Speaker 1: received heaping praise while helping a local doctor deliver her 237 00:14:08,400 --> 00:14:12,120 Speaker 1: employer's child that she realized that her life's course had 238 00:14:12,120 --> 00:14:15,040 Speaker 1: already been charted. She took up work as a granny woman, 239 00:14:15,400 --> 00:14:18,160 Speaker 1: just as her mother had been. Annie was working in 240 00:14:18,240 --> 00:14:20,920 Speaker 1: rural communities at a time when white doctors refused to 241 00:14:20,960 --> 00:14:24,240 Speaker 1: deliver black babies. She was one of thousands who continued 242 00:14:24,280 --> 00:14:27,440 Speaker 1: to work across Alabama. Often, the families that Annie and 243 00:14:27,440 --> 00:14:30,600 Speaker 1: her fellow midwives worked with were living in deep poverty. 244 00:14:31,120 --> 00:14:34,360 Speaker 1: Even still, these birth workers considered their path a calling 245 00:14:34,480 --> 00:14:37,280 Speaker 1: and found ways to barter and give their time beyond 246 00:14:37,320 --> 00:14:40,880 Speaker 1: delivering children. They provided care for the household. They cooked 247 00:14:40,880 --> 00:14:44,200 Speaker 1: and cleaned, and helped prepare for the baby's arrival. They 248 00:14:44,240 --> 00:14:47,520 Speaker 1: prayed with scared parents and wiped the laboring mother's brow. 249 00:14:47,880 --> 00:14:50,480 Speaker 1: Unlike the medical doctors of her day, who wished to 250 00:14:50,520 --> 00:14:54,120 Speaker 1: expedite childbirth by any means necessary, Annie made sure that 251 00:14:54,240 --> 00:14:57,080 Speaker 1: she didn't rush it. She would later recall a birth 252 00:14:57,120 --> 00:15:00,240 Speaker 1: she attended alongside a supervisor. A mother had gone into 253 00:15:00,280 --> 00:15:03,040 Speaker 1: labor with twins. The first child was born, but he 254 00:15:03,280 --> 00:15:06,760 Speaker 1: wasn't breathing. Her supervisor set the baby aside, assuming he 255 00:15:06,880 --> 00:15:09,640 Speaker 1: was dead, as she assisted the second child from the 256 00:15:09,680 --> 00:15:12,840 Speaker 1: birth canal. Annie, having never been trained in mouth to 257 00:15:12,880 --> 00:15:16,080 Speaker 1: mouth resuscitation, had a sense that this was the only option. 258 00:15:16,400 --> 00:15:20,040 Speaker 1: She worked tirelessly for forty five minutes, and soon the 259 00:15:20,080 --> 00:15:23,280 Speaker 1: baby began to cry. In the nineteen forties, she began 260 00:15:23,360 --> 00:15:25,760 Speaker 1: taking classes with the Mobile County Board of Health to 261 00:15:25,840 --> 00:15:29,640 Speaker 1: secure her license and registration. Pen in hand and paper 262 00:15:29,680 --> 00:15:33,200 Speaker 1: on the desk, she sat quietly as teachers conducted their lessons. 263 00:15:33,440 --> 00:15:37,239 Speaker 1: They discussed hygiene and pre and postnatal care, the curriculum 264 00:15:37,320 --> 00:15:40,200 Speaker 1: that was already familiar to many in the classroom, but 265 00:15:40,280 --> 00:15:43,400 Speaker 1: it wasn't the hard and necessary skills that she believed 266 00:15:43,400 --> 00:15:46,840 Speaker 1: she was most gifted with, but something more spiritual, something 267 00:15:46,880 --> 00:15:50,920 Speaker 1: more ineffable, something that she would call mother wit. Annie 268 00:15:50,960 --> 00:15:54,120 Speaker 1: believed that there was this God given wisdom, her common sense, 269 00:15:54,320 --> 00:15:56,960 Speaker 1: and she relied heavily on it in her practice. By 270 00:15:57,040 --> 00:15:59,600 Speaker 1: nineteen forty nine, she was certified by the state board 271 00:16:00,000 --> 00:16:03,560 Speaker 1: and joined the professional ranks of the new medical establishment. 272 00:16:04,200 --> 00:16:07,080 Speaker 1: Annie kept working in homes, and public hospital health care 273 00:16:07,120 --> 00:16:12,200 Speaker 1: infrastructure kept expanding. Finally, hospitals allowed black mothers inside, leading 274 00:16:12,240 --> 00:16:14,800 Speaker 1: to a decrease in the demand for in home midwives. 275 00:16:15,040 --> 00:16:19,600 Speaker 1: By nineteen seventy six, the state outlawed midwiffery. Altogether, Annie 276 00:16:19,640 --> 00:16:22,080 Speaker 1: and one hundred and fifty of her peers were allowed 277 00:16:22,120 --> 00:16:25,160 Speaker 1: to continue their care, but theirs was a dying breed. 278 00:16:25,680 --> 00:16:28,480 Speaker 1: She had delivered hundreds of babies in her career and 279 00:16:28,560 --> 00:16:31,240 Speaker 1: had only lost four of them, and as a reward, 280 00:16:31,640 --> 00:16:35,000 Speaker 1: very quietly, in nineteen eighty four, she received a letter 281 00:16:35,040 --> 00:16:37,480 Speaker 1: in the mail. It was from the state of Alabama 282 00:16:37,680 --> 00:16:40,280 Speaker 1: telling her that her license and those of all her 283 00:16:40,280 --> 00:16:45,080 Speaker 1: fellow midwives were being revoked immediately. At seventy three years 284 00:16:45,080 --> 00:16:48,480 Speaker 1: of age, Annie had been the last practicing granny midwife 285 00:16:48,760 --> 00:16:52,160 Speaker 1: in Mobile County. As she would later recall, it was 286 00:16:52,200 --> 00:16:59,000 Speaker 1: one of the saddest days of her life. Annie Lee 287 00:16:59,040 --> 00:17:02,760 Speaker 1: Logan didn't go quietly. Although she never practiced again, She 288 00:17:02,960 --> 00:17:05,879 Speaker 1: met a young student, Catherine Clark, in the summer of 289 00:17:06,000 --> 00:17:11,120 Speaker 1: nineteen eighty four. Together they created Annie's autobiography, entitled Mother Wit, 290 00:17:11,440 --> 00:17:15,080 Speaker 1: an Alabama midwife Story. Doing so helped to capture the 291 00:17:15,119 --> 00:17:18,680 Speaker 1: story of Annie's life, as well as an institution and 292 00:17:18,800 --> 00:17:22,600 Speaker 1: a community of healers that was all but eradicated. Annie 293 00:17:22,640 --> 00:17:26,480 Speaker 1: passed away in nineteen ninety five, and although midwiffery is 294 00:17:26,520 --> 00:17:29,719 Speaker 1: still illegal in Alabama, she had lived long enough to 295 00:17:29,760 --> 00:17:33,040 Speaker 1: see the tides change. With the social upheaval of the 296 00:17:33,119 --> 00:17:37,480 Speaker 1: nineteen sixties and seventies, layman whiffery began to make a comeback. 297 00:17:37,800 --> 00:17:40,800 Speaker 1: The fight for bodily autonomy was a hot issue during 298 00:17:40,840 --> 00:17:43,280 Speaker 1: the surge of the women's movements, and of course it 299 00:17:43,359 --> 00:17:46,640 Speaker 1: made sense that focus landed on pregnant and birthing bodies. 300 00:17:47,000 --> 00:17:50,200 Speaker 1: Those who sought to decriminalize midwiffery knew that a sacred, 301 00:17:50,280 --> 00:17:54,080 Speaker 1: ancient practice had been sent underground. They wanted choices and 302 00:17:54,160 --> 00:17:56,679 Speaker 1: a holistic kind of healthcare that treated them as so 303 00:17:56,840 --> 00:18:00,480 Speaker 1: much more than faceless numbers on a hospital chart. Today, 304 00:18:00,640 --> 00:18:04,080 Speaker 1: midwiffery is legal to practice in all fifty states, although 305 00:18:04,080 --> 00:18:07,919 Speaker 1: home births still remain illegal in seven of them. Even still, today, 306 00:18:08,040 --> 00:18:10,600 Speaker 1: more than ninety eight percent of births in the United 307 00:18:10,640 --> 00:18:14,439 Speaker 1: States take place in hospitals. But shockingly, a set of 308 00:18:14,440 --> 00:18:18,400 Speaker 1: twenty eighteen statistics tell us that the maternal mortality rates 309 00:18:18,440 --> 00:18:21,520 Speaker 1: in the US is higher than it was in nineteen ten. 310 00:18:22,000 --> 00:18:25,399 Speaker 1: Among forty nine other developed countries across the world, we 311 00:18:25,520 --> 00:18:28,359 Speaker 1: come in first place with our death rates. That's a 312 00:18:28,400 --> 00:18:31,160 Speaker 1: top spot that comes with no prize, just a whole 313 00:18:31,200 --> 00:18:34,600 Speaker 1: lot of justified scorn. Today we are in the throes 314 00:18:34,680 --> 00:18:39,000 Speaker 1: of a maternal healthcare crisis, one that continues to disproportionately 315 00:18:39,040 --> 00:18:42,800 Speaker 1: affect the same communities of women that Annie had dedicated 316 00:18:42,800 --> 00:18:51,600 Speaker 1: her life to serving. My wife and I have a 317 00:18:51,640 --> 00:18:54,680 Speaker 1: deep connection to the world of midwiffery. We know from 318 00:18:54,760 --> 00:18:58,080 Speaker 1: multiple berths just how important their advice was in preparing 319 00:18:58,119 --> 00:19:00,240 Speaker 1: for the big day, as well as their stay hetty 320 00:19:00,280 --> 00:19:03,640 Speaker 1: hand and calming spirits in the delivery room. Midwives are 321 00:19:03,680 --> 00:19:06,560 Speaker 1: guardian angels, and to learn about the way our society 322 00:19:06,600 --> 00:19:10,920 Speaker 1: has treated them is honestly beyond heartbreaking, but in their 323 00:19:10,960 --> 00:19:14,000 Speaker 1: stories we can still find hope. And if you stick 324 00:19:14,040 --> 00:19:17,320 Speaker 1: around through this brief sponsor break, my teammate Robin Miniter 325 00:19:17,600 --> 00:19:20,880 Speaker 1: will tell you one more tale of a healer finding 326 00:19:20,920 --> 00:19:22,359 Speaker 1: their place in the world. 327 00:19:27,960 --> 00:19:31,720 Speaker 2: Stenny Slawa Lishtinsky was born May eighth, eighteen ninety six 328 00:19:31,800 --> 00:19:34,720 Speaker 2: in Poland. Her family was poor and Catholic, and her 329 00:19:34,800 --> 00:19:37,920 Speaker 2: childhood was marked by war. Her father had been drafted 330 00:19:37,920 --> 00:19:41,200 Speaker 2: into military service, which left Stennyslava's mother to take care 331 00:19:41,240 --> 00:19:44,240 Speaker 2: of the family, the home, and the finances. They moved 332 00:19:44,240 --> 00:19:47,520 Speaker 2: around some, spending a few years in Rhodijonio before returning 333 00:19:47,520 --> 00:19:50,720 Speaker 2: to their home in the city of Wuch. By nineteen seventeen, 334 00:19:50,920 --> 00:19:54,000 Speaker 2: Stony Slawa was married. By nineteen twenty three, she and 335 00:19:54,000 --> 00:19:57,120 Speaker 2: her husband, Bronislau, had three children. She spent the next 336 00:19:57,119 --> 00:20:00,400 Speaker 2: few years raising their family and finishing her Midwi freequel horses. 337 00:20:01,040 --> 00:20:04,240 Speaker 2: Her life was full. Delivering babies brought so much joy 338 00:20:04,240 --> 00:20:06,840 Speaker 2: to the families that she worked with, but this happiness 339 00:20:06,880 --> 00:20:11,560 Speaker 2: wouldn't last. On September first, nineteen thirty nine, Germany invaded Poland. 340 00:20:12,080 --> 00:20:15,439 Speaker 2: Nazi forces spread throughout the country, establishing ghettos for Jews, 341 00:20:15,520 --> 00:20:19,000 Speaker 2: the Roma and other designated enemies. On September eighth, the 342 00:20:19,119 --> 00:20:22,359 Speaker 2: Nazis arrived, in which they quickly got to work rearranging 343 00:20:22,359 --> 00:20:25,240 Speaker 2: the city and everyone who lived there, eventually erecting the 344 00:20:25,280 --> 00:20:28,800 Speaker 2: second largest ghetto in all of Nazi occupied Europe. The 345 00:20:28,840 --> 00:20:31,439 Speaker 2: neighborhood where Stanny Slava had been born and raised was 346 00:20:31,440 --> 00:20:34,199 Speaker 2: turned into a hell on earth. Fences were erected and 347 00:20:34,240 --> 00:20:37,919 Speaker 2: barbed wire lined them. Armed Nazi troops patrolled the perimeters. 348 00:20:38,200 --> 00:20:42,200 Speaker 2: Sanni Slava watched as her neighbors, patients, and friends were corralled, starved, 349 00:20:42,200 --> 00:20:45,080 Speaker 2: and abused. In the bright light of day, she secretly 350 00:20:45,080 --> 00:20:48,199 Speaker 2: slipped them food and falsified documents from the outside, risking 351 00:20:48,240 --> 00:20:51,280 Speaker 2: her own life. As part of the resistance, The Nazis 352 00:20:51,320 --> 00:20:54,720 Speaker 2: continued to close in. Stanislava's family was arrested in nineteen 353 00:20:54,760 --> 00:20:57,000 Speaker 2: forty three. Two of her sons were sent to a 354 00:20:57,000 --> 00:21:00,119 Speaker 2: concentration camp. She and her daughter, Sylvia, who was as 355 00:21:00,119 --> 00:21:03,359 Speaker 2: a medical student, were both sent to Auschwitz Berkanew. Stanny 356 00:21:03,359 --> 00:21:07,440 Speaker 2: Slawa Lishtinski became inmate number four, one, three, five five. 357 00:21:08,040 --> 00:21:11,200 Speaker 2: She also became the camp's midwife. The Nazis had a 358 00:21:11,280 --> 00:21:14,159 Speaker 2: vested interest in the fertility and reproduction of their captives. 359 00:21:14,560 --> 00:21:17,640 Speaker 2: They enlisted Stanny Slava to help do their bidding. Day 360 00:21:17,680 --> 00:21:19,920 Speaker 2: and night Standy Slava took care of the imprisoned women 361 00:21:20,000 --> 00:21:22,439 Speaker 2: in one of the barracks. The thirty bunks nearest to 362 00:21:22,480 --> 00:21:25,080 Speaker 2: the stove made up what was known as the maternity ward. 363 00:21:25,440 --> 00:21:27,800 Speaker 2: The stove, which was shaped more like a trough, ran 364 00:21:27,880 --> 00:21:30,320 Speaker 2: like a line through the building center, but it was 365 00:21:30,400 --> 00:21:33,639 Speaker 2: rarely used for warming. Instead, these troughs became places for 366 00:21:33,720 --> 00:21:36,760 Speaker 2: laboring women to lay. It was a frigid, horror filled 367 00:21:36,800 --> 00:21:39,560 Speaker 2: place that she later wrote about, being infested with bold, 368 00:21:39,680 --> 00:21:43,640 Speaker 2: hungry rats, slicked with bodily fluids, and lacking any access 369 00:21:43,680 --> 00:21:46,280 Speaker 2: to basic hygiene or comfort that would keep these mothers 370 00:21:46,320 --> 00:21:49,680 Speaker 2: and their babies safe. The Nazis sentenced every newborn baby 371 00:21:49,680 --> 00:21:52,520 Speaker 2: to death. It was ordered that the baby's umbilical cord 372 00:21:52,600 --> 00:21:55,400 Speaker 2: was not even to be cut, but rather immediately thrown 373 00:21:55,480 --> 00:21:58,680 Speaker 2: with the placenta into the trash. Later, the babies were 374 00:21:58,760 --> 00:22:02,040 Speaker 2: ordered to be drowned. A sign to complete this deed 375 00:22:02,160 --> 00:22:05,040 Speaker 2: was a disgraced midwife who had been convicted of infanticide. 376 00:22:05,040 --> 00:22:08,440 Speaker 2: While still on the outside, mothers often silently bore witness 377 00:22:08,560 --> 00:22:12,439 Speaker 2: to this entire atrocity. Even still, standy Slava did everything 378 00:22:12,480 --> 00:22:14,880 Speaker 2: she could to provide these mothers and newborns with comfort, 379 00:22:15,000 --> 00:22:17,440 Speaker 2: if only for a short while. She would pray over 380 00:22:17,480 --> 00:22:20,560 Speaker 2: each baby, baptizing it with warm water and herbs. She 381 00:22:20,600 --> 00:22:22,800 Speaker 2: would swaddle the baby in any extra sheet that could 382 00:22:22,800 --> 00:22:25,840 Speaker 2: be traded for, and created diapers from torn strips of fabric. 383 00:22:26,440 --> 00:22:30,080 Speaker 2: After mid nineteen forty three, a pivot happened. Non Jewish 384 00:22:30,160 --> 00:22:33,400 Speaker 2: newborns were now permitted to live. The ESSSS would later 385 00:22:33,400 --> 00:22:35,640 Speaker 2: decide if a baby could pass as Aryan, it would 386 00:22:35,640 --> 00:22:39,520 Speaker 2: be rehomed and Germanized. Standy Slava secretly tattooed these babies 387 00:22:39,560 --> 00:22:41,920 Speaker 2: and communicated as much to their mothers in the hopes 388 00:22:41,960 --> 00:22:45,000 Speaker 2: that they could one day be reunited. In all, standy 389 00:22:45,000 --> 00:22:48,840 Speaker 2: Slava delivered more than three thousand infants. Remarkably, she never 390 00:22:48,920 --> 00:22:52,159 Speaker 2: lost a single mother or child during birth. Each baby 391 00:22:52,240 --> 00:22:55,119 Speaker 2: was born alive and healthy, and despite the world they 392 00:22:55,160 --> 00:22:58,600 Speaker 2: were entering into, they were ready to live. According to 393 00:22:58,640 --> 00:23:01,560 Speaker 2: her counting, over fifteen hundred of these infants were drowned 394 00:23:01,560 --> 00:23:04,440 Speaker 2: at the hands of the SS. Another one thousand died 395 00:23:04,480 --> 00:23:08,120 Speaker 2: of cold and starvation. A few hundred were transported for placement. 396 00:23:08,640 --> 00:23:12,680 Speaker 2: Only thirty survived everything. When the war ended and Auschwitz 397 00:23:12,800 --> 00:23:16,199 Speaker 2: was liberated, Standi Slawer returned home to Wooch. There she 398 00:23:16,320 --> 00:23:18,800 Speaker 2: continued to serve as a midwife to her community until 399 00:23:18,800 --> 00:23:21,920 Speaker 2: she retired in nineteen fifty eight, and before she died 400 00:23:21,960 --> 00:23:24,680 Speaker 2: in nineteen seventy four, she got to once again meet 401 00:23:24,720 --> 00:23:27,119 Speaker 2: some of the children whose lives she had saved. Her 402 00:23:27,200 --> 00:23:30,639 Speaker 2: surviving son, who later became a doctor, was quoted as saying, 403 00:23:31,160 --> 00:23:33,919 Speaker 2: for her, the child was the greatest miracle in the world, 404 00:23:34,280 --> 00:23:37,880 Speaker 2: and the act of giving birth was nature's greatest biological exultation. 405 00:23:38,560 --> 00:23:40,800 Speaker 2: In the face of unspeakable horrors and the threat of 406 00:23:40,800 --> 00:23:43,840 Speaker 2: immediate death, standyslaw Was still found it within her to 407 00:23:43,920 --> 00:23:46,639 Speaker 2: fight for life. She never gave up on her mission 408 00:23:46,680 --> 00:23:49,880 Speaker 2: to care for those in humanity's darkest hours. 409 00:23:51,400 --> 00:23:55,600 Speaker 1: Grimm and Mild Presents Bedside Manners was executive produced by 410 00:23:55,600 --> 00:23:59,160 Speaker 1: Aaron Mankey and narrated by Aaron Manke and Robin Minitter. 411 00:24:00,119 --> 00:24:03,520 Speaker 1: For this season was provided by Robin Miniter, with research 412 00:24:03,640 --> 00:24:08,160 Speaker 1: by Sam Alberty, Taylor Haggerdorn and Robin Miniter. Production assistants 413 00:24:08,320 --> 00:24:12,399 Speaker 1: was provided by Josh Thayin, Jesse Funk, Alex Williams, and 414 00:24:12,480 --> 00:24:15,399 Speaker 1: Matt Frederick. You can learn more about this show, the 415 00:24:15,440 --> 00:24:18,040 Speaker 1: Grimm and Mild team, and all the other podcasts that 416 00:24:18,080 --> 00:24:22,400 Speaker 1: we make over at grimandmild dot com, and, as always, 417 00:24:22,800 --> 00:24:23,720 Speaker 1: thanks for listening