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Obstetrical Blunt Hook now in my collection

July 25, 2019 By Deena Leave a Comment

Recently, I took a trip to New York City (well, OK it was my mini-honeymoon). While there, we made a stop at Obscura Antiques & Oddities where I picked up a few things. This item is one of which I didn’t have any examples in my personal collection.

Obstetrical Blunt Hook, D.W. Kolbe & Son. 19th century

So, what is a Blunt Hook anyway?

A Blunt Hook is an obstetrical instrument. They were standard tools in an obstrical kit throughout the 17th – mid 20th centuires. It had a few uses. Primarily it was used to to help a breech, transverse or otherwise malpositioned, fetus to be born. It was hooked around a part of the body and then the body would be manipulated into a more favorable position to birth.

Sometimes, a Blunt Hook would be used as a fetal extraction tool in cases of fetal demise. In other words, if the fetus was dead inside the mother’s uterus then this tool could be used to reposition and remove the body. Leaving a dead fetus inside would result in its putrefication and subsequesnt infection for the mother which lead to her death as well. Removing a deceased fetus is an imperative.

My Blunt Hook happens to have a maker’s mark on it. Discovering that after I got it home helped me identify it. The maker’s mark reads, “D.W. Kolbe & Son”.

Maker's mark "D.W. Kolbe & Son" on an obstetrical blunt hook

Who is D.W. Kolbe & Son?

Luckily, this company was a very successful manufacturer of surgical tools in the middle 19th century. They were located in Philadelphia, PA. According to Temple University, Dietrich W. Kolbe was a German immigrant who had trained in Germany and Paris in making surgical instruments. He came to Philadelphia in 1874. He make his mark, so to speak, during the Civil War making surgical equipment and prostethics for the Union Army.

For more detailed information on the man, please visit: The Autry Collections and Powelton History Blog.

The mark “D.W. Kolbe & Son” was used in the manufacturing years 1867 – 1878. My lovely Blunt Hook was made in that time period. The hook will sit on display in my private collection. It is not currently for sale.

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Filed Under: All Topics, Personal Collection Tagged With: Antique Medical Equipment, Breech, Childbirth, Fetal Demise, Fetus, History of Pregnancy & Childbirth, Medical Anthropology, Obstetrics, Personal Collection, Surgical Tools

Where do we go from here? Implications for modern childbirth education. Part 12

March 14, 2019 By Deena Leave a Comment

The interconnectedness of faith and medicine, as illustrated with the case of Dr. Grantly Dick-Read, offers us a new perspective when tackling ethical issues where faith and medicine seems to collide. When physicians can have the understanding that patients can, consciously or otherwise, regard them in a parallel status to that of a priest, with their words and suggestions as gospel truth on their health and well being, it may help physicians to communicate with patients in a new way that is more conducive to collaborative care.

By Edwardx – Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=38918671

This knowledge can also help medical providers better reach patients with dogmatic beliefs against standard of care treatments, such as childhood vaccinations or other arenas where patients values and beliefs may lead them to cause harm to self or to others.

Yet, I caution about this because there are other areas in medicine where doctor knows best, does not apply. The case of a physician refusing to offer birth control or abortion rises to the top of my list of where physician beliefs and faith in their own rightness can interfere negatively with patient care.

More broadly, this pushes out into politics and legislation. When issues like this are seen as an “either / or”, rather than an “and”, then one side is “right”, rather than having a deeper understanding of the nuance and complexity of the issues. When an issue is seen as two boxers in a ring, one will always need to come out as a clear winner. Rather, when, as suggested by Levin, Vanderpool, Mann and Messikomer, we see the integration of faith and medicine, faith can become a powerful tool to motives patients to act.

If the broader avenues of scholarship, religious studies, anthropology, sociology, law, public health, medicine, etc. can widen their perspectives and work in an interdisciplinary manner, then, I propose, we may see a new paradigm for research in the field.

After doing this research, I am left with more questions that I am as of yet, unable to answer. As a childbirth educator and doula, I see my own teachings reflected back in Read’s words and method, and yet, I am dismayed and left wondering, knowing the history of eugenics, the desire to control women’s bodies and their childbearing ability and the foundations of modern childbirth education in this concept of the noble savage and the overcivilized woman, how can we childbirth educators teach in good conscience?

Are the positive outcomes regarding happy parents and satisfied consumers of our classes, enough to keep teaching as we do?

To use a colloquial term, now that we are “woke” because the evidence shows the roots of Read’s method to be buried in the idea of white racial superiority and the continuation of the race, how do we move forward?

Knowing that Read was, in effect, an anti-science doctor, how do we still teach his techniques and theory?

Are the results worth the little lie we tell ourselves and our students? Is it a little lie after all or is faith alone what women need to preserver through a potentially long and painful experience?

Is is that faith in themselves, in the work they did to prepare for birth and faith in their medical providers enough?

Is childbirth education effective not because of what we teach, but because of how we teach it?

Fundamentally, Read’s encouragement and direct support of women, whether at the bedside or through his book, gave women the faith they needed to shirk unnecessary medical interventions and have births that were predominantly physiologically normal, with limited medical interventions. The seeds he planted and germinated grew to be an international movement promoting natural childbirth which still thrives today, though with the same controversies as when it originated.

Fin.


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Filed Under: All Topics, History Tagged With: Childbirth, Childbirth Education, Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medicine, Natural Childbirth, Pregnancy

Sermons and Stories – Drawing the Listener in to the Community of Believers, Part 7

February 14, 2019 By Deena Leave a Comment

Read used one major technique to draw women in to believing his method worked to reduce or eliminate fear and pain in childbirth. He, like many religious figures, was a consummate storyteller. These stories he told of women who had painless births brought his listeners and his readers into his thrall. His evocative storytelling is seen consistently throughout his writing. The stories give the impression that the reader may have a painless childbirth in the manner of these protagonists if only they pay attention and follow the doctrine of Read’s hopeful message.

The one story he uses, time and again, is that of the Whitechapel woman. This woman, who is nameless, impoverished and lower class. She embodies Read’s idea of a noble savage, yet she is a white woman, which feeds the idea that a birth like hers is possible for any woman. Read witnesses her refusing the chloroform he offers for pain relief, and after having given birth, she turns to him and says, “It didn’t hurt. It wasn’t meant to, was it, doctor?”[1]

There are certain key elements here in this story and in others, that create the faith in both the method and the man. The first is that Read himself is present at the birth. He is both witness and participant. He is the calm, quiet, reverend presence that instills ease in the birthing woman. Yet, he is also the physician – savior, ready to act upon any medical complication as needed. Read is counselor, confessor and physician in a neat package. His very presence is the embodiment of divinity described by Mann, even though the story has all the hallmarks of apocrypha.[2]

Secondly, Read shows faith and confidence in his patient and that faith is reciprocated from her. He believes that she can give birth on her own, free from intervention, and she does. The only doubt she professes is that for the assumption that birth is supposed to hurt. Finally, Read uses this story to convey to women that since he observed easy, painless births and derived his method from these births with the divine hand of God guiding him, then they too can birth just like the Whitechapel woman did, not only painlessly, but also in joy. They too can be participants in saving humanity through birth. Read gives them ownership of not only the birthing experience but also of the long-term positive outcome when they do it right. They create “motherlove” through which they too can take part in saving the world.

In his book, Read gives women and their husbands a specific prescription for success. The women take comfort in his method and the method is relatively straightforward. It includes eliminating negative birth stories from friends and family to begin to reduce fear, prenatal childbirth education with the husband, including progressive relaxation techniques and having the husband present in the delivery room to coach the wife in relaxation methods as taught by Read. All of this giving a woman control and, subsequently, joy during childbirth. In essence, Read promises that if women follow him and have faith in themselves, the technique and the man, they will achieve the ultimate goal of becoming a mother in a state of joy and thus setting the most positive tone for their child’s life. He offered them the world and they engaged with him and bolstered his cause.

Princess Elizabeth was a supporter of The Read Method.

Not only did the middle-class mothers hold him in adoration, but so did Princess Elizabeth, later Queen, with the birth of her first child, Charles. An article in the Daily Mirror noted, “The Princess has told her friends her belief that pain in childbirth can be greatly reduced if a woman has a calm understanding of exactly what is happening when her baby is born […] Princess Elizabeth has read Dr. Dick Read’s book. When it first came out it was impossible to sell it. Now it has been translated into five languages, is a best seller in American and is selling at the rate of thousands of copies a month in this country.”[3] The testimonial, and the faith the Princess had in Read and his method, swept him into celebrity status. This royal endorsement increased the faith women had in Read to the point of almost unquestioning fervor.

“Dear Sir, apropos of the recent statement of the Pope on painless childbirth there is a great deal of publicity given to the subject at the moment. I beg you to use your influence to campaign against the out-dated views held by the Royal College of Physicians, and go get your methods accepted as general technique, etc.” – Anonymous, Jan. 17, 1956[4]

Augmenting the faith in Read and his method was an address by Pope Pius XII on the Science and Morality of Painless Childbirth in May 1956. In this address, the Pope speaks of his dislike of the hypnosis methods of pain control for labor because it created “an emotional deference toward the child.”[5] He also has a strong dislike for pain medications because of the disconnection the mother has from reality through the brain fog of narcotics.

Pope Pius XII, supporter of natural childbirth

Circling back to the concept of the “overcivilized” woman, the Pope uses examples of “primitive peoples” painless births and biblical citations noting that not all labors are painful. He also notes the word “labor” means “work” and not “pain”. Specifically endorsing Read he writes, “For his part, the Englishman Grantly Dick Read has perfected a theory and technique which are analogous in a certain number of points in his philosophical and metaphysical postulates, however he differs substantially, because his are not based like theirs [Russian method, Pavlov and Lamaze], on a material concept.”[6] In other words the Pope supports Read’s method specifically because it is based in faith and not in empirical evidence.

The endorsements by both Pope Pius XII and Princess Elizabeth gave Read validity through influential testimonials. These testimonials and endorsements elevate Read’s status in both celebrity and divinity which enhanced his own sense of divine purpose and faith in his method.

Next Up: A Calling – Medicine and Faith with a Look to History


[1] Read, G.D. (1942), Childbirth without Fear, p. 15

[2] Mann, S. (2016), Physic and divinity: the case of Dr. John Downes MD (1627-1694), p.461

[3] Thomas, A. N. (1957), Doctor Courageous, the story of Dr. Grantly Dick Read, p. 188

[4] Thomas, M. (1997), Postwar Mothers, Childbirth Letters to Dr. Grantly Dick-Read (1946-1956), p. 45

[5] Pius XII, Pope (1956), Science and Morality of Painless Childbirth, p. 39

[6] Pius XII, Pope (1956), Science and Morality of Painless Childbirth, p. 41-42

Bibliography, Deena Blumenfeld, The Silent Mother, Dr. Grantly Dick-ReadDownload

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Filed Under: All Topics, History Tagged With: Childbirth, Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medicine, Natural Childbirth, Preaching, Pregnancy, Religion

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