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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

Rethinking Faith vs. Medicine to become, Faith and Medicine, Part 10

March 7, 2019 By Deena Leave a Comment

At first glance, faith and medicine seem to be two separate spheres. However, when, as suggested by Levin, Vanderpool, Mann and Messikomer, when there is the integration of faith and medicine, faith can become a powerful tool that motivates patients to act and for physicians to practice better medicine. Natural Childbirth, as created by Read and cultivated by pregnant mothers since, is a movement rooted in both faith and medicine, as inseparable as sperm and egg once joined to create a new human. The line between one and the other blurs to create a new being, which is to be defined on its own terms, not by that of an outsider who only uses the one familiar perspective.

Read’s critics, using their singular perspective as medical doctors, claimed that because of his lack of scientific evidence and his reliance on “his own eyes” that his method lacked credibility and validity. Yet, the testimony of the mothers who used his method tells us otherwise. Read’s preacher-like storytelling engaged his readers and listeners such that he created a fervent set of believers. Childbirth without Fear, still in publication seventy-six years later, illustrates the strength of Read’s teachings and the faith people have in him and his method.

It is the combination of both Read the self-proclaimed prophet and Read the method that created his success. When we look to the models of clergyman and physician, we not only see the corresponding personal callings, but we also see distinct expressions of faith in both fields. It is these parallels and similarities, rather than the superficial differences in outlook on specific topics within medicine that scholarship could be applied.

Read viewed pregnancy and birth as a fulfillment of a woman’s highest calling and that far from being pathological and something to be feared, birth can be pain free through proper preparation with adherence to Read’s method. Read believes that birth is normal and that it is a woman’s God given duty to produce children and raise them. By doing so, she is introducing and creating “motherlove”, which in turn will save the world.

Read, as the preacher of his gospel, views himself as a savior of women and of all mankind. Women have found faith in Read and his method for generations. It is through this faith that they can have births that create feelings of empowerment and strength as opposed to fear and weakness. Although Read’s prophecy of saving the world through “motherlove” did not come to fruition, his prophetic insights in to childbirth education, relaxation techniques and labor support from fathers have endured.

Next Up: Where do we go from here? Implications for modern childbirth education.


Bibliography, Deena Blumenfeld, The Silent Mother, Dr. Grantly Dick-ReadDownload
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Filed Under: All Topics, History Tagged With: Dr. Grantly Dick-Read, Faith, History of Pregnancy & Childbirth, Medical Anthropology, Medicine, Physician, Religion

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