Modern gynecology was built on the back of Enslaved black women

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Families that we were raised around were just up from the South, and they told us about these things happening. We saw the stories detailed in articles and books later in life. Been trying to find the information about those practices in the French Caribbean colonies.
I can't trust white people.
I can't take Black people who trivialize slavery seriously.
 

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ANARCHA, LUCY, & BETSY

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‘Father Of Gynecology,’ Who Experimented On Slaves, No Longer On Pedestal In NYC


April 17, 2018
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A statue of surgeon J. Marion Sims is taken down from its pedestal in Central Park on Tuesday. A New York City panel decided to move the controversial statue after outcry, because many of Sims' medical breakthroughs came from experimenting on enslaved black women without anesthesia.

New York City has removed a statue of J. Marion Sims, a 19th-century gynecologist who experimented on enslaved women, from a pedestal in Central Park.

The statue will be moved to a cemetery in Brooklyn where Sims, sometimes called the "father of gynecology," is buried. A new informational plaque will be added both to the empty pedestal and the relocated statue, and the city is commissioning new artwork to reflect the issues raised by Sims' legacy.

The 1890s statue was installed across the street from the New York Academy of Medicine in 1934, with a plaque praising Sims' "brilliant achievement." Sims perfected a technique to repair vesicovaginal fistulas, which are holes between the vagina and the bladder or rectum, by repeatedly conducting painful experimental surgeries on enslaved black women without using anesthesia.

In January, a mayoral commission examining controversial monuments in New York City overwhelmingly recommended that the Sims statue be relocated. Mayor Bill de Blasio agreed.

The Public Design Commission approved the decision unanimously on Monday, and less than a day later, the statue came down.

A small crowd watched and cheered, New York Daily News reports, with one spectator calling out, "Off with his head!"

Harlem resident Mercy Wellington spoke to the Daily News about watching the statue come down.

"I feel that my ancestors can rest," she told the newspaper.

"Each day I walked past that statue and I saw him up there, I felt personally disrespected. ... It's a historical moment for me, and it's an emotional moment. I just feel the right thing is being done."
 

MischievousMonkey

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Families that we were raised around were just up from the South, and they told us about these things happening. We saw the stories detailed in articles and books later in life. Been trying to find the information about those practices in the French Caribbean colonies.
I can't trust white people.
I can't take Black people who trivialize slavery seriously.
Wouldn't have even known about this without Dr Joy DeGruy's conference. Blew my mind then. Still can't wrap my mind around it today. This information is swept under the rug.

Fortunately some do our duty of keeping the memory alive (see your article).
 

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Wouldn't have even known about this without Dr Joy DeGruy's conference. Blew my mind then. Still can't wrap my mind around it today. This information is swept under the rug.

Fortunately some do our duty of keeping the memory alive (see your article).

You should definitely read Medical Apartheid and The Price for Their Pound of Flesh by Daina Ramey Berry: 9780807067147 | PenguinRandomHouse.com: Books





Honestly, they are in my collections of books that pushed me over the edge to fight for and be so vocal about ADOS reparations.
 

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Families that we were raised around were just up from the South, and they told us about these things happening. We saw the stories detailed in articles and books later in life
Been trying to find the information about those practices in the French Caribbean colonies.
.



@15:45 she speaks about Prevost



P622, February 12, 2022
Deirdre Cooper Owens: bringing context to systemic medical racism
In the 1790s, François Marie Prevost, a young French surgeon fresh from his medical training in Paris moved to Port-de-Paix, Haiti. “Of course at that time Haiti was France's most economically valuable colony”, says historian Deirdre Cooper Owens. “So there he began some experimental work on enslaved Haitian women, trying to perfect the caesarean section.” Prevost's sojourn coincided with the leadership of Toussaint Louverture, who had been born a slave, the fight for Haitian independence, and the abolition of slavery. And so Prevost left Haiti for Louisiana. “He moved to a little town outside of Baton Rouge, and began experimental surgery on enslaved women there, perfecting the caesarean section, and he did this in the 1830s, the era before the civil war that ends slavery.” It was also an era in which Louisiana surgeons were reluctant to attempt the experimental surgery on white women. Of the 15 caesarean sections done by Prevost and others in Louisiana between 1820 and 1861, all were performed on enslaved women. “At the time, in the 19th century, during the time of slavery, they couldn’t consent”, she explains. “But this is the really interesting thing: from the 1830s all the way to the 21st century, Louisiana has been in the top three states with the most caesarean sections on Black women patients…So what's going on, did all of these women need to have caesarean sections?”
 

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A new museum and clinic will honor the enslaved “Mothers of Gynecology”​


Artist Michelle Browder leads the charge to recognize women and girls such as Anarcha, Lucy and Betsey.

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December 7, 2022
33 S. Perry Street in Montgomery, Alabama, is a site of harrowing sacrifice that birthed modern gynecology. But though many know the breakthroughs that happened there, the dozens of enslaved women and girls who suffered for the medical standards that exist today are often erased.


Artist Michelle Browder is giving that space, and those women, a chance to speak. She purchased the site in February with plans to honor the memories of these women and girls. Less than a mile away from the state capitol building, where a statue of James Marion Sims looms, what was once the site of his makeshift slave hospital will now become a $5.5 million museum, clinic and training space for medical students, gynecologists, doulas and midwives.


Browder plans to expand a two-story building that has stood there since the late 1800s and add a third floor, which will house the Mothers of Gynecology Health and Wellness Clinic. The clinic will be a primary care unit that helps women who cannot afford those services, while also providing a space for doulas, midwives and OB-GYNs to collaborate to offer solutions to end the maternal health crisis.


“Whether it’s a doula service, if you just need that friend to walk you through prenatal care, or after postpartum depression … we want to provide a safe place for women and birthing people to come and find some relief, find a friend, and then also find some support,” Browder said.


The groundbreaking is set for Mother’s Day 2023. Browder is also hosting a three-day Day of Reckoning Conference in February to raise funds and awareness.


At that site, Anarcha, Lucy and Betsey, along with other enslaved women and girls whose names have been lost to history, shed blood for the creation of American gynecology, despite their inability to consent. It is also where they labored to run the “Negro hospital” and tend to the family of Sims, the doctor who rose to fame for his contributions to gynecology.




Sims, a well-respected figure in American medicine, is known for inventing the speculum and the Sims position, which are both used during gynecological examinations. To arrive at those advances, he purchased and leased enslaved women, whom he operated on without anesthesia, to perfect treatments for White women. For five years, they labored at Sims’ side and under his torturous hand. They were the subjects of dozens of procedures with no anesthesia. They were also tasked with holding each other down and assisting with the procedures, along with the typical work of an enslaved woman. Anarcha underwent at least 30 surgeries during Sims’ experimentation. She was 17 years old at the time of her first surgery.


Browder was 18, just older than Anarcha, when she learned of the women’s fates. Her fight is in both pedagogy and practice, teaching about the ills that the medical system was built on, and remedying them with compassionate care in the teaching clinic. Browder — who also runs More Than Tours, which offers tours of civil rights landmarks — wants to ensure that the museum at the site will highlight the beginnings of gynecology, providing a more complete history that includes the women and girls.




The center will be the latest in Browder’s body of work dedicated to the Mothers of Gynecology. Earlier this year, Browder opened the Mothers of Gynecology monument on Mother’s Day. It features the three women, constructed from scrap metals, bike chains and other items that had been discarded as a testament to the value of the women whose bodies were treated as disposable.


The statue of Anarcha is 15 feet tall. Her head is lifted to the sky, in constant prayer that her situation would improve. Her hair is in braids. Each of the women’s ears and necks are adorned with Adinkra symbols representing strength, friendship and God. Anarcha’s womb is displaced, and in its place is a single rose.

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The Mothers of Gynecology Monument (Andi Rice/The Washington Post/Getty Images)

Browder’s body of work shifts the power dynamic, deeming them mothers and nurses, instead of slaves and victims. Much of what we know about gynecology’s inception comes from the memories of men like Sims, which can be reconstructed through his autobiography, medical journal articles and more. The system of slavery attempted to erase women like Anarcha, Lucy and Betsey from history, who were barred from learning to write their own.
 

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Artists like Browder work to preserve their stories. So do scholars like Deirdre Cooper Owens, who immortalized their story in her book “Medical Bondage: Race, Gender, and the Origins of American Gynecology,” referring to them as Mothers of Gynecology. Browder consulted Cooper Owens’ work in creating her own.


“You can’t tell a whole history of the rise of a profession, of a medical branch, and not talk about the patients,” Cooper Owens said.


Telling a complete story also requires the acknowledgement of the practice’s beginnings — and its enduring legacy. Before Sims, there was John Peter Mettauer in Virginia, America’s first plastic surgeon, who performed the same operation as Sims, successfully on a White woman and unsuccessfully several times on an enslaved woman. He blamed his failure on the enslaved woman’s sexual nature. There was William Aiken in North Carolina, who repeatedly drilled holes in the head of an enslaved woman named Lucinda. And there was Francois Marie Prevost, who pioneered the cesarean section in Louisiana, operating on at least 30 enslaved women.


These physicians’ practices perpetuated the unfounded beliefs that Black people could not feel pain, or that they had a higher tolerance. They perpetuated attitudes that regarded Black people as disposable. The practice of experimenting on enslaved people was widespread from the late 18th century through the antebellum era.


“Sims was just a cog in a wheel,” Cooper Owens said. “There were so many ‘pioneers’ in obstetrics and gynecology, and they had almost all worked on enslaved people, and almost all of them were slave owners.”

Before the colonial period in America, midwives tended to those giving birth, applying a holistic and noninvasive approach. According to Cooper Owens, tending to mothers was a job seen as divinely ordained for women. It wasn’t until doctors like Sims came along that American gynecology was masculinized, allowing White men to dominate the field and impose paternalistic views on the women they were tasked with caring for, Cooper Owens said.


The legacy that doctors like Sims belong to endures today, rearing its head in the maternal health care crisis that places the United States among the most dangerous countries to give birth among those with comparable wealth. In a report by the World Health Organization, North America was the only region in the world in which the maternal mortality rate was on the rise between 2000 and 2017.


As of the latest data available, released by the Centers for Disease Control and Prevention earlier this year, Black women are more than three times more likely to die from issues related to pregnancy than White women. Black women are also more likely to have preterm births and less likely to receive adequate care.


Today’s maternal health care crisis that is killing Black women and babies is a natural continuation of the science birthed from violence, experts said. The mistreatment of Black people and their bodies has been there every step of the way.


“We didn’t get here out of nowhere,” said Dr. Veronica Maria Pimentel, an OB-GYN who collaborated with Browder. “We have to understand our history and how we got here.”


No matter the age, social status, education level, no Black woman is exempt from the possibility of a confrontation with this legacy. A study by Dr. Fleda Mask Jackson showed that college-educated Black women still faced higher maternal mortality rates than White women who were poor, uneducated, unemployed and uninsured.


Experts attribute this to a factor called weathering, when the compounded stress of racism and sexism wears on the body. Browder cited the example of Serena Williams, the millionaire tennis icon who nearly died after childbirth when her body told her what she needed and medical teams repeatedly ignored her.


That extends outside of reproductive health. Pimentel shared an experience in which she had to advocate for her mother, an older Black woman, who she said was not receiving adequate care. She said the care her mother received improved after she continued to speak up and her mother’s health care providers realized she was a physician herself. Pimentel said her interest in gynecology came from her mother’s belief that taking care of women takes care of society. She has started a petition to have February 28 and March 1 — the days straddling Black History Month and Women’s History Month — recognized as Betsey, Lucy and Anarcha days.


(continued)

Browder wants the clinic to be a part of a new path forward, where medical students are welcomed to come and learn.


“We want to provide a safe space where we can collectively work together and offer some solutions to end the maternal health crisis,” she said.


In Alabama, where Browder works to reclaim the legacy at 33 S. Perry Street, the need for change is urgent. In March of Dimes’ 2022 report card, the state received an F, an indicator of maternal and infant health in the state. The state’s board of health is considering regulations that would restrict midwives from working in freestanding birthing centers, which would limit access to care in a state in which the March of Dimes report deemed more than a third of its counties maternity care deserts.


“The powers that be want to dictate to you how to have your baby, after they tell you that you have no right to govern your own body. They now want to tell you how to give birth,” Browder said.
 
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