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Carnegie Stages

Historically the exact age of human embryo specimens has long perplexed embryologists. With the menstrual history of the mother often unknown or not exact, and the premenstrual and postmenstrual phases varying considerably among women, age sometimes came down to a best guess based on the weight and size of the embryo. Wilhelm His was one of the first to write comparative descriptions of human embryos in the late 1800s. Soon afterward, Franklin P. Mall, the first director of the Carnegie Institution of Washington's (CIW) Department of Embryology, expanded upon His' work.

Format: Articles

Subject: Theories

John Hunter (1728–1793)

John Hunter studied human reproductive anatomy, and in eighteenth century England, performed one of the earliest described cases of artificial insemination. Hunter dissected thousands of animals and human cadavers to study the structures and functions of organ systems. Much of his anatomical studies focused on the circulatory, digestive, and reproductive systems. He helped to describe the exchange of blood between pregnant women and their fetuses. Hunter also housed various natural collections, as well as thousands of preserved specimens from greater than thirty years of anatomy work.

Format: Articles

Subject: People, Reproduction

Enovid: The First Hormonal Birth Control Pill

Enovid was the first hormonal birth control pill. G. D. Searle and Company began marketing Enovid as a contraceptive in 1960. The technology was created by the joint efforts of many individuals and organizations, including Margaret Sanger, Katharine McCormick, Gregory Pincus, John Rock, Syntex, S.A. Laboratories, and G.D. Searle and Company Laboratories.

Format: Articles

Subject: Technologies, Reproduction

José Pedro Balmaceda (1948- )

José Pedro Balmaceda was born 22 August 1948 in Santiago, Chile. His mother Juanita owned a women's boutique in the city and his father José was a successful owner of several timber mills. He grew up with five sisters who remained in Santiago all their lives. Balmaceda attended the college preparatory school San Ignatius where he met Sergio Stone, his future partner at the Center for Reproductive Health fertility clinic in the University of California Irvine Medical Center.

Format: Articles

Subject: People, Reproduction

Twilight Sleep

Twilight Sleep (Dammerschlaf) was a form
of childbirth first used in the early twentieth century in Germany in
which drugs caused women in labor to enter a state of sleep prior to
giving birth and awake from childbirth with no recollection of the
procedure. Prior to the early twentieth century, childbirth was
performed at home and women did not have anesthetics to alleviate the
pain of childbirth. In 1906, obstetricians Bernhardt Kronig and Karl
Gauss developed the twilight sleep method in 1906 to relieve the pain of

Format: Articles

Subject: Theories

Margaret (Peggy) Goldwater (1909–1985)

Margaret Goldwater advocated for birth control and reproductive rights in the United States during the twentieth century. Goldwater was a socialite and philanthropist and was married to Barry Goldwater, US Senator from Arizona. She spent much of her life working to further the women's reproductive rights movement, which sought to expand women's legal, social, and physical access to reproductive healthcare, including contraception and abortions.

Format: Articles

Subject: People, Reproduction, Outreach

Sex in a Cold Climate (1998)

In 1998, Testimony Films released the documentary Sex in a Cold Climate, which reported the true stories of four survivors from the Magdalene asylums in Ireland in the twentieth century. Magdalene asylums, also called Magdalene laundries and homes, were institutions of the Catholic Church that sought to reform women engaged in prostitution and those who birthed children out of wedlock by forcing the women to do hard labor.

Format: Articles

Subject: Outreach, Publications

“Diethylstilbestrol in the Prevention and Treatment of Complications of Pregnancy” (1948), by Olive Watkins Smith

In 1948, Olive Watkins Smith published 'Diethylstilbestrol in the Prevention and Treatment of Complications of Pregnancy' in the American Journal of Obstetrics and Gynecology. In 632 women treated with diethylstilbestrol, Smith demonstrated that the drug stimulated the production of progesterone, a hormone that regulates the uterine condition during pregnancy.

Format: Articles

Subject: Publications

Carol Downer (1933– )

Carol Downer was a reproductive health and abortion rights activist in the twentieth and twenty-first centuries in the US and other countries. During the late 1960s, many women reported knowing little about female anatomy and receiving little information from their physicians. Downer advocated for women’s reproductive anatomy education and encouraged women to not rely on the intervention of a medical doctor for all reproductive issues.

Format: Articles

Norman Haire (1892-1952)

Norman Haire was a physician who advocated for eugenics, which is the betterment of human population by promoting positive traits, and birth control rights in the twentieth century in both Australia and the UK. In the UK, Haire joined the Malthusian League, a contraception advocacy organization, and helped the League open the first physician-supervised birth control clinic, called Walworth Women’s Welfare Centre in London, England.

Format: Articles

Subject: People, Reproduction

“Guideline for the Study and Evaluation of Gender Differences in the Clinical Evaluation of Drugs” (July 1993), by the United States Food and Drug Administration

The US Food and Drug Administration, or FDA, published the “Guideline for the Study and Evaluation of Gender Differences in the Clinical Evaluation of Drugs,” henceforth “Study of Gender Differences,” in July 1993. The document defined acceptable practices for investigators studying new drugs. Prior to 1993, investigators excluded most women from clinical trials because in 1977, the FDA recommended that anyone who could possibly become pregnant be excluded from early phase drug research to minimize risk to a potential fetus.

Format: Articles

Subject: Publications

William Stewart Halsted (1852-1922)

William Stewart Halsted was a surgeon at Johns Hopkins Hospital in Baltimore, Maryland, during the late 1800s and early 1900s. In 1894 Halsted described his procedure for treating breast cancer by removing the breast tissue, chest muscles, and lymph nodes in the armpit, a procedure he named radical mastectomy, and that became the standard of care for treating breast cancer until 1970.

Format: Articles

Subject: People

Genetics and IVF Institute, GIVF

In 1984, human genetics and reproduction researcher and physician Joseph D. Schulman founded the Genetics and IVF Institute, an international organization that provides infertility treatment and genetic services to patients. IVF stands for in vitro fertilization, an infertility treatment in which a female egg is fertilized by male sperm outside of the female body. GIVF is headquartered in Fairfax, Virginia, in association with Inova Health System, formerly called the Fairfax Hospital Association, one of the largest regional hospital systems in the United States.

Format: Articles

Subject: Organizations, Reproduction

"The Contagiousness of Puerperal Fever” (1843), by Oliver Wendell Holmes

In 1843, physician Oliver Wendell Holmes wrote and published The Contagiousness of Puerperal Fever, an essay about puerperal fever, a disease that occurs mainly as a result of bacterial infection in the uterine tract of women after giving birth or undergoing an abortion. In the essay, Holmes argues that puerperal fever is spread through birth attendants like physicians and midwives who make contact with the disease and carry it from patient to patient. The article was published in The New England Quarterly Journal of Medicine and Surgery in 1843.

Format: Articles

Subject: Publications

Kangaroo Mother Care

Physician researchers Edgar Rey Sanabria and Héctor Martínez-Gómez developed the Kangaroo Mother Program in Bogotá, Colombia, in 1979, as an alternative to conventional incubator treatment for low birth weight infants. As of 2018, low birth weight and its associated complications are the leading causes of infant death, especially in developing and underdeveloped countries where access to technology and skilled healthcare providers is limited. Kangaroo Mother Care is a simple and low cost method for treating low birth weight infants.

Format: Articles

Subject: Technologies

Whole Woman's Health v. Hellerstedt (2016)

In the 2016 case Whole Woman's Health v. Hellerstedt, the US Supreme Court ruled unconstitutional the Texas requirements that abortion providers have admitting privileges at local hospitals and that abortion facilities meet ambulatory surgical center standards. Whole Woman’s Health represented abortion care providers in Texas and brought the case against the commissioner for the Texas Department of State Health Services, John Hellerstedt.

Format: Articles

Subject: Legal, Reproduction

Charles Raymond Greene (1901–1982)

Charles Raymond Greene studied hormones and the effects of environmental conditions such as high-altitude on physiology in the twentieth century in the United Kingdom. Green researched frostbite and altitude sickness during his mountaineering expeditions, helping to explain how extreme environmental conditions effect respiration. Greene’s research on hormones led to a collaboration with physician Katarina Dalton that culminated in the development of the theory that progesterone caused premenstrual syndrome, a theory that became the basis for later research on the condition.

Format: Articles

Subject: People

William Withey Gull (1816-1890)

William Withey Gull studied paraplegia, anorexia, and hormones as a physician in England during the nineteenth century. In addition to caring for patients, he described the role of the posterior column of the spinal cord in paraplegia, and he was among the first to describe the conditions of anorexia and of hypochondria. He also researched the effects of thyroid hormone deficiencies in women who had malfunctioning thyroid glands.

Format: Articles

Subject: People

Milan Vuitch (1915–1993)

Milan Vuitch was an abortion provider in the twentieth century, who performed thousands of abortions in Washington, DC, at a time when abortions were legal only if they preserved the life or health of the pregnant woman. Vuitch was a frequent critic of Washington DC’s anti-abortion law and was arrested multiple times for providing abortions that were not considered necessary to preserve the pregnant woman’s life. After several arrests, Vuitch challenged the law under which he had been arrested, and his case made its way to the Supreme Court in Vuitch v. United States.

Format: Articles

Subject: People

John Charles Rock (1890-1984)

Born on 24 March 1890 in Marlborough, Massachusetts, to Ann and Frank Rock, John Charles Rock was both a devout Catholic and one of the leading investigators involved in the development of the first oral contraceptive pill. In 1925 he married Anna Thorndike, with whom he later had five children. He spent over thirty years of his career as a clinical professor of obstetrics at Harvard Medical School, and in 1964 the Center for Population Studies of the Harvard School of Public Health established the John Rock Professorship.

Format: Articles

Subject: People, Reproduction

Dorothy Andersen (1901–1963)

Dorothy Andersen studied cystic fibrosis in the United States during the early 1900s. In 1935, Andersen discovered lesions in the pancreas of an infant during an autopsy, which led her to classify a condition she named cystic fibrosis of the pancreas. In 1938, Andersen became the first to thoroughly describe symptoms of the medical condition cystic fibrosis.

Format: Articles

Subject: People

Katharina Dorothea Dalton (1916–2004)

Katharina Dorothea Dalton was a physician in England in the twentieth century who defined premenstrual syndrome (PMS) as a cluster of symptoms suspected to begin one to two weeks before menstruation and disappear upon the onset of a new menstrual cycle. Prior to Dalton, there was little research on pre-menstrual issues and those that existed linked the problem to excessive water retention or estrogen. Dalton hypothesized that PMS resulted from a deficiency in the hormone progesterone and advocated for hormone replacement therapy to lessen the symptoms of the syndrome.

Format: Articles

Subject: People

Royal College of Obstetricians and Gynaecologists (1929–1970)

Starting in 1929, the Royal College of Obstetricians and Gynaecologists was a professional association of physicians in the UK that aimed to improve the care of women in childbirth through training and education and to establish obstetrics and gynecology as a medical specialty. The Royal College of Obstetricians and Gynaecologists has contributed to women’s reproductive health by fostering research, establishing standards for physicians specializing in obstetrics and gynecology, and influencing legislation.

Format: Articles

Subject: Organizations

Priscilla White (1900–1989)

Priscilla White studied
the treatment of diabetes in mothers, pregnant women, and
children during the twentieth century in the US. White began
working with children with Type 1 diabetes in 1924 at Elliott
Proctor Joslin’s practice in Boston, Massachusetts. Type 1
diabetes is an incurable disease where the pancreas produces
little to no insulin. Insulin is a hormone that allows the body
to use sugar from food for energy and store sugars for future
use. Joslin and White co-authored many publications on children

Format: Articles

Subject: People

Ethics of Fetal Surgery

Surgeons sometimes operate on the developing fetuses in utero of pregnant women as a medical intervention to treat a number of congential abnormalities, operations that have ethical aspects. A. William Liley performed the first successful fetal surgery, a blood transfusion, in New Zealand in 1963 to counteract the effects of hemolytic anemia, or Rh disease.

Format: Articles

Subject: Ethics